Disorder is a disorder affecting emotions and behavior. It is
characterized by an change in how an affected individual perceives
or experiences his or her sense of self. The usual sense of one's
own reality is temporarily lost or changed. A feeling of detachment
from, or being an outside observer of, one's mental processes
or body occurs such as the sensation of being in a dream. This
A lasting or recurring feeling of being detached from the patient's
Throughout the experience,
the patient knows this is not really the case. Reality experience
The phenomenon causes
distress or impairs work, social or personal functioning.
The experience doesn't
occur solely in the course of another mental disorder such as
Acute Stress Disorder,
Panic Disorder, Schizophrenia
or a different Dissociative Disorder. (Fugue
The disorder is
not directly caused by a general medical condition or by substance
use, including medications and drugs of abuse.
Some disorders have similar symptoms. The clinician, therefore,
in his diagnostic attempt, has to differentiate against the following
disorders which need to be ruled out to establish a precise diagnosis.
Lobe Seizures ( epilepsy )
Atypical forms of Migraine and Headache
Acute Stress Disorder
Another Dissociative Disorder - Fugue
is the third most common psychologicical experience, after feelings
of anxiety and feelings of depression, and often occurs after
a person experiences life threatening danger, such as an accident,
assault, or serious illness or injury. Depersonalization disorder
has not been studied widely, and its cause and occurrence in the
population are unknown.
often disappears without any form of treatment and therefore professional
treatment is usually recommended only if the disorder persists,
recurs, or causes distress. Psychodynamic psychotherapy, behavior
therapy, and hypnosis have been effective for some people. Depersonalization
disorder is often associated with or triggered (precipitated)
by other mental health disorders, which require treatment. Any
stresses associated with the beginning of the depersonalization
disorder must also be addressed.
and Psychotherapy [ See
Therapy Section ]:
and Cognitive-behavioral therapy (CBT) is also very helpful especially
if panic disorder is involved.
[ See Psychopharmacology
Section ] :
are no proven medications for the treatment of Depesonalization
Disorder, Sedatives and antidepressants
help some people, also the benefit of the use of antianxiety
agents clonazepam; stimulants methylphenidate; and MAOIs phenelzine
may assist the patient.