Depersonalization-Derealization Disorder (2024)

How do I take care of myself?

If you have lasting symptoms of depersonalization-derealization disorder, your priority should be to seek treatment from a mental healthcare professional. You’ll likely need several visits initially, and then regular follow-ups with a psychologist and occasional follow-ups with a psychiatrist. Your psychiatrist help find the right treatment for your specific situation and ensure that the side effects are manageable. Your psychologist will use talk therapy to teach you skills to cope with your symptoms and gain insight into your symptom triggers.

In the meantime, take your medications as prescribed and try to be gentle with yourself. It’s OK if you can’t find words to accurately describe your experience. And, while it’s natural to worry about your health, try not to dwell on it. Paced breathing that involves a long exhale or meditation can calm your worries.

What can’t I eat or drink?

If you have depersonalization-derealization disorder, it’s a good idea to avoid substance use. Drugs and alcohol can bring about symptoms of depersonalization and derealization. They may also interact with your medications. Be honest with your mental healthcare team about when and how you use substances. They can provide the support you need to help you quit, safely.

When should I see my healthcare provider?

Your providers will set up regular follow-up appointments to monitor your well-being, lingering symptoms and potential side effects of treatment. But there may be times when you have a question or need support and you don’t have an appointment. Don’t hesitate to reach out if your symptoms get worse. If you’re worried that you may hurt yourself or someone else, get help right away. In the United States, you can dial 988 for the Suicide and Crisis Lifeline or 911 for emergency assistance, or go to the closest emergency room.

What questions should I ask my healthcare provider?

It’s important that you feel comfortable asking your healthcare provider questions. But sometimes, people freeze when a provider asks them if they have any questions. It can help to bring a list of questions in with you. You might want to ask:

  • How long will it take for me to feel like myself again?
  • What side effects should I expect from treatment?
  • For how long will I need medication and/or therapy?
  • If I have questions or concerns, how would you like me to contact you?
  • What should I do if my symptoms get worse? What if it’s after hours or on the weekend?

A note from Cleveland Clinic

It can be easy to feel alone if you have depersonalization-derealization disorder. Maybe you feel disconnected from yourself or the world around you. Or you might feel like you’re living in a dream, or looking at life through thick, foggy glass. And those feelings can be isolating. Your mental health care team is there to help you. But so are your family and friends — even if they struggle to understand your reality. They don’t have to understand your experience to love you. Let them know what you need from them so they know how to help you.

Certainly! This article provides valuable guidance for individuals dealing with depersonalization-derealization disorder (DDD). As someone well-versed in mental health and psychology, I can offer insights into the concepts discussed here.

Depersonalization-Derealization Disorder (DDD): This disorder involves persistent feelings of detachment from oneself (depersonalization) or the surrounding environment (derealization). These symptoms can be distressing and may make an individual feel disconnected from reality, as if living in a dream or observing life through a foggy lens.

Treatment Approach: Seeking professional help from mental healthcare providers is crucial. A psychologist, specializing in talk therapy, assists in developing coping strategies and understanding triggers. Meanwhile, a psychiatrist aids in medication management and finding suitable treatments, ensuring manageable side effects.

Medication and Self-Care: Adherence to prescribed medications is essential. Simultaneously, practicing self-compassion and engaging in calming activities like paced breathing or meditation can alleviate worries and aid in managing symptoms.

Lifestyle Adjustments: Avoiding substance use, including drugs and alcohol, is strongly advised. These substances can exacerbate DDD symptoms and potentially interfere with prescribed medications. Honesty with the healthcare team about substance use is pivotal for appropriate support and guidance toward quitting safely.

Regular Follow-Ups and Seeking Help: Regular follow-up appointments with healthcare providers help monitor well-being, lingering symptoms, and treatment side effects. However, it's crucial to seek immediate help if symptoms worsen or if there are concerns about self-harm or harming others.

Communication with Healthcare Providers: Preparing a list of questions for healthcare providers can aid in obtaining necessary information about treatment duration, expected side effects, and how to contact them in case of concerns or worsening symptoms.

Support from Others: Feeling disconnected due to DDD can lead to a sense of isolation. It's essential to communicate with family and friends about one's needs, even if they may not fully comprehend the experience. Their support, irrespective of their understanding, can be invaluable in the healing process.

This comprehensive approach, encompassing professional treatment, lifestyle adjustments, and support from loved ones, is vital in managing and coping with depersonalization-derealization disorder effectively.

Depersonalization-Derealization Disorder (2024)
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