Understanding Depersonalization-Derealization Disorder: When Reality Feels Strange

Depersonalization-Derealization Disorder can make reality feel distant, but with the right therapy and support, you can regain control and reconnect with the world around you. PHOTO: Rachel Claire

Have you ever felt like you're watching yourself from outside your own body, or as if the world around you isn’t quite real? These sensations can be incredibly unsettling, and if you've experienced them, you're not alone. Depersonalization and derealization are more common than you might think, and many people go through these feelings without understanding what’s happening. It can feel like you're living in a dream, and you may even question if you're "losing your mind."

What’s even more confusing is that many mental health issues go unnoticed until we experience them firsthand. Conditions like depersonalization and derealization often catch us off guard, leaving us feeling lost and unsure of what’s happening to our minds and bodies. It can be unsettling, especially when you have no prior reference for these sensations. The good news? Depersonalization-derealization disorder (DPDR) is treatable, and with the right support and therapy, you can regain control and reconnect with your reality.

What is Depersonalization-Derealization Disorder?

Depersonalization-derealization disorder (DPDR) is a dissociative disorder that causes persistent or recurring feelings of detachment. You may feel like an observer of your own life, disconnected from your thoughts, feelings, or body (depersonalization). Alternatively, you may feel that the world around you is unreal or dreamlike (derealization). While these feelings are part of the human experience for many, when they become persistent and disrupt your daily life, it’s time to consider professional help.

What Does It Feel Like?

For many people, experiencing depersonalization or derealization can be disorienting and unsettling. You might feel like you're living in a dream, watching everything happen from a distance, or as if things around you are strange, colorless or distorted. These symptoms may appear suddenly or gradually, and their intensity can vary.

• Depersonalization symptoms include feeling like you're outside your body, watching your actions as if they aren't your own, or feeling emotionally numb.

• Derealization symptoms involve a sense that your surroundings aren't real or feel distorted—like you're in a movie or that everything has lost its depth or color.

These feelings can last for hours, days or sometimes even longer. But, unlike psychosis, people with DPDR typically understand that these experiences are not reality, which helps distinguish it from other more serious mental health conditions.

Experiencing feelings of detachment or unreality is unsettling, but recognizing DPDR and seeking help can help you find healing and a sense of normalcy. PHOTO: Suki Lee

Who is Affected by DPDR?

Depersonalization-derealization disorder can occur in anyone, but it most commonly affects young adults, particularly between the ages of 16 and 25. It is often triggered by extreme stress or trauma, such as childhood abuse, emotional neglect or other traumatic events. Episodes may occur in response to anxiety, depression or stressful life circumstances. However, the condition is not limited to those who have experienced trauma—sometimes, it can develop without any apparent cause.

When Should You Seek Help?

While occasional feelings of detachment or unreality are common, it’s important to seek help if these sensations become persistent or interfere with your ability to function. If you're finding it difficult to concentrate, connect with others or live your day-to-day life because of these feelings, it's time to reach out to a healthcare professional. Early intervention and support can make a big difference in managing symptoms and improving your overall well-being.

Treatment Options for Depersonalization-Derealization Disorder

The good news is that treatment for DPDR is available. The most effective form of treatment is psychotherapy, particularly cognitive behavioral therapy (CBT), which helps you challenge negative thought patterns and develop healthier coping strategies. Other therapeutic techniques, such as grounding exercises and mindfulness, can also help you reconnect with your body and the world around you.

In some cases, medication may be prescribed to help manage symptoms associated with anxiety or depression, which often accompany DPDR. Your healthcare provider will work with you to develop a treatment plan tailored to your unique needs.

Finding Help and Support

If you or a loved one is experiencing symptoms of depersonalization or derealization, it's important to remember that you're not alone. Support from mental health professionals and loved ones can make a significant impact on your journey to healing. Consider reaching out to a therapist or counselor who specializes in dissociative disorders or trauma to get started on your path to recovery.

Take the First Step Toward Healing

If you’ve been feeling disconnected or like you’re living in a dream, it’s time to take action. Don't let depersonalization or derealization take over your life. Reach out for help today and begin your journey toward understanding and managing your symptoms. You don’t have to face this alone—support is available, and a brighter tomorrow is within your reach.

Disclaimer: This article is for informational purposes only and is not intended to replace professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or another qualified health provider with any questions you may have regarding a medical condition.

Sources:

1. Mayo Clinic, Depersonalization-Derealization Disorder

2. NAMI, Dissociative Disorders Overview

3. MSD Manual, Depersonalization/Derealization Disorder