derealisatsiooni

Derealization is a dissociative symptom characterized by a feeling of detachment from one's surroundings. Individuals experiencing derealization may perceive the world as unreal, dreamlike, foggy, or visually distorted. Objects might appear smaller or larger than they are, or the environment may seem artificial or as if viewed through a veil. This sensation can be unsettling and distressing, although the individual typically retains awareness that these perceptions are not objectively true.

Derealization can occur as a standalone symptom or in conjunction with other dissociative experiences, such as depersonalization, which is a feeling of detachment from oneself. It is not considered a mental disorder in itself but rather a symptom that can be associated with a variety of conditions. Common triggers include severe stress, trauma, anxiety, panic attacks, and lack of sleep. It can also be a side effect of certain medications or substance use.

While the experience can be frightening, derealization is generally transient. For some, it may be a brief, isolated episode. For others, it can be recurrent or persistent, significantly impacting their quality of life. Diagnosis and treatment typically focus on identifying and addressing the underlying cause. Management strategies may include psychotherapy, particularly cognitive behavioral therapy (CBT) and psychodynamic therapy, to help individuals understand and cope with the experience, as well as techniques for managing stress and anxiety. In some cases, medication may be prescribed to treat co-occurring conditions like anxiety or depression.