Disconnected From Reality
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Try one of these related symptoms.
Disconnected from reality
Delusion
Derealization episode
Feelings of unreality
Delusions of grandeur
Feel that things are not real
About the Symptom
Derealization is a mental condition in which you feel detached from your surroundings and people and objects appear to be unreal. It can sometimes be caused by stress, depression, panic attacks, using recreational drugs, or seizures.
When to See a Doctor
Seek professional care if you experience any of the following symptoms
- Suicidal thought
- Recent weight loss
- Difficulty breathing / breathlessness
- Decrease in sleeping desire
- Easy fatiguability
- Palpitation
Possible Causes
Generally, Disconnected from reality can be related to:
- Depression
Depression is a mental illness that leads to low mood, reduced energy levels, and changes in sleep. This affects everyday activities like attending school and work. As the condition worsens, patients might have suicidal thoughts. Although stress and past trauma can cause depression, it can take time to identify and address causes, and genetic factors may also be at play.
- Bipolar Disorder
A disorder marked by extreme and persistent shifts in mood that last for weeks to months, from periods of sustained depression to periods of elevated mood and euphoria. The precise cause is unclear, but genetic and environmental factors contribute.
- Adjustment Disorder
A psychological disorder, often with low mood and anxiety. It is triggered by a sudden change in life circumstances, e.g. divorce or losing a job.
- Migraine
- Sleep Disorder
- Hypothyroidism
- Alzheimer's Disease
- Obsessive-Compulsive Disorder
- Hyperventilation Syndrome / Panic Attacks
- Social Anxiety Disorder
Doctor's Diagnostic Questions
Your doctor may ask these questions to check for this symptom:
- Do you feel like things aren't real?
Reviewed By:
Weston S. Ferrer, MD (Psychiatry)
Weston Ferrer is a physician leader, psychiatrist, and clinical informaticist based in San Francisco. With nearly a decade of experience in academia and more recent immersion in industry, he has made significant contributions to the fields of digital health, health tech, and healthcare innovation. | As an Associate Professor at UCSF, Weston was involved in teaching, leadership, and clinical practice, focusing on the intersection of technology and mental health. He recently led mental health clinical for Verily (formerly Google Life Sciences), where he applied his expertise to develop innovative solutions for mental healthcare using the tools of AI/ML, digital therapeutics, clinical analytics, and more.. | Weston is known for his unique ability to innovate and support product development while bringing pragmatism to technology entrepreneurship. He is a strong advocate for patient-centered care and is committed to leveraging technology to improve the health and well-being of individuals and communities. |
Yu Shirai, MD (Psychiatry)
Dr. Shirai works at the Yotsuya Yui Clinic for mental health treatment for English and Portuguese-speaking patients. He treats a wide range of patients from neurodevelopmental disorders to dementia in children and participates in knowledge sharing through the Diversity Clinic.
Content updated on Jan 29, 2025
Following the Medical Content Editorial Policy
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This questionnaire is customized to your situation and symptoms, including the following personal information:
Biological Sex - helps us provide relevant suggestions for male vs. female conditions.
Age - adjusts our guidance based on any age-related health factors.
History - considers past illnesses, surgeries, family history, and lifestyle choices.
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People with similar symptoms also use Ubie's symptom checker to find possible causes
- I feel that events and my environment are not real
- Feeling that events or surroundings are not real
- I feel that things are not real
- Experiencing a feeling of unreality
- Derealisation
User Testimonials for Disconnected from reality
Female, 10s
I have many symptoms and am in the middle of getting diagnosed and treated for depression, hypothyroidism and an ovarian cyst. Ubie helped me to figure out if what I'm feeling is derealization or not. It also helped me with finding doctors that specialized in treating my mental health symptoms.
(Feb 8, 2025)
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Ubie’s symptom checker demonstrated a Top-10 hit accuracy of 71.6%, surpassing the performance of several leading symptom checkers in the market, which averaged around 60% accuracy in similar assessments.
Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
WebMD - Derealization
https://www.webmd.com/mental-health/mental-derealization-overview