Several symptoms exist for Depersonalization-Derealization Disorder.
During episodes of depersonalization-derealization disoder patients are usually aware that the sense of detachment is not real.
Symptoms of depersonalization include
Feeling that you are observing your thoughts, emotions or body from outside
Feeling of not beeing in control of your speech or movements.
The feeling thet the body, legs or arms are distorted, enlarged or shruken or that the head is wrapped in cotton.
Emotional or physical numbness of your senses or responses to the surrounding environment.
A sense that your memories lack amotion and that they may not be your own memories.
Derealization symptoms include
Feelings of being unfamiliar with the surrounding like you are living in a movie
Feeling emotionally disconneted from people you care about.
Surroundings that appear distorted, blurry, clorless, two-dimensionla or artificial or an increased awareness and clarity of the surrounding environment.
Distorted perception of time, distance and shape and sizes of objects.
The exact cause of depersonalization-derealization disorder is not known.
It is believed to be caused by changes in the levels of neurotrasnmitters that can increase stress and fear.
This in turn can laed to depersonalization-derealization disorder.
Other causes may include:
Childhood trauma or abuse
Growing up with a mentally ill parent
Suicide or unexpected death of a relative or close friend
Severe stress like relatioship, financial or work-related problems
4 Making a Diagnosis
For the diagnosis of depersonalization-derealization disorder patients must meet the criteria of symptoms in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The DSM-5 is published by the American Psychiatric Association.
The DMS-5 includes the following definitions:
Having a feeling of being detached thoughts, emotions or body.
Feeling detached from the environment, as it would appear in a dream.
In order for depersonalization-derealization disorder to be diagnosed:
The patient should persistent experiences of symptoms of depersonalization, derealization or both.
The patient should be aware that the experience is not real
Symptoms interfere with the day-to-day activities of the patient.
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