DPDR Disorder. Depersonalization Derealization Disorder Meaning. DPDR Symptoms, Test & Treatment Recovery.

Many people experience symptoms of a DPDR during their life. You may feel disconnected from yourself or your surroundings. These feelings may not be cause for alarm. But if they interfere with your life, talk to your healthcare provider so you can get treatment. Continue to read more about DPDR specialists and mental health treatment.

DPDR Disorder (Depersonalization-derealization disorder)

Do you ever feel like you’re watching yourself from outside your body or like the world around you isn’t real? These eerie sensations may be signs of depersonalization-derealization disorder. While many experience them occasionally, those suffering from DPDR disorder are plagued by persistent feelings that interfere with daily life. If DPDR symptoms sound familiar, seek help and regain control of your life.

The duration and intensity of DPDR can vary from person to person, and it can be a chronic condition that requires long-term management. Treatment options may include therapy, medication, and lifestyle changes. If you are experiencing DPDR disorder or other mental health concerns, seeking professional help from a qualified mental health provider is recommended.

DPDR Symptoms

Are you struggling with feelings of detachment and an altered sense of reality? You may be experiencing depersonalization-derealization disorder. These persistent episodes can cause distress and difficulties at work, school, and critical areas of your life. While aware of the feeling, worry about losing touch with reality can consume you. This disorder is rare in children and older adults but typically begins in the mid to late teens or early adulthood. Don’t suffer in silence. Seek help and support to regain a sense of stability.

Depersonalization symptoms include feelings of:

  • Detachment from your body and emotions.
  • Like a “zombie” or observer in one’s own life.
  • Reduced sense of physical and emotional sensations.
  • Unable to concentrate.
  • As though your actions are not real.
  • Memories, behaviors, and surroundings are part of an unreal dream.
  • Confusion and difficulty communicating.
  • Estrangement from those around you.
  • Being unable to recognize familiar people or places.

Derealization is feeling detached from your environment and its objects and people. The world may seem distorted and unreal, as if you’re observing it through a veil. You may feel like a glass wall separates you from those you care about. This aspect of disassociation can also create distortions in vision and other senses.

Derealization symptoms include feelings of like:

  • A sense of unreality or detachment from one’s surroundings.
  • You’re in a dream or an alternate reality.
  • Difficulty recalling past events or processing incoming information.
  • You’re observing yourself outside your body, with little control over your actions.
  • You’re detached from your own emotions or thoughts.
  • Your surroundings are blurry, hazy, or distorted somehow.
  • You’re not fully present at the moment, or like you’re watching things happen without being a part of them
  • You’re going crazy or losing your mind.
  • You’re living in a movie, or your life is not real.

What is Depersonalization Derealization Disorder?

DPDR is when individuals experience persistent and intrusive feelings of disconnection and detachment from their body, environment, and reality. DPDR is a dissociative disorder.

Relationships, employment, and other everyday activities may be hampered by depersonalization-derealization illness, which can be severe. Although medications are occasionally utilized, talk therapy (psychotherapy) is the primary depersonalization-derealization disorder treatment with the help of a qualified DPDR specialist.

Depersonalization Derealization Syndrome

Depersonalization/derealization disorder (DPDR) (sometimes referred to as depersonalization/derealization syndrome) is a mental health condition that can cause you to experience a persistent or recurring feeling of being outside of your body (depersonalization), a sense that what’s happening around you isn’t real (derealization) or both. Depersonalization (Dp) is an alteration in the perception or experience of the self, which results in a feeling of detachment as if one is an external observer of one’s mental processes or body. Derealization (Dr) is an external world experience that appears strange or unreal.

How Long Do DPDR Episodes Last?

DPDR symptoms can last for a few minutes or weeks and are often accompanied by anxiety. People with this condition do not lose touch with reality. They realize their perceptions aren’t real. Depersonalization or derealization disorder can also be signs of other conditions, such as brain diseases, seizures, and psychiatric disorders, such as dementia and schizophrenia.

Who Does DPDR Affect?

Depersonalization disorder can affect people of all ages, although it is most common in those in their late teens and twenties. It is estimated that between one and three percent of the population experiences depersonalization disorder at some point.

Causes of DPDR Disorder?

The disorder is thought to be related to stress, trauma, or a neurological problem and acute anxiety. It is believed that, in some cases, the disorder may be associated with a genetic predisposition. It has also been linked to psychological issues such as depression, substance abuse, or post-traumatic stress disorder.

Depersonalization Disorder Treatment

Depersonalization disorder treatment typically involves using one or more therapeutic interventions to address different aspects of the disorder. Individual therapy is the primary depersonalization treatment, though medications are sometimes used in conjunction with therapy to treat the disorder. While derealization is considered a distinct aspect of this condition, derealization treatment is incorporated fully into interventions for depersonalization.

Depersonalization-derealization disorder can be severe and may interfere with work, relationships, and other daily activities. How to fix derealization? The primary DPDR treatment is talk therapy (psychotherapy), although medications are sometimes used. Symptoms usually begin in mid-to-late teens or early adulthood. Depersonalization- derealization disorder is rare in children and older adults. How to fix depersonalization? One of the most effective treatments a DPDR specialist recommends usually involves some type of therapy, especially psychodynamic or cognitive behavioral therapy (CBT).

DPDR Signs

Symptoms often include feeling:

  • like one is living in a dreamlike or foggy state,
  • and perceiving their environment as unreal and distant,
  • the self and the world are not real, and
  • or having difficulty expressing thoughts and emotions
  • anxiety, panic attacks, and difficulty concentrating.

