The experience of derealization is not usually distressing, but it can be.
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Often, derealization is fleeting, lasting for a few minutes, without frequent recurrence.
This article discusses derealization, how it is diagnosed, its causes, and treatment options.
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It is also different from feeling left out.
Derealization is also distinct from having a vivid imagination, dreaming, orhallucinations.
You will also have a physical examination that includes a neurological and mental status examination.
It can also be associated withfatigue.
Derealization is a major component ofdepersonalization/derealization disorder, which is classified as adissociative disorderin the DSM-5.
Derealization can result from temporary or underlying changes in brain function.
It can also be an unconscious way of defending against anxiety, conflict, and trauma.
Physiology
There is more than one physiological cause of derealization.
It can result from alterations in the activity of certain areas of the brain.
Stimulation of thesemicircular canalsin the ear can also briefly trigger symptoms of derealization.
Derealization Treatment
The treatment of derealization may be necessary if its recurrent and if it causes distress.
Depersonalization/derealization disorder is managed with approaches that include psychotherapy and behavioral management.
Sometimes treatment involves getting away from an ongoing harmful situation, such as in cases of abuse.
Columbia University Irving Medical Center.Depersonalization: Everything you better Know.
2020;118:524-537. doi:10.1016/j.neubiorev.2020.08.011
Sparrow Health Systems.Depersonalization-Derealization Disorder.
