Depersonalisation
Derealisation
-sometimes called “dissociation” phenomena- based on idea that mental functions might have become detached from each other.
& may be complex state of feeling things are unreal, emotional numbing, heightened self-observation.
Causes? (Sierra & Berrios 1998)
Sierra & Berrios 1998- suggest caused by simultaneous:
1- Inhibition of emotional processing.
2- Heightened state of alertness.
May happen in high anxiety states such as panic (esp with hyperventilation), in PTSD, also Temporal Lobe Epilepsy.
Treatment
if related to anxiety, usually treated with Bzs such as diazepam.
–but paradoxically Bzs themselves can cause depersonalisation as a side effect.