Depersonalization derealization disorder symptoms are common in the general population.

Some people experience mild, short-lived symptoms. Others have chronic (ongoing) symptoms that may last for years. The symptoms may interfere with your ability to function. They may even lead to a disability.

Depersonalization Effects

Depersonalization refers to feeling detached from yourself. As if watching your life take place from the sidelines or viewing yourself on a movie screen. It can include:

  • Alexithymia, or an inability to recognize or describe emotions
  • Feeling physically numb to sensations
  • Feeling robotic or unable to control speech or movement
  • Feeling unconnected to your body, mind, feelings, or sensations
  • Inability to attach emotions to memories or to “own” your memories as experiences that happened to you
  • The sense that your body and limbs are distorted (swollen or shrunken)
  • The sense that your head is wrapped in cotton

Continue reading for more about depersonalization derealization disorder symptoms.

Depersonalization-Derealization Disorder Meaning. DPDR Meaning.

When you constantly or frequently feel that you view yourself from outside your body or sense that everything around you isn’t real, you may have a depersonalization-derealization condition.

DPDR stands for Depersonalization-Derealization Disorder, a dissociative disorder characterized by detachment from oneself, environment, and reality. Intense feelings of unreality, loss of identity, and a lack of emotion indicate it.

People with depersonalization derealization disorder experience several symptoms, such as a sense of being detached from their bodies, a lack of emotion, difficulty focusing and processing information, a lack of familiarity with their surroundings, and a diminished sense of self. They may also experience intrusive thoughts or flashbacks. Depersonalization-Derealization disorder can have a profound and disabling impact on someone’s life, affecting their ability to interact with others, to be productive at work and school, and to maintain relationships.

Coping with DPDR Disorder 

Individuals with depersonalization feel uneasily estranged and separated from their selves (depersonalization) and their surroundings (derealization), experiencing what was also described as a sense of disembodiment and a loss of emotional reactivity. Feeling separated from yourself or your surroundings can be strange, troubling, and disruptive.

If you are struggling with DPDR, a DPDR specialist and proper therapy can help you find some much-needed relief.

Many people experience symptoms of a DPDR during their life. You may feel disconnected from yourself or your surroundings. These feelings may not be cause for alarm. But if they interfere with your life, talk to your healthcare provider so you can get treatment. Continue to read more about DPDR specialists and mental health treatment.
No lab tests can diagnose dissociative disorders. But your DPDR provider, with the help of a qualified DPDR specialist, may want to do blood or imaging tests (X-ray, CT scan, or MRI). These tests can rule out physical illness or medication side effects.

Skip To:

Learn More:

Depersonalization Disorder Treatment Outcomes

Depersonalization/derealization disorder (DPDR) episodes can last for hours, days, weeks, or even months. Can derealization kill you? For some, DPDR attacks become chronic, evolving into persistent feelings of depersonalization or derealization that can periodically get better or worse, but it is not a direct cause of death.

The outlook for people with depersonalization disorder is generally positive. With proper management and treatment, it is possible to reduce or eliminate the symptoms of the condition. With proper diagnosis, support, and treatment, many people can learn to manage the condition and go on to lead productive, fulfilling lives.

Mental health therapy is a cornerstone in the treatment of depersonalization disorder. By engaging in regular psychotherapy, such as cognitive-behavioral or mindfulness-based therapies, you can learn effective ways to manage and reduce symptoms of depersonalization disorder. In therapy, you can explore the underlying issues that may have triggered the disorder and develop coping skills to help you manage the disorder more effectively. Additionally, medications may be prescribed alongside therapy to reduce the frequency and intensity of episodes or to help manage associated symptoms, such as anxiety and depression.


Depersonalization Derealization Disorder Test 

A few different types of tests can be used to diagnose depersonalization-derealization disorder. These include psychological assessments, physical exams, medical tests, and lab tests. You may be asked to answer questions about your feelings and mental health for psychological assessments. Physical exams look for signs of underlying health issues that could be contributing to depersonalization-derealization disorder. Medical tests can be used to check for other conditions causing depersonalization-derealization disorder-like symptoms.

Do I Have Depersonalization-Derealization Disorder (DPDR)?

Depersonalization/Derealization Disorder Diagnosis by a Professional DPDR Specialist

According to the National Alliance on Mental Illness (NAMI), roughly three in four adults have had a dissociative episode, but only around 2% meet the criteria for DPDR. To diagnose DPDR, a doctor first ensures there aren’t other reasons for symptoms, such as drug use, a seizure disorder, or other mental health problems like depression, anxiety, post-traumatic stress disorder (PTSD), or borderline personality disorder. [3]

Sometimes imaging and other tests are done to rule out physical issues. Psychological tests, special structured interviews, and questionnaires can also help to diagnose DPDR.  One other potential cause is ruled out; a clinician considers DPDR criteria as outlined in the Diagnostic and Statistic Manual of Mental Health Disorders (DSM-5), including:

  • Persistent or recurrent episodes of depersonalization, derealization, or both
  • An understanding by the person that what they’re feeling isn’t real
  • Significant distress or impairment of social or occupational functioning caused by symptoms

Depersonalization Derealization Disorder Diagnosis

Although DPDR is considered a single diagnosis, it has two distinct aspects that may or may not apply to one person.

A depersonalization/derealization disorder diagnosis is generally made based on an individual’s reported experiences and a doctor’s review of the person’s history and symptoms. Diagnosis also involves ruling out other potential causes, such as substance abuse, physiological disorders, and other mental health issues.

