Your doctor is likely to ask you a number of questions. Are there any brochures or other printed material that I can have? What websites do you recommend?.Is there a generic alternative to the medicine you're prescribing?.Are there alternatives to the primary approach that you're suggesting?.What treatments are available? Which do you recommend?.Do I need any tests to confirm the diagnosis?.What's the most likely cause of my symptoms? Some basic questions to ask your doctor include: All medications, vitamins, herbs and other supplements that you're taking, including dosages.Key personal information, including any major stresses or recent life changes.Here's some information to help you get ready for your appointment and what to expect from your doctor.Īny symptoms you're experiencing, including any that may seem unrelated to the reason for your appointment Someone who accompanies you may remember something that you missed or forgot. You may want to take a family member or friend along, if possible. You're likely to start by first seeing your primary care doctor, but you may be referred to a doctor who specializes in brain and nervous system disorders (neurologist) or a doctor who specializes in diagnosing and treating mental health disorders (psychiatrist). However, medications may be used to treat specific symptoms or to treat depression and anxiety that are often associated with the disorder. There are no medications specifically approved to treat depersonalization-derealization disorder. Address other mental health conditions such as anxiety or depression.Address the emotions related to past trauma you've experienced.Learn coping strategies to deal with stressful situations and times of extreme stress.Learn techniques that distract from your symptoms and make you feel more connected to your world and feelings.Understand why depersonalization and derealization occur.Two such psychotherapies include cognitive behavioral therapy and psychodynamic therapy. The goal is to gain control over the symptoms so that they lessen or go away. Psychotherapy, also called counseling or talk therapy, is the main treatment. However, sometimes medications may be added to your treatment plan. Treatment of depersonalization-derealization disorder is primarily psychotherapy. 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. Distortions of distance and the size and shape of objectsĮpisodes of depersonalization-derealization disorder may last hours, days, weeks or even months at a time.Distortions in perception of time, such as recent events feeling like distant past.Surroundings that appear distorted, blurry, colorless, two-dimensional or artificial, or a heightened awareness and clarity of your surroundings.Feeling emotionally disconnected from people you care about, as if you were separated by a glass wall.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.
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