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Re: What causes depersonalization?frightening...

Posted by SLS on February 20, 2006, at 0:08:32

In reply to Re: What causes depersonalization?frightening... stargazer, posted by FredPotter on February 19, 2006, at 21:16:04

I suffered chronically for several years with both depersonalization and derealization as states resulting from the anxiety and depression attendant to bipolar disorder. I don't think it is necessary that one have a personality disorder or a history of abuse for this to occur. Extreme anxiety with depression seems to be sufficient for many people to act as a matrix upon which these feelings are triggered or evolve. However, once set into motion, these feelings can last for many years. In addition, having had these feelings in the past can act as a backdrop for "re-experiences" or "flash-backs" in the future. Anhedonia coupled with anxiety might foster depersonalization and derealization in the setting of a biological affective disorder.

I feel that it is important to define depersonalization and derealization as *phenomena* that can be Axis II *disorders* unto themselves as well as episodic or chronic *states* (symptoms) resulting from Axis I disorders. This is not terribly different than the relationship between OCD and OCPD. One can experience both depersonalization and derealization without suffering from a dissociative disorder.

- Scott




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