DPDR Treatments

Depersonalization-Derealization Disorder Treatment

For most people, treatment for depersonalization/derealization disorder involves a combination of DPDR medications and DPDR psychotherapy. DPDR medication may include antidepressants such as SSRIs or SNRIs and antipsychotics. DPDR psychotherapy may involve cognitive behavioral therapy, acceptance and commitment therapy, and dialectical behavior therapy. In addition, mind-body techniques, such as yoga or mindfulness, can also be helpful.

Other DPDR treatments may be helpful for people with depersonalization derealization disorder. These include relaxation techniques, exercise, and vitamin and herbal supplements. It is essential to discuss any medications or supplements you are considering taking with your doctor, as some may interact with other medications or have side effects. Additionally, lifestyle changes such as reducing stress, getting adequate sleep, and avoiding triggering substances or situations may help relieve symptoms.

Continue reading for depersonalization-derealization disorder treatment options.

What to Look for in a DPDR Specialist?

When looking for a specialist for depersonalization/derealization disorder, it is crucial to ensure they have experience and knowledge in this area. Look for a provider knowledgeable about the symptoms, diagnosis, and treatment of depersonalization/derealization disorder. Consider factors such as acceptance of insurance, flexible scheduling, availability for phone or online appointments, and any special training related to the disorder.

Dissociative Disorders

Types of Dissociative Disorders

DPDR is one of four types of dissociative disorders. These disorders are diagnosable conditions in which a fragmented sense of identity, memories, and consciousness exists. If left untreated, dissociative disorders can lead to depression and anxiety and are believed to be linked to a history of trauma.

According to the DSM-5, other dissociative conditions include:

  • Dissociative amnesia: A condition that involves the inability to remember important information about your life
  • Dissociative fugue: A form of reversible amnesia that involves personality, memories, and personal identity
  • Dissociative identity disorder (DID): A condition marked by the presence of two or more distinct personalities within one individual

Cannabis-induced Depersonalization/Derealization Disorder

Marijuana can cause Depersonalization/Derealization Disorder. It typically occurs due to a negative marijuana experience, which can be terribly terrifying and even devastating. Long after the effects should have worn off, the symptoms may include the sense that you “still feel high” or “can’t come down.”

Derealization vs. Derealization Disorder Symptoms Chart

Derealization and derealization disorder are different conditions with similar symptoms but significant differences. Below is a chart comparing the symptoms of the two conditions.

Symptoms of Derealization:

  • A feeling of detachment from the surroundings
  • Perceiving the environment as unreal or dreamlike
  • A sense of disorientation or confusion
  • A feeling of being disconnected from one’s own body or thoughts

Symptoms of Derealization Disorder:

  • Persistent or recurrent episodes of derealization
  • Difficulty functioning due to the symptoms
  • Significant distress or impairment related to the symptoms
  • Not caused by a medical condition, substance use, or another psychiatric disorder

The chart also includes DPDR disorder information, including:

  • Causes or risk factors for each condition
  • Treatment options, such as therapy or medication
  • Prognosis or chances of recovery
DPDR SymptomsDerealization DisorderDerealization Disorder
FrequencyIt rarely requires treatment and typically resolves on its ownPersistent and ongoing, lasting for weeks, months, or years
DistressIt may cause anxiety or distress but does not significantly impair daily functionCan cause significant distress or impairment in daily functioning
Perceived loss of realityMay experience a temporarily lost sense of realityMay experience a strong or persistent feeling of lost sense of reality, frequent panic attacks and anxiety
CausesIt can be caused by anxiety, depression, trauma, or substance useThe exact causes are unknown but is often linked to severe stress, anxiety, depression, trauma, or other mental health conditions
DurationTypically short-lived and goes away on its ownIt may last from months to years if left untreated
IntensityMild to moderate symptomsIt can cause severe symptoms
TreatmentRarely requires treatment and typically resolves on its ownPsychotherapy (such as cognitive behavioral therapy), medication, and other forms of supportive care
Apply the above “Derealization vs. Derealization Disorder Symptoms Chart” to understand the differences and set expectations on what to expect when suffering from Derealization vs. Derealization Disorder symptoms.

Seek professional help if you experience persistent or severe symptoms of derealization disorder, as it can greatly impact your daily life, work, and relationships. If you experience derealization or other mental health symptoms, talk to your healthcare professional to determine the best treatment or intervention suitable for you.

Depersonalization Derealization Disorder Facts

DPDR Meaning?

Depersonalization Derealization Disorder (DPDR) is a dissociative disorder characterized by recurrent and distressing experiences of feeling disconnected from oneself and one’s environment. People with Depersonalization Derealization Disorder may feel like outside observers, unable to connect with their thoughts, sensations, emotions, or body. They may experience their surroundings as dream-like or artificial and have difficulty discerning what is real. Depersonalization and derealisation can occur together or separately, and for some people, symptoms can quickly come and go, while for others, symptoms persistently remain over time.

It is not uncommon for people struggling with Depersonalization Derealization Disorder to feel isolated and disconnected and worry about the implications of their experiences. Depersonalization Derealization Disorder can devastate an individual’s ability to live a meaningful life, as they may be unable to engage in activities that used to bring them joy or satisfaction.

According to the U.S. Department of Veterans Affairs, confrontation with overwhelming experiences from which actual escape is impossible, such as childhood abuse, torture, and war trauma. These are challenges for the individual to find an escape from the external environment and their internal distress and arousal when no escape is possible. States of depersonalization and derealization provide striking examples of how consciousness can be altered to accommodate overwhelming experience that allows the person to continue functioning under extreme conditions.

