Depersonalization-Derealization Syndrome

Depersonalization-derealization syndrome is persistent or recurrent episodes of depersonalization (feeling detached from one's own body/self, as if one is an outside observer) and/or derealization (surroundings feel unreal/dreamlike), while reality testing remains intact. It is often associated with anxiety, stress, trauma, or marijuana use. Treatment: cognitive-behavioral therapy, SSRIs, and treat underlying anxiety/depression; reassurance that reality testing is preserved.

Common Symptoms

Feeling detached from own body; surroundings feel unreal/dreamlike; intact reality testing; associated anxiety/stress; distress/impairment

Causes and Pathogenesis

Stress/trauma/anxiety or substances produce altered self-perception and perceptual distortion without psychosis.

Treatment

CBT; SSRIs; treat underlying anxiety/depression; reassurance; avoid cannabis

Preventive Measures

Stress management; treat anxiety; avoid cannabis/intoxicants.

Department to Visit

It is recommended to visit the Psychiatry department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.