Depersonalization disorder is a change in how you see yourself. You feel detached from your own mind or body, like you are watching yourself from the outside. It may make you feel like you are in a dream.
What is the cause?
The exact cause of this disorder is not known.
Depersonalization often happens after an accident, assault, emotional trauma, or serious illness or injury.
The brain makes chemicals that affect thoughts, emotions, and actions. Without the right balance of these chemicals, there may be problems with the way you think, feel, or act. People with this disorder may have too little or too much of some of these chemicals.
Depersonalization disorder tends to run in families. It is not known if this is caused by genes passed from parent to child. It may also be that parents have certain ways of expressing emotion, and children learn these patterns from their parents. Child abuse may also have an effect.
It often begins at an early age, from around puberty to the late twenties. Depersonalization can last from a few minutes to many years.
What are the symptoms?
Symptoms may include:
Feeling like your body and thoughts are part of a dream, and not under your control
Seeing common and familiar things as strange
Feeling out of touch with what is happening around you
Seeing yourself from a distance, as if you were outside of your body watching a movie of yourself
Purposely hurting or cutting yourself in order to feel something real
Being aware that your symptoms are only a feeling and not real, which can be very frightening
Sometimes people with this disorder also have panic attacks or get depressed.
How is it diagnosed?
Your healthcare provider or a mental health therapist will ask about your symptoms, medical and family history, and any medicines you are taking. He will make sure you do not have a medical illness or drug or alcohol problem that could cause the symptoms. You may have tests or scans to help make a diagnosis.
How is it treated?
This disorder may get better without treatment, but it may take a long time.
Seeing a therapist is helpful. Cognitive behavior therapy (CBT) is a way to help you identify and change how you see yourself, the world, and the future. CBT can make you aware of unhealthy ways of thinking. It can also help you learn positive ways to think and act. A therapist can help you learn how to:
Test the reality of your thoughts
Cope with stress
Identify early warning signs that symptoms are getting worse
Set goals and motivate yourself
Several medicines can help. Your healthcare provider will work with you to select the best medicine. You may need to take more than one type of medicine.
Hypnosis may help some people with this disorder. Learning ways to relax may help. Yoga and meditation may also be helpful. You may want to talk with your healthcare provider about using these methods along with medicines and therapy.
How can I take care of myself?
Get support. Talk with family and friends. Join a support group in your area.
Learn to manage stress. Ask for help at home and work when the load is too great to handle. Find ways to relax, for example take up a hobby, listen to music, watch movies, or take walks. Try deep breathing exercises when you feel stressed.
Take care of your physical health. Try to get at least 7 to 9 hours of sleep each night. Eat a healthy diet. Limit caffeine. If you smoke, quit. Avoid alcohol and drugs because they can make your symptoms worse. Exercise according to your healthcare provider’s instructions.
Check your medicines. To help prevent problems, tell your healthcare provider and pharmacist about all of the medicines, natural remedies, vitamins, and other supplements that you take. Take all medicines as directed by your provider or therapist. It is very important to take your medicine even when you are feeling and thinking well. Without the medicine, your symptoms may not improve or may get worse. Talk to your provider if you have problems taking your medicine or if the medicines don’t seem to be working.
Contact your healthcare provider or therapist if you have any questions or your symptoms seem to be getting worse.
Adult Advisor 2015.1 published by RelayHealth. Last modified: 2014-08-28 Last reviewed: 2014-06-10
This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.
Depersonalization Disorder: References
Depersonalization: A New Look at a Neglected Syndrome (Cambridge Medicine) by Mauricio Sierra. 2009.
Feeling Unreal: Depersonalization Disorder and the Loss of the Self by Daphne Simeon and Jeffrey Abugel.2008.
Lishman’s Organic Psychiatry: A Textbook of Neuropsychiatry; 4th edition; Antony David, Simon Fleminger, Michael Kopelman, Simon Lovestone, John Mellers; Wiley-Blackwell; 2009