  • An ‘out-of-body’ or depersonalization experience during which individuals often see themselves observing their own body from above can create the perception that ‘this is not happening to me’ and is typically accompanied by an attenuation of the emotional experience.
  • Similarly, states of derealization during which individuals experience that ‘things are not real; it is just a dream’ create the perception that ‘this is not really happening to me’ and are often associated with the experience of decreased emotional intensity.

You can dissociate for various reasons, including extreme stress, a traumatic experience, or a mental health issue. Disconnecting from the world around you might help ease the worry and anxiety you’re experiencing. Often, it’s a subconscious way of coping by avoiding unpleasant and harmful thoughts and sensations. Humans naturally do this; our brains purposefully go into defensive mode to shield us from events that could otherwise be too overwhelming. However, there are instances when this system causes us to become more disconnected than is beneficial, which makes it harder to get through the day.

It’s acceptable if you find yourself temporarily “out of it”; it’s a reasonable reaction to extremely trying circumstances. Your frequency and intensity of dissociation may decrease if you use coping mechanisms to manage your stress and worry. If you’re concerned it could be a sign of another mental health disorder, take a screen test and speak with your doctor, therapist, or another mental health expert. Call a mental health professional, dial 911, or visit your nearest emergency facility if you are experiencing complete disconnection and are unsure of your identity, whereabouts, or safety.

Depersonalization vs Derealization Disorder

Depersonalization is a dissociative disorder in which an individual experiences detachment or disconnection from oneself and emotions, often accompanied by a feeling of watching oneself from outside one’s body or mind. Derealization is a dissociative disorder in which an individual experiences detachment or disconnection from their environment, often accompanied by feeling unconnected to the world or as if the world is unreal.

DPDR Symptoms

The symptoms of depersonalization/derealization disorder (DPDR) include:

  • Feeling emotionally disconnected from yourself or your emotions.
  • Feeling as if you are an outside observer of your thoughts or actions.
  • Feeling disconnected from your physical body.
  • Difficulty expressing or recognizing emotions.
  • Feeling detached from your environment.
  • Having a distorted perception of time or space.
  • Experiencing panic attacks.
  • Feeling numb or disembodied.
  • Feeling overwhelmed or confused.
  • Experiencing flashbacks of traumatic memories.

Depersonalization Derealization Disorder Treatment

Suppose you think you are struggling with Depersonalization Derealization Disorder. In that case, it is important to reach out for support so that you can find ways to cope with your symptoms and work towards creating a more fulfilling life. Speaking with a mental health professional is a great first step in understanding your condition and finding appropriate treatment options. With proper treatment, Depersonalization Derealization Disorder does not have to take over your life.

Remember, you are not alone in this, and help is available. Depersonalization Derealization Disorder can be managed with proper support, and people can learn to live more meaningfully.

It is important to note that Depersonalization Derealization Disorder is not the same as depression or anxiety; it is a unique condition with its own set of symptoms and treatment approaches. Treatment options include psychotherapy, mindfulness-based practices, lifestyle changes such as reducing stress or practicing relaxation techniques, medications, and other forms of supportive care. The key to managing Depersonalization Derealization Disorder is finding an individualized approach that works for you so that you can live the life you want and deserve.

Depersonalization-Derealization Disorder Statistics

The estimated overall prevalence of Depersonalization-Derealization Disorder is about 0.8 percent, according to the National Institute of Mental Health. Depersonalization Derealization Disorder affects women more than men and is more common among young adults and adolescents. Additionally, research has suggested that those with chronic pain or a history of trauma or anxiety are at an increased risk for Depersonalization-Derealization Disorder.


DPRD is frequently a chronic disorder, affecting between 1% and 2.4% of the general population, with a gender ratio of about 1:1.

Source: NCBI


DPDR comorbidity with depression and anxiety falls between the percentage ranges of 20–40%.

Source: NCBI


The prevalence of DPDR ranged from 17.5–41.9% in inpatient mental health care.

Source: NCBI

Depersonalization-Derealization disorder is a psychiatric condition characterized by persistent feelings of detachment from oneself and unreality about the outside world. However, unlike other psychotic disorders, people with DPDR know that their experiences of detachment aren’t real. This can leave them feeling concerned about their mental health.

We Level Up offers assertive Mental Health Treatment to fight off extreme negative feelings, moods, & thoughts. If you're searching for a DPDR specialist, contact us today for confidential treatment referrals and options.
We Level Up offers assertive Mental Health Treatment to fight off extreme negative feelings, moods, & thoughts. If you’re searching for a DPDR specialist, contact us today for confidential treatment referrals and options.

Depersonalization/Derealization Disorder (DPDR) Causes

Certain substances can cause depersonalization and derealization, but in most cases, those episodes are temporary and cease when the substance use ends. Substance use (on its own) usually does not cause DPDR as a diagnosable condition.

On the other hand, trauma has been strongly linked to DPDR — and dissociative disorders. Some researchers have argued that nearly all patients with childhood trauma histories have at least some dissociative symptoms.

When an individual experiences severe trauma, especially early in life, DPDR can be the brain’s way of helping them to disconnect from and survive that trauma. It’s a coping mechanism the mind embraces to allow people to separate themselves from what they’re experiencing.

In that particular situation, this can be a valuable survival tactic. But in the long run, DPDR can also stop a person from making healthy attachments and interacting with the world around them. DPDR can also sometimes appear alongside other mental health conditions, including post-traumatic stress disorder (PTSD) and borderline personality disorder (BDP). Individuals can also experience DPDR alongside depression and anxiety.

Get Help. Get Better. Get Your Life Back.

