Depersonalization/Derealization Disorder
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Last updated 1:16 AM on 3/1/23
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22 Terms
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Recurrent episodes in which
a person has sensations of unreality of ones own body or surroundings.
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Feelings dominate and
interfere with life functioning
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Only diagnosed if
primary problem involves depersonalization and derealization
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Similar symptoms may occur in
the context of other disorders, including panic disorder and PTSD
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DSM-5 Criteria: Persistent or recurrent
experiences of depersonalization, derealization, or both
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DSM-5 Criteria: Reality testing
is intact
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DSM-5 Criteria: Symptoms cause
significant distress
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DSM-5 Criteria: Not result of
substance use
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DSM-5 Criteria: Not better
explained otherwise
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Cognitive deficits in
attention, short-term memory, spatial reasoning
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Easily
distractable
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Difficulty absorbing
new information
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Reduced
emotional responding
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May have dysregulation of
HPA axis in brain
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High comorbidity with
anxiety and mood disorders
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Affects what percent of the population?
1% - 3%
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Onset is
typically in adolescence
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Usually runs a
lifelong chronic course
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Having a history of
trauma makes this disorder more likely to manifest
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Treatment research is
very scarce
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No systematic research on
psychological treatments
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Trial of antidepressant (Prozac) showed
no effect above placebo
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