![]() Individuals from individualistic societies are more likely to suffer from the disorder (see Etiology). Gender and cultural differences in presentationįrom various studies, equal numbers of men and women are diagnosed. The disorder is more likely to occur in late adolescence to adulthood. (American Psychiatric Association, 2000) Child vs. Other features could include obsessive rumination, somatic concerns, a disturbance in the sense of time, and Hypochondriasis. People may seem unfamiliar or mechanical. Individuals with Depersonalization Disorder often have difficulty describing their symptoms and may fear that they will be seen as “crazy.” They may also experience derealization in the sense that the external world is unreal, and they may perceive an alteration in the size or shape of objects. Individuals with Depersonalization disorder may have personality disorders as well. Comorbidity can include Obsessive-compulsive, Dysthymic, or Major Depressive disorders. Sometimes, individuals have a hard time with sense of time and may have somatic manifestations. 532).Īssociated features may include anxiety or depression. D. “The depersonalization experience does not occur exclusively during the course of another mental disorder, such as Schizophrenia, Panic Disorder, Acute Stress Disorder, or another Dissociative Disorder, and is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., temporal lobe epilepsy)” (p.C. “The depersonalization causes clinically significant distress or impairment in social, occupational, or other important areas of functioning” (p.B. “During the depersonalization experience, reality testing remains intact” (p.A. “Persistent or recurrent experiences of feeling detached from, and as if one is an outside observer of, one’s mental processes or body (e.g., feeling like one is in a dream)” (p.The DSM-IV-TR criteria according to the American Psychiatric Association (2000) includes the following: Reasoning, judgment, and insight are fair to limited.A distressed facial expression with constricted affect is characteristic.Patient may appear preoccupied and irritable.Both relatedness and eye contact are limited.Patients present alert and disoriented in some spheres.(American Psychiatric Association, 2000) Mental Status This disorder is frequently coexists with mood, anxiety, and psychotic disorders. However, the prevalence rate is questioned by many clinicians may be lower. There is an estimated 2.4% of the general population that meets the diagnostic criteria for this disorder. Depersonalization disorder usually begins in adolescence typically, patients have continuous symptoms. Derealization or depersonalization is characterized by feelings that the objects of the external environment are changing shape and size, or that people are automated and inhuman, and each of them features detachment as a major defense.
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