Searching for Accredited Drug and Alcohol Rehab Centers Near You?

Even if you have failed previously and relapsed, or are in the middle of a difficult crisis, we stand ready to support you. Our trusted behavioral health specialists will not give up on you. When you feel ready or just want someone to speak to about therapy alternatives to change your life call us. Even if we cannot assist you, we will lead you to wherever you can get support. There is no obligation. Call our hotline today.

(844) 597-1011

Depersonalization-Derealization Disorder (DPDR Disorder) Risk Factors

Some people are more vulnerable to psychiatric disorders than others. For instance, women are more likely than men to experience depersonalization/derealization or some other type of dissociative occurrence. Severe stress, anxiety, and depression are common triggers for DPDR. A lack of sleep or an overstimulating environment can also make symptoms worse.

Anywhere from 25% to 50% of the time, the stress that brings on depersonalization/derealization disorder is relatively minor or noticeable.

Often, people with DPDR have experienced past trauma in their lives, including:

  • Emotional or physical abuse or neglect in childhood
  • Having a loved one die unexpectedly
  • Witnessing domestic violence
Some people are more vulnerable to psychiatric disorders than others. For instance, women are more likely than men to experience depersonalization/derealization. A qualified DPDR specialist can help you recognize the symptoms and get you the most suitable therapies.
Some people are more vulnerable to psychiatric disorders than others. For instance, women are more likely than men to experience depersonalization/derealization. A qualified DPDR specialist can help you recognize the symptoms and get the most suitable therapies.

Other risk factors for DPDR include: 

  • A history of recreational drug use can trigger episodes of depersonalization or derealization.
  • An innate tendency to avoid or deny difficult situations; trouble adapting to difficult situations.
  • Depression or anxiety, especially severe or prolonged depression or anxiety with panic attacks.
  • Experiencing or witnessing a traumatic event or abuse as a child or adult.
  • Extreme stress in any area of life, from relationships to finances to work.
Ryan Zofay forming a circle and hugging friends.

Get Your Life Back

Find Hope & Recovery. Get Safe Comfortable Detox, Addiction Rehab & Dual Diagnosis High-Quality Care.

Hotline(844) 597-1011

DPDR Test & Intensive Mental Health Treatment

For some, recovery occurs organically, without formal treatment or a derealization specialist. Others require targeted, personalized treatments to recover from DPDR completely. Chances of this recovery are best when the underlying stressors that contributed to and triggered the depersonalization and dissociation are successfully dealt with.

Psychotherapy for Depersonalization / Derealization Disorder (DPDR)

The most effective derealization disorder medication to deal with DPDR is psychotherapy. Psychotherapy is the general term used to describe any talk therapy (that might involve different activities, including DPDR art therapies and more) in which clients explore their thoughts and feelings by speaking to a therapist about them.

Depersonalization-Derealization Disorder Treatment (DPDR )

Disassociative disorders such as DPDR are thought to be caused by trauma, stress, and/or genetics. Environment and/or brain structure can also play a role. Treatment for DPDR typically consists of psychotherapy and/or medications to help manage the symptoms. Cognitive Behavioral Therapy (CBT) effectively assists individuals in coping with DPDR.

Depersonalization/derealization disorder (DPDR) is a condition that should not be taken lightly. The We Level Up Treatment Center can provide you, or someone you love, the tools to treat Personality disorders with professional and safe care. Feel free to call us to speak with one of our counselors. We can inform you about this condition by giving you relevant information. Our specialists know what you are going through. Please know that each call is private and confidential. Find below practical clinical DPDR therapies helpful to make a recovery.


Psychodynamic Psychotherapy for Depersonalization/Derealization Disorder

Although significant advances have been made in the pharmacotherapeutic treatment of psychiatric conditions, psychotherapy remains the primary and essential psychiatric intervention. Psychodynamic psychotherapy is one of the oldest styles of therapy. This form of treatment is now much less prevalent than it once was, but it still can be effective in particular therapeutic contexts.

Psychodynamic psychotherapy concentrates on exploring the past to gain insight into what caused an individual to think and feel in specific ways. By making the unconscious sources of emotional reactions conscious, someone with the depersonalization-derealization disorder can understand why they feel disconnected from reality and take measures to fix this.


Residential Treatment for Depersonalization/Derealization Disorder

Residential treatment for depersonalization/derealization disorder typically includes individual therapy, group therapy, and other activities to help manage symptoms and support daily functioning. It also includes creating a program that addresses the unique needs of each individual so they can become more aware of their thoughts, emotions, and behavior. This program can include relaxation techniques, neuroscience education, experiential and expressive therapies, mindfulness practice, and somatic therapy.

Residential Treatment for Depersonalization/Derealization Disorder Medications

Residential treatment for depersonalization/derealization disorder also often includes medication management, including anti-anxiety, antidepressant, and antipsychotic medications. Treatment may also include designing strategies to manage a person’s emotions and behaviors to succeed in daily life. This can consist of cognitive restructuring, skills building, and problem-solving to help create a healthier thought process and provide better insight into one’s behavior.

Residential Treatment for Depersonalization/Derealization Disorder Strategies

In addition to medication and cognitive-behavioral therapy, residential treatment for depersonalization/derealization disorder and self-help strategies can improve depersonalization/derealization disorder symptoms. These include exercise, mindfulness, learning to relax, and developing healthy coping strategies. Most patients find it beneficial to reduce or eliminate any sources of stress in their life, such as lifestyle changes, getting regular sleep, and setting healthy boundaries with friends and family.


