Ego-state disorder: derealization
, depersonalization, twilight state e.
When my patient with the dissociation disorder combined with depersonalization and derealization
symptoms returned for a second visit, he and I talked about establishing a basis in learning for this "crazy thing," as he called it.
The most commonly reported dissociative symptoms in our patients were talking to oneself, impaired consciousness-disorientation, pseudopsychotic delusions, and derealization
Literature reviews today turn up the most commonly reported symptoms in patients with DID, including voices, amnesia, conversion/somatoform symptoms, first-rank symptoms (feeling emotions out of the blue), depersonalization, derealization
, and subjective experiences of self-alteration.
This finding is consistent with the fact that persons with schizotypal personality styles are not only socially detached from others but also estranged from themselves in the form of depersonalization or derealization
It incorporates "separation distress," manifested most likely as depression, depersonalization, and derealization
This is followed by sections on the assessment of dissociation (diagnostic issues, use of scales, psychophysiological studies), on particular diagnostic classifications (depersonalization and derealization
, amnesia and fugue, dissociative identity disorder [DID, formerly Multiple Personality Disorder], acute stress disorder, and responses to traumas and abuse).
Panic attack is a period of intense fear or discomfort associated with at least four of the following symptoms: shortness of breath, dizziness, tachycardia, trembling, sweating, choking, nausea, depersonalization or derealization
, paresthesias, flushes or chills, chest pain, and fear of dying or loss of self-control.
Factor analysis showed that the measure has three subscales of depersonalization and derealization
, amnesia and absorption and imaginative involvement (29,30).
The third use was chemical numbing or depersonalization and derealization
The diagnosis of acute stress disorder (American Psychiatric Association, 1994) requires that at least three of the following five dissociative symptoms occur within one month of the traumatic event: depersonalization (experiencing the self as an observer detached from the body), derealization
(unreal surroundings of a dream-like quality), amnesia (loss of memory of the event or of subsequent time periods), numbing (loss of interest and inability to feel deeply about anything), and stupor (dulling of the senses and decreases in behavioral responsiveness).
Gunderson's system also includes a history of transient psychotic episodes, eg, temporary periods of derealization
, depersonalization, paranoia, psychotic depression, or severe regression, sometimes stimulated by substance abuse or by hospitalization.