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- $Unique_ID{BRK03655}
- $Pretitle{}
- $Title{Depersonalization Disorder}
- $Subject{Depersonalization Disorder Depersonalization Neurosis Panic-Anxiety
- Syndrome (Panic Disorder) Agoraphobia}
- $Volume{}
- $Log{}
-
- Copyright (C) 1989 National Organization for Rare Disorders, Inc.
-
- 632:
- Depersonalization Disorder
-
- ** IMPORTANT **
- It is possible that the main title of this article (Depersonalization
- Disorder) is not the name you expected. Please check the SYNONYM list to
- find the alternate names and disorder subdivisions covered by this article.
-
- Synonyms
-
- Depersonalization Neurosis
-
- Information on the following diseases can be found in the Related
- Disorders section of this report:
-
- Panic-Anxiety Syndrome (Panic Disorder)
- Agoraphobia
-
- General Discussion
-
- ** REMINDER **
- The information contained in the Rare Disease Database is provided for
- educational purposes only. It should not be used for diagnostic or treatment
- purposes. If you wish to obtain more information about this disorder, please
- contact your physician and/or the agencies listed in the "Resources" section
- of this report.
-
- Depersonalization Disorder is a psychiatric disorder affecting emotions
- and behavior. It is characterized by an alteration in how the patients
- perceive or experience their unique sense of self. The usual sense of one's
- own reality is temporarily lost or changed. A feeling of detachment from, or
- being an outside observer of one's mental processes or body occurs such as
- the sensation of being in a dream.
-
- Symptoms
-
- Depersonalization Disorder is marked by persistent or recurring episodes of
- loss of the sense of self (depersonalization), sufficient to cause marked
- distress. The usual sense of one's self or reality is temporarily changed or
- lost. A feeling of detachment from, or being an outside observer of one's
- mental processes or body occurs. The patient may feel as if he/she is in a
- dream. Various types of lack of sensory stimulation (sensory anesthesia) and
- a sensation of not being in complete control of one's actions, including
- speech, are often present.
-
- Depersonalization Disorder usually starts during adolescence or early
- adulthood. The disorder is usually chronic with periods of remission. More
- severe manifestations may be aggravated by mild anxiety or depression. The
- disorder usually disappears gradually.
-
- Causes
-
- Severe stress such as military combat or a car accident may trigger an
- episode of Depersonalization Disorder. Marijuana use may also cause attacks.
- The exact cause of the disorder is not known, but it is treated as a mental
- illness.
-
- Affected Population
-
- The prevalence and sex distribution of Depersonalization Disorder is not
- known. Brief periods of depersonalization during adolescence may be fairly
- common.
-
- Related Disorders
-
- The following disorders may be associated with Depersonalization Disorder as
- secondary characteristics. They are not necessary for a differential
- diagnosis:
-
- Panic-Anxiety Syndrome (Panic Disorder) is characterized by recurrent
- attacks of intense fear or discomfort beginning without warning. These
- attacks typically begin with the sudden onset of intense apprehension, fear,
- terror, or discomfort without apparent cause. At least four of the following
- symptoms may occur: shortness of breath (dyspnea) or smothering sensations;
- dizziness, unsteady feelings, or faintness; choking; palpitations or
- accelerated heart rate; trembling or shaking; sweating; nausea or abdominal
- distress; loss of one's sense of self (depersonalization) or feelings of
- unreality; numbness or tingling sensations (paresthesias); flushes (hot
- flashes) or chills; chest pain or discomfort; etc. (For more information,
- choose "Panic-Anxiety Syndrome" as your search term in the Rare Disease
- Database.)
-
- Agoraphobia is the fear of being in places or situations from which
- escape might be difficult or embarrassing, or in which help might not be
- available in the event of a panic attack. As a result of this intense fear,
- people with Agoraphobia do not leave their home. Common situations that may
- trigger an agoraphobic attack include being outside the home alone, being in
- a crowd or standing in line, being on a bridge, or traveling in a bus, train,
- or car.
-
- Therapies: Standard
-
- Treatment of Depersonalization Disorder involves psychotherapy. The
- antidepressant drug desipramine may be beneficial. Other treatment is
- symptomatic and supportive.
-
- Therapies: Investigational
-
- This disease entry is based upon medical information available through April
- 1989. Since NORD's resources are limited, it is not possible to keep every
- entry in the Rare Disease Database completely current and accurate. Please
- check with the agencies listed in the Resources section for the most current
- information about this disorder.
-
- Resources
-
- For more information on Depersonalization Disorder, please contact:
-
- National Organization for Rare Disorders (NORD)
- P.O. Box 8923
- New Fairfield, CT 06812-1783
- (203) 746-6518
-
- NIH/National Institute of Mental Health (NIMH)
- 9000 Rockville Pike
- Bethesda, MD 20205
- (301) 443-4515 or (301) 496-1752
- (800) 421-4211 (24 hrs.)
-
- National Alliance for the Mentally Ill
- 1901 N. Fort Meyer Dr., Suite 500
- Arlington, VA 22209
- (703) 524-7600
-
- National Mental Health Consumer Self-Help Clearinghouse
- 311 S. Juniper St., Rm. 902
- Philadelphia, PA 19107
- (215) 735-2481
-
- National Mental Health Association
- 1021 Prince Street
- Alexandria, VA 22314
- (703) 684-7722
-
- References
-
- DESIPRAMINE: A POSSIBLE TREATMENT FOR DEPERSONALIZATION DISORDER: R. Noyes,
- Jr., et al.; Canadian Journal Psychiatry (December 1987: issue 32(9)). Pp.
- 782-784.
-
- DEPERSONALIZATION IN A NONCLINICAL POPULATION: D. Trueman; Journal
- Psychol (January 1984: issue 116 (1st half)). Pp. 107-112.
-
- DEPERSONALIZATION AND AGORAPHOBIA ASSOCIATED WITH MARIJUANA USE: C.
- Moran; British Journal Med Psychol (June 1986: issue 59(pt 2)). Pp. 187-196.
-
-