Cognitive Behavioral Therapy for Depersonalization/Derealization Disorder

Cognitive behavioral therapy (CBT) is one of the most well-researched and evidence-based therapeutic techniques for treating many psychiatric disorders. It works by helping individuals identify cognitive distortions and irrational beliefs. By challenging and reframing these thoughts, individuals can eliminate or reduce the negative behaviors and emotions caused by them.

Individuals with depersonalization-derealization disorder usually respond well to CBT. Many symptoms of the condition have a cognitive basis. Obsessive thinking about the self and the world heightens feelings of unreality. Individuals with depersonalization-derealization disorder can use CBT to question and examine thoughts that exacerbate derealization and learn breathing and grounding techniques that counteract disembodiment and other dissociative symptoms.


Dialectical Behavioral Therapy for Depersonalization/Derealization Disorder

Dialectical behavioral therapy (DBT) was developed to treat borderline personality disorder, a trauma-related condition. DBT incorporates cognitive-behavioral tools and techniques with mindfulness practices and a philosophy of acceptance.

By shifting from the CBT approach of labeling specific thoughts or feelings as unfavorable, DBT helps individuals with histories of trauma and abuse to examine painful emotions without shame or guilt and to feel more relaxed in sharing what they feel and think. Interventions in DBT help individuals develop distress tolerance and improve emotional regulation.


EMDR for Depersonalization-Derealization Disorder (DPDR)

While eye movement desensitization and reprocessing (EDMR) therapy was initially designed to treat PTSD, it is often used to treat various mental health conditions, including DPDR.

Medication for Depersonalization-Derealization Disorder

What is the best medication for depersonalization? There is no depersonalization cure, but treatment can reduce distressing symptoms and even lead to complete remission of the disorder. People experiencing depersonalization or derealization must talk to a professional about their symptoms to begin treatment and start feeling like themselves again. Antidepressant and antipsychotic medications may be prescribed to help with symptoms of depersonalization.

Selective Serotonin Reuptake Inhibitors (SSRIs)

Most people with dissociative disorders have co-occurring conditions, and depression is one of the most common. Psychologic tests and special structured interviews and questionnaires can help DPDR specialists and doctors with the diagnosis.
Most people with dissociative disorders have co-occurring conditions, and depression is one of the most common. Psychologic tests and special structured interviews and questionnaires can help DPDR specialists and doctors with the diagnosis.

Most people with dissociative disorders have co-occurring conditions, and depression is one of the most common. Antidepressants, especially selective serotonin reuptake inhibitors (SSRIs), are frequently prescribed to treat comorbid depression. Popular SSRIs for dissociative disorders include:

  • Sertraline (Zoloft)
  • Fluoxetine (Prozac)
  • Citalopram (Celexa)

These SSRIs can treat several symptoms specific to depersonalization-derealization disorder (DPDR). The sense of detachment accompanying depersonalization is often closely linked with flat affect and blunted emotion, all of which can be improved with SSRIs. Antidepressants can also stabilize mood and reduce the intrusive symptoms that trigger dissociative symptoms. 

Research shows that combining an SSRI and lamotrigine, a mood stabilizer, is an effective treatment for dissociative disorders, especially depersonalization-derealization disorder. SSRIs can also treat anxiety, another commonly co-occurring condition with depersonalization-derealization disorder (DPDR). They are often the best medical option for treating dissociative disorders with comorbid anxiety. 

Antipsychotic Medications for Depersonalization/Derealization Disorder

One of the defining features of dissociative disorders like depersonalization is that they are not psychotic. People who experience them maintain an intact sense of reality. However, antipsychotic drugs can be an effective option for treating these disorders.

Antipsychotics can provide several desirable effects for people with depersonalization-derealization disorder (DPDR), including mood stabilization, anxiety reduction, and improved range of affect. They may even target and reduce depersonalization and derealization symptoms.

First-class Facilities & Amenities

World-class High-Quality Addiction & Mental Health Rehabilitation Treatment

Rehab Centers Tour

Renowned Addiction Centers. Serene Private Facilities. Inpatient rehab programs vary.

Addiction Helpline(844) 597-1011

Proven recovery success experience, backed by a Team w/ History of:


Years of Unified Experience


5-Star Reviews Across Our Centers


Recovery Success Stories Across Our Network

  • Low Patient to Therapist Ratio
  • Onsite Medical Detox Center
  • Comprehensive Dual-Diagnosis Treatment
  • Complimentary Family & Alumni Programs
  • Coaching, Recovery & Personal Development Events

What to expect from your DPDR Specialist?

Your doctor is likely to ask you several questions. Be ready to answer them to reserve time to review any points on which you want to spend more time. Your doctor may ask:

  • When did you first begin experiencing symptoms?
  • Have your symptoms been continuous or occasional?
  • How severe are your symptoms?
  • What, if anything, seems to improve your symptoms?
  • What appears to worsen your symptoms?
  • Do you have any long-term (chronic) health conditions?
  • Do you have any mental health disorders like anxiety, depression, or post-traumatic stress disorder (PTSD)?
  • What medications or herbal supplements do you take?
  • Do you drink alcohol or use recreational drugs?

Coping with DPDR (Depersonalization-Derealization Disorder)

In addition to psychotherapy, a few strategies, DPDR medication, and meds for depersonalization can help keep you grounded and bring you back to reality when experiencing symptoms of DPDR.

  • Pinch the skin on the back of your hand.
  • Use temperature to shift your focus; place something cold or warm (but not too hot) in your hand.
  • Look around the room and count or name the items you see.
  • Keep your eyes moving to stop yourself from zoning out.
  • Slow your breathing—or take long, deep breaths—and pay attention as you inhale and exhale.
  • Practice meditation to develop greater awareness of your internal state.
  • Reach out to a friend or loved one and ask them to keep talking to you.

