Depersonalization and derealization are psychological phenomena that can be disconcerting and disturbing to those who experience them. These experiences can make reality seem distorted, unreal, or dream-like, which can cause anxiety, fear, and confusion in those affected. In this article, we will explore in depth what depersonalization and derealization are, their possible causes, symptoms and how they can be addressed from the point of view of psychology.

Depersonalization: What is it and how does it manifest?

Depersonalization is a disorder characterized by a feeling of strangeness or separation from oneself. People who experience depersonalization may feel as if they are watching their own actions from outside their body, as if they are disconnected from their emotions, or as if they are automatons with no control over their thoughts and actions.

Symptoms of Depersonalization can vary in intensity and duration. Some people may experience brief episodes of depersonalization in situations of extreme stress, while others may experience a constant feeling of strangeness and disconnection from themselves. This experience can significantly interfere with the daily life of the affected person, affecting their ability to relate to others, work, or enjoy everyday activities.

Possible causes of depersonalization

The Depersonalization can be associated with various factors, both psychological and biological. Some of the possible causes of depersonalization include:

  • Anxiety disorders: Depersonalization can be a symptom of anxiety disorders such as panic disorder, anxiety disorder, post-traumatic stress or social phobia. In situations of intense anxiety, the brain can activate defense mechanisms that lead to disconnection with reality and with oneself.
  • Dissociative disorders: Depersonalization can also be present in dissociative disorders such as dissociative identity disorder. In these cases, the disconnection with one's identity is deeper and may involve changes in personality and perception of reality.
  • Substance abuse: The consumption of certain drugs or medications can trigger episodes of depersonalization. Psychoactive substances can alter the perception and functioning of the brain, leading to experiences of disconnection from reality.
  • Environmental factors: Chronic stress, traumatic experiences or stressful situations can contribute to the development of depersonalization. The impact of these factors on mental health can manifest itself through symptoms such as a feeling of unreality or disconnection from one's own identity.

Derealization: when the world seems unreal

Derealization is a phenomenon related to depersonalization, but in this case the feeling of strangeness is experienced with respect to the environment and not only oneself. People who experience derealization may perceive the world around them as distorted, blurred, or not real. This experience can generate a feeling of living in a dream or in a movie, where everything seems unreal and alien.

As with depersonalization, derealization can be a symptom of various psychological disorders and not just an isolated experience. The underlying causes of derealization may vary, but its impact on the quality of life of the affected person can be significant.

Relationship between depersonalization and derealization

Depersonalization and derealization usually be interrelated and can manifest together in some people. This combination of symptoms can generate a feeling of distance from both oneself and the environment, which can be overwhelming and disturbing for those who experience it.

The disconnection from reality that characterizes depersonalization and Derealization can generate deep emotional discomfort and make it difficult for the person to function daily. The feeling of not being able to trust one's perception of reality can trigger anxiety, depression and other psychological problems that require specialized attention and treatment.

Psychological approach to depersonalization and derealization

The Treatment of depersonalization and derealization usually involves a thorough evaluation by a mental health professional, such as a psychologist or psychiatrist. It is essential to identify the possible underlying causes of these symptoms to establish an appropriate treatment plan personalized to the needs of each person.

Cognitive-behavioral therapy

Cognitive-behavioral therapy ( CBT) is one of the most widely used psychological interventions to treat depersonalization and derealization. This form of therapy focuses on identifying and modifying the distorted thoughts and behavior patterns that maintain symptoms. Through techniques such as cognitive restructuring, gradual exposure, and training in coping skills, CBT can help the person change their perception of reality and reduce the intensity of episodes of disconnection.

Supportive Therapy

Supportive therapy can be beneficial for people experiencing depersonalization and derealization, as it provides a safe space to explore and express the emotions associated with these symptoms. Emotional support and empathy from the therapist can help reduce the feeling of isolation and strangeness that characterizes these disorders, promoting the development of healthy coping strategies.

Medication

In some In some cases, pharmacological treatment may be necessary to address symptoms of depersonalization and derealization, especially if they are associated with anxiety disorders or other mental health problems. Medications such as antidepressants or anxiolytics can help reduce anxiety and the intensity of episodes of disconnection, although their use must be supervised by a health professional due to possible side effects and contraindications.

Conclusions

Depersonalization and derealization are complex psychological phenomena that can generate a profound alteration in the perception of reality of the people who experience them. These symptoms can be disconcerting and disturbing, affecting the quality of life and emotional well-being of those who suffer from them.

It is essential to address depersonalization and derealization from a comprehensive perspective that takes into account both the psychological and psychological aspects. the biological and environmental ones that may be contributing to its appearance. Identifying the underlying causes and designing a personalized treatment plan are key to helping people regain their connection to reality and improve their quality of life.