Depersonalization-Derealization Disorder

Depersonalization-derealization disorder (DPD) is a mental health condition characterized by persistent or recurring feelings of detachment from one's own body, self, or surroundings. This condition can cause significant distress and impairment in daily life.

Symptoms

  • Feeling detached from oneself, as if observing oneself from outside the body
  • Feeling like an automaton or robot
  • Experiencing a sense of unreality or detachment from the world around them
  • Feeling like they are in a dream or fog
  • Difficulty recalling past events or memories
  • Emotional numbing or feeling disconnected from emotions

Causes and Risk Factors

The exact causes of DPD are not fully understood, but it is believed to be related to a combination of genetic, environmental, and psychological factors. Traumatic experiences, such as physical or emotional abuse, can increase the risk of developing DPD. Additionally, individuals with a history of anxiety, depression, or other mental health conditions may be more susceptible to DPD.

Diagnosis

DPD is typically diagnosed through a comprehensive clinical interview and assessment by a qualified mental health professional. The diagnostic criteria for DPD include:

  • Persistent or recurring feelings of depersonalization or derealization
  • Symptoms cause significant distress or impairment in social, occupational, or other areas of life
  • Symptoms are not better explained by another mental disorder or medical condition

Treatment

Treatment for DPD typically involves a combination of psychotherapy and medication. Cognitive-behavioral therapy (CBT) and psychodynamic therapy have been shown to be effective in reducing symptoms of DPD. Medications, such as antidepressants or anti-anxiety medications, may also be prescribed to help manage symptoms.

Prognosis

The prognosis for individuals with DPD varies depending on the severity of symptoms and the effectiveness of treatment. With proper treatment and support, many individuals are able to manage their symptoms and improve their quality of life. However, some individuals may experience persistent or recurring symptoms, and ongoing treatment and support may be necessary.

Frequently Asked Questions (FAQs)

What is Depersonalization-derealization disorder?
A mental health condition characterized by persistent feelings of detachment from oneself and reality.

What are the symptoms of Depersonalization-derealization disorder?
Symptoms include feeling detached from one's body, emotions, and surroundings, as well as a sense of unreality.

How common is Depersonalization-derealization disorder?
It is estimated to affect around 1-2% of the general population, although exact prevalence may vary.

What are the potential causes of Depersonalization-derealization disorder?
Causes may include trauma, stress, anxiety, and genetic predisposition, among other factors.

Is Depersonalization-derealization disorder related to other mental health conditions?
It can be associated with anxiety disorders, depression, and post-traumatic stress disorder (PTSD), among others.

How is Depersonalization-derealization disorder diagnosed?
Diagnosis is typically based on a comprehensive clinical interview and assessment of symptoms.

What are the treatment options for Depersonalization-derealization disorder?
Treatment may include psychotherapy, such as cognitive-behavioral therapy (CBT), and medication, such as antidepressants or anti-anxiety medications.

Can Depersonalization-derealization disorder be treated with therapy alone?
In some cases, therapy alone may be effective, while in others, a combination of therapy and medication may be necessary.

Is Depersonalization-derealization disorder a chronic condition?
It can be a chronic condition for some individuals, although symptoms may vary in severity over time.

Can Depersonalization-derealization disorder be prevented?
While prevention is not always possible, managing stress and seeking help for underlying mental health conditions may reduce the risk of developing the disorder.

Article last updated on: 18th October 2025.
If you have any feedback, please get in touch.

See more

 Conditions  Symptoms  Procedures

Diagnosis Pad
Medical AI Assistant with Differentials, Guidance, Transcriptions, Notes, Medical Encyclopedia and Explainable AI.
Download from App Store Download from Google Play
Available for iOS, macOS and Android.

Medical Disclaimer

The information provided is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay seeking it because of something you have read on this site. We we do not guarantee, and assume no legal liability or responsibility for the accuracy, currency, or completeness of the information provided.