Supporting a Loved One with Depersonalization-Derealization Disorder

If your loved one has DPDR, do your best to remain supportive and encourage them to seek treatment through psychotherapy, medication, self-help, or a combination of these options.

World-class, Accredited, 5-Star Reviewed, Effective Addiction & Mental Health Programs. Complete Behavioral Health Inpatient Rehab, Detox plus Co-occuring Disorders Therapy.

CALL(844) 597-1011

End the Addiction Pain. End the Emotional Rollercoaster. Get Your Life Back. Start Drug, Alcohol & Dual Diagnosis Mental Health Treatment Now. Get Free No-obligation Guidance by Substance Abuse Specialists Who Understand Addiction & Mental Health Recovery & Know How to Help.

Top 10 DPDR Meaning & Depersonalization/Derealization Disorder Treatment FAQs

  1. Whats DPDR?

    Depersonalization-derealization disorder occurs when you persistently or repeatedly feel that you’re observing yourself from outside your body or sense that things around you aren’t real.

  2. How to fix depersonalization disorder?

    Depersonalization 24 7 and long-term effects cannot simply be treated immediately. It will need comprehensive therapies and proper support.

  3. How to treat depersonalization derealization disorder? 

    Medication for DPDR and a DPDR therapist could help treat the disorder. However, an inpatient mental health treatment could work best for chronic cases. There are DPDR recovery stories; you can create one with proper support.

  4. How to overcome DPDR?

    There is no cure for depersonalization and derealization disorder, but treatment can reduce distressing symptoms and even lead to complete remission of the disorder.

  5. How to recover from DPD?

    Unfortunately for those with DP, you’ll probably not wake up and suddenly find yourself cured overnight. However, you can recover. A depersonalization treatment center can help provide 24/7 medical and therapy assistance.

  6. How to fix derealization disorder?

    The best treatment for depersonalization derealization disorder is Psychotherapy, also called counseling or talk therapy.

  7. How to cure DPDR?

    Consult a depersonalization specialist for proper recommendations and referral to either mental health hospital or inpatient rehab for chronic cases.

  8. How to stop DPDR?

    Treatment for DPDR is Psychotherapy. There’s no medication or drug specifically available to treat Depersonalization – Derealization.

  9. Can you cure depersonalization?

    Yes, although it takes time and effort. Derealization depersonalization disorder cure is talk therapy (psychotherapy).

  10. What is DPDR disorder?

    The disorder is often triggered by severe stress. Diagnosis is based on symptoms after other possible causes are ruled out. Depersonalization-derealization disorder symptoms can appear with drug use, a seizure disorder, or other mental health problems like depression, anxiety, post-traumatic stress disorder (PTSD), or borderline personality disorder. Sometimes, imaging and other tests are done to rule out physical issues.

Top-rated We Level Up Depersonalization Derealization Disorder Treatment Center

Most people with dissociative disorders have co-occurring conditions, with depression and anxiety being the most common. The symptoms of these disorders are profoundly connected and are best treated simultaneously. Moreover, major depressive disorder (MDD) is often accompanied by substance abuse or dependence. The mental health field has long discussed whether these conditions are independently occurring disorders or are overlapping illnesses intertwined by common etiologic and vulnerability factors. The initial presentation of depression can be obscured by the overriding symptoms or side effects of a substance use disorder (SUD).

In the general population, the prevalence of a current substance use disorder in persons with Major depressive disorder (MDD) ranges from 8.5 to 21.4%, with a lifetime prevalence of comorbid SUDs ranging from 27 to 40% [6]. Co-occurring depression worsens the course of SUDs. Current depression predicted poorer treatment response and higher rates of relapse.

People who suffer from depression can experience severe sadness that lasts weeks or even months. It’s common for those battling mental illness to also struggle with substance abuse. Sometimes it can be challenging to determine which condition came first. People with prolonged periods of profound sadness may reach for drugs or alcohol to ease the pain, feelings, and other symptoms.

However, substance use can make depression symptoms more severe. Clinical depression alone increases the risk of accidental injury, suicide, and other forms of self-harm. Add drugs or alcohol, and the threats to the person’s mental and physical health can be extreme.

To determine the most effective ways to treat depression and substance abuse comorbidity, getting an accurate assessment of all the symptoms is crucial. When a mental health professional has evaluated the symptoms, it may be determined that another form of mental condition is present and needs a particular treatment. 

Detox Treatment

The first step in treatment is medical detox. It will help you navigate the complicated withdrawal process but doesn’t address patterns of thought and behavior contributing to substance abuse. Various treatment approaches and settings can help provide the ongoing support necessary to maintain long-term sobriety after you complete detox.

Cravings are very common during detox and can be challenging to overcome. This often leads to relapse. Constant medical care provided during inpatient treatment and depression rehab helps prevent relapse. Clinicians can offer the necessary medication and medical expertise to lessen cravings and the emotional effects of alcohol withdrawals.

Depersonalization Derealization Disorder Psychotherapy

Several different modalities of psychotherapy have been used in the treatment of depression, including:

  • Cognitive Behavioral Therapy (CBT) – is an effective treatment that involves changing both the patterns of negative thoughts and the behavioral routines which are affecting the daily life of the depressed person for various forms of depression. 
  • Dialectical Behavior Therapy – is a comprehensive mental health and substance abuse treatment program whose ultimate goal is to aid patients in their efforts to build a life worth living. The main goal of DBT is to help a person develop what is referred to as a “clear mind.” 
  • Person-Centered Therapy – is a strategy that allows and encourages clients to understand and resolve their concerns in a safe, supportive environment.

