However, epidemiological reviews ( Reference Bebbington, Marsden and BrewinBebbington et al, 1997 Reference Hunter, Sierra and DavidHunter et al, 2004) conclude that clinically significant depersonalisation may affect 1–2% of the general population, with a gender ratio of about 1:1. More commonly, depersonalization-derealization phenomena occur in the context of depressive illnesses, phobic disorder, and obsessive-compulsive disorder’ ( World Health Organization, 1992: p. At GroundWork Counseling in Orlando, our CBT therapists utilize effective CBT methods to treat DPDR as well as anxiety disorders, OCD, and depression.‘the number of individuals who experience this disorder in a pure or isolated form is small. Feeling like body parts (typically hands) have grown large or smallĭepersonalization-derealization has been clinically proven to respond well to Cognitive Behavioral Therapy (CBT) methods, when a clinician has training and understanding of the disorder.“Out of body” experiences (feeling like the self is behind or to the side of themselves).Feeling like the self is living someone else’s memories.Feeling like body parts aren’t one’s own “I feel like my head doesn’t exist”.Feeling like one is in a dream-like state. ![]() Difficulty in processing new information.One’s reflection or voice doesn’t seem real.A sense that one’s environment feels flat or 2 dimensional.Impaired or distorted senses (e.g., touch, sound, taste, color).Absence of a sense of physical boundaries.Partial or total physiological or emotional numbness.Feelings of hollowness or weightlessness.Perceptual and physiological difficulties Symptoms on depersonalization and derealization include: Individuals with DPDR often report a strange experience of time, and vision that is either pale and fuzzy or vivid and bright. Individuals experiencing DPDR often describe DPDR as being “cut-off from reality”, “being in a bubble”, “living in a dream”, “living in the ‘Truman Show’”, or “looking at life through a mirror or a pane of glass”. Derealization (DR): “An experience in which the individual feels a sense of unreality and detachment from the external world”ĭepersonalization and derealization can be frightening and confusing.Depersonalization (DP): “An experience in which the individual feels a sense of unreality and detachment from themselves”.Several psychological studies found that a subtle relationship may exist between childhood trauma and depersonalization-derealization disorder. There appears to be overlap between depersonalization and anhedonia or the inability to experience pleasure. The average age of onset for DPDR is age 16 and it is equally prevalent among men and women. Individuals with Panic disorder demonstrate high rates (22-34%) of depersonalization and derealization. The research states individuals who experience anxiety disorders such as Generalized Anxiety Disorder (GAD), Panic Disorder, Social Anxiety Disorder and Obsessive Compulsive Disorder (OCD) often also experience depersonalization and derealization symptoms. ![]() DPDR and anxiety disorders share many similar symptoms such as increased arousal, feelings of dizziness or faintness, racing thoughts, a sense of detachment, and avoidance of uncomfortable situations. Psychological research has found that there is a high degree of overlap between depersonalization-derealization disorder and other anxiety disorders. Thus, the experience of depersonalization or derealization is thought to be part of the normal range of human experience. During meditative practices that are a part of many religions and cultures, depersonalization or derealization is voluntarily induced. Depersonalization and derealisation symptoms are often experienced during times of extreme stress, fatigue, interpersonal difficulties or drug use. However, studies show that DPRD affects 1% to 2.4% of the population and that 34-70% of all individuals have, at some point in life, experienced temporary transient symptoms of depersonalization and derealization. What is Depersonalization-Derealization Disorder?ĭepersonalization-derealisation disorder (DPRD) is a distressing and impairing condition that is not well understood and is believed to be quite rare by many psychologists.
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