

Heightened states of stress and fear may trigger episodes. Some people may be more vulnerable to experiencing depersonalization and derealization than others, possibly due to genetic and environmental factors. The exact cause of depersonalization-derealization disorder isn't well-understood. Interfere with work, relationships or daily activities.Are disturbing you or are emotionally disruptive.See a doctor if you have feelings of depersonalization or derealization that: But ongoing or severe feelings of detachment and distortion of your surroundings can be a sign of depersonalization-derealization disorder or another physical or mental health disorder. Passing feelings of depersonalization or derealization are common and aren't necessarily a cause for concern. In some people, these episodes turn into ongoing feelings of depersonalization or derealization that may periodically get better or worse.

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Feelings of being alienated from or unfamiliar with your surroundings - for example, like you're living in a movie or a dream.A sense that your memories lack emotion, and that they may or may not be your own memories.Emotional or physical numbness of your senses or responses to the world around you.The sense that your body, legs or arms appear distorted, enlarged or shrunken, or that your head is wrapped in cotton.Feeling like a robot or that you're not in control of your speech or movements.Feelings that you're an outside observer of your thoughts, feelings, your body or parts of your body - for example, as if you were floating in air above yourself.Depersonalization-derealization disorder is rare in children and older adults. Symptoms usually begin in the mid- to late teens or early adulthood. Worry about "going crazy" can cause you to become preoccupied with checking that you exist and determining what's actually real. The experience and feelings of the disorder can be difficult to describe. During these episodes, you are aware that your sense of detachment is only a feeling and not reality. Persistent and recurrent episodes of depersonalization or derealization or both cause distress and problems functioning at work or school or in other important areas of your life.