Dual Diagnosis Treatment plus Depression Treatment

Drug abuse and mental health disorders often co-occur. Traumatic experiences can often result in mental health disorders and substance abuse. Dual-diagnosis rehabilitation treats both of these issues together. The best approach for the treatment of dual diagnosis is an integrated system. This strategy treats both the substance abuse problem and the mental disorder simultaneously. Regardless of which diagnosis (mental health or substance abuse problem such as “Adderall Depersonalization”) came first, long-term recovery will depend mainly on treating both disorders by the same team or provider.

Medication-Assisted Treatments

Medication-Assisted Treatments (MAT) for substance use and mental health disorders are commonly used in conjunction. This includes the use of medications and other medical procedures. During your rehab, the staff from your treatment facility will help you identify what caused your addiction and teach you skills that will help you change your behavior patterns and challenge the negative thoughts that led to your addiction.

Looking for a “depersonalization specialist near me?” or “best medicine for depersonalization?” Contact one of our helpful treatment specialists today if you or a loved one are struggling with long-term drug abuse and a co-occurring mental health condition such as depression. We Level Up can provide information on dual diagnosis, DPDR specialists, and medical detox programs that may fit your specific needs.

Offering advanced evidence-based mental health rehabilitation. Connect with us today for DPDR specialists, recovery & Depersonalization Hotline resources.
Offering advanced evidence-based mental health rehabilitation. Connect with us today for DPDR specialists, recovery & Depersonalization Hotline resources.

DPDR Disorder (Depersonalization-derealization disorder) Video

Do you ever feel disconnected from yourself or like the world around you isn’t real? You might be experiencing depersonalization-derealization disorder (DPDR). This video delves into the symptoms, causes, and treatment options for DPDR to help you or someone you know navigate this challenging condition.

Experience Transformative Recovery at We Level Up Treatment Centers.

See our authentic success stories. Get inspired. Get the help you deserve.

We Level Up Treatment Centers for Drug Alcohol Rehab Detox Behavioral Mental Health Dual Diagnosis TherapyWe Level Up Treatment Centers for Drug Alcohol Rehab Detox Behavioral Mental Health Dual Diagnosis TherapyWe Level Up Treatment Centers for Drug Alcohol Rehab Detox Behavioral Mental Health Dual Diagnosis Therapy

Hotline (844) 597-1011
Voluntarily testimonials from the We Level Up Treatment Center network vary. Not intended as a guaranteed treatment or outcome as each person's journey is unique.

Start a New Life

Begin with a free call to an addiction & behavioral health treatment advisor. Learn more about our dual-diagnosis programs. The We Level Up Treatment Center Network delivers recovery programs that vary by each treatment facility. Call to learn more.

  • Personalized Care
  • Caring Accountable Staff
  • World-class Amenities
  • Licensed & Accredited
  • Renowned w/ 100s 5-Star Reviews

We’ll Call You

Search We Level Up DPDR Specialist, Detox, Mental Health Topics & Resources

[1] Gentile JP, Snyder M, Marie Gillig P. Stress and trauma: Psychotherapy and pharmacotherapy for depersonalization/derealization disorderInnov Clin Neurosci. 2014;11(7-8):37-41. PMID:25337444.

[2] Sutar R, Chaturvedi SK. Symptom profile and diagnostic utility of depersonalization-derealization disorder: A retrospective critical review from India. Indian J Psychiatry. 2020 Jan-Feb;62(1):91-94. DOI: 10.4103/psychiatry.IndianJPsychiatry_347_19. Epub 2020 Jan 3. PMID: 32001937; PMCID: PMC6964445. – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6964445/

[3] The Dissociative Subtype of PTSD: An Update of the Literature – https://www.ptsd.va.gov/publications/rq_docs/V29N3.pdf

[4] Simeon D. Depersonalisation disorder: a contemporary overview. CNS Drugs. 2004;18(6):343-54. DOI: 10.2165/00023210-200418060-00002. PMID: 15089102. – https://pubmed.ncbi.nlm.nih.gov/15089102/

[5] Depersonalization Disorder: Therapeutic Effect of Neuronavigated Repetitive Transcranial Stimulation (PERSONA) – https://clinicaltrials.gov/ct2/show/NCT02476435

[6] Yang J, Millman LSM, David AS, Hunter ECM. The Prevalence of Depersonalization-Derealization Disorder: A Systematic Review. J Trauma Dissociation. 2023 Jan-Feb;24(1):8-41. DOI: 10.1080/15299732.2022.2079796. Epub 2022 Jun 14. PMID: 35699456.

[7] DepersonalizationTopics by Science.gov

[8] Yaribeygi H, Panahi Y, Sahraei H, Johnston TP, Sahebkar A. The impact of stress on body function: A review. EXCLI J. 2017 Jul 21;16:1057-1072. DOI: 10.17179/excli2017-480. PMID: 28900385; PMCID: PMC5579396.

[9] Schneiderman N, Ironson G, Siegel SD. Stress and health: psychological, behavioral, and biological determinants. Annu Rev Clin Psychol. 2005;1:607-28. DOI: 10.1146/annurev.clinpsy.1.102803.144141. PMID: 17716101; PMCID: PMC2568977.

[10] Woody G. The Challenge of Dual Diagnosis. Alcohol Health Res World. 1996;20(2):76-80. PMID: 31798155; PMCID: PMC6876494.