Disconnected From Reality
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Reviewed By:
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.
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Content updated on Jan 4, 2023
About the symptom
Derealization is a mental condition in which you feel detached from your surroundings and people and objects appear to be unreal. Stress caused by major relationship, financial, or work-related problems, Depression or anxiety, using recreational drugs, alcohol are possible causes.
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
- Sleep disorder
Sleep disorders are conditions that affect the quality, timing, or duration of your sleep, impacting your ability to function when you're awake. There are many types of sleep disorders, including disturbances in sleep quality or quantity, excessive daytime sleepiness, abnormal behaviors during sleep, sleep disorders related to mental disorders, and more.
- 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.
- Depression
Depression is a mental illness that leads to low mood, reduced energy levels, and poor sleep. This affects everyday activities like attending school and work. As the condition worsens, patients might have suicidal thoughts. Although stress and trauma can cause depression, often no clear cause is identified.
- Obsessive-compulsive disorder
- Bipolar disorder
- Depressive
- Social anxiety disorder
- Hyperventilation syndrome . panic disorder
- Anxiety
Questions your doctor may ask about this symptom
Your doctor may ask these questions to check for this symptom
Do you have a sense of unreality of feeling that events or surroundings are not real?
Other Related Symptoms
Similar symptoms or complaints
Symptoms from the same body system / part
Symptoms treated by the same specialty
Reviewed By:
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.
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Seiji Kanazawa, MD, PHD
Obstetrics and gynecology (OBGYN)
National Center for Child Health and Development, Japan