Derealization Disorder

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The feeling of bewilderment and speculation may contrast to the concept of the real world might be a mayhem of a person having this disorder. Several stimuli or experiences like trauma, sudden loss of someone, or a vehicular accident may trigger the onset of derealization disorder.

Common Symptoms of Derealization Disorder

            A person having derealization disorder may possess the following manifestations. First, the ostensibly world may lack in changeableness, color or brilliance to individuals affected by derealization and they may grumble about it. Second, there is a noteworthy diminution in emotional response to visual identification of near and dear ones. Third, the ambiance that is familiar to them tends to become strange, uncanny, eerie or extraterrestrial. Fourth, imprecise perceptions of the external world include sensations and feelings of the world going through a dull effect. Fifth, the functioning of perception like the olfactory, gustatory, and kinesthetic may out of control. Sixth, meddling thoughts that are hard to turn off, panic attacks and extreme levels of apprehension and anxiety attacks may lead to derealization disorder and it is impossible to disregard.

Major Cause

Damage in temporal lobe in the brain may cause epilepsy as well as head trauma or injury can lead to derealization. The incidence of underlying medical conditions advances in the development derealization disorder. The diminishing emotional response caused by visual hypo-emotionality may lead to misconceptions in the reality of an object thereby resulting to realization. Derealization may also be affected by some types of vestibular disorders such as vestibular neuronitis and labyrinthitis which can lead to increased anxiety. The generation of feelings like detachment from outside world is caused by the obsessive and abuse usage of drugs and substances such as cannabis, dissociatives, nitrous oxide, antidepressants, psychedelics, caffeine and nicotine. Nowadays, these substances are highly regulated and monitored by different government agencies to ensure the security of the people and to avoid any malpractice in the usage of these substances. Concomitant disorder like borderline personality disorder, bipolar disorder, schizophrenia, and anxiety disorders can also produce feelings of depression, delusions, and hallucinations. Derealization disorder is one of the critical disorders that the higher authority should watch for. As the advent of modernization and application of sophisticated technology in all parts of the world continue the large populace, awareness on social and mental disorders should be established.


The treatment of derealization depends largely on the underlying cause or severity of symptoms, history or psychological assessment. Neurological condition should be treated with proper medication to avoid failure or injury.  The endurance of derealization disorder is primarily due to psychological reasons can be treated with different forms of psychotherapy and medications such as antidepressants, tricyclic antidepressants as well as naloxone which is used to undo the effects of opioid drugs.


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