![]() Lifetime prevalence of depersonalization derealization syndrome in the community is unknown. Depersonalization derealization syndrome is primarily a disturbance in the integration of perceptual experience and being distressed by it. There may be a sensation of being an outside observer of one's mental processes, one's body or part of one's body. In addition to these classic features of depersonalization and derealization, symptoms may encompass alteration in bodily sensation and a loss of emotional reactivity. Judgment and insight was intact.ĭepersonalization derealization syndrome involves an unpleasant chronic and disabling alteration in the experience of self and environment. However, he was preoccupied with his illness and distressed with the perceptual disturbance in the form of depersonalization and derealization. ![]() His speech was relevant and coherent, and there was no evidence of formal thought disorder. On mental status examination, the patient appeared anxious but otherwise conscious, cooperative, well groomed with adequate eye contact and rapport could be easily established during the interview. Thorough physical examination was done, which revealed no abnormality. Premorbidly the patient had few obsessional traits. There was no significant past or family history. His childhood history was uneventful, with normal developmental milestones. There was no history of head injury, seizure, substance abuse or abnormal behavior. The patient reported that he had the same experience once, when he took bhang for the first time one month prior to this illness, which lasted for a few hours and subsided spontaneously. He had psychiatric consultation and was on medication for four months prior to his admission to our department. Gradually his sleep became disturbed he would go to bed late at night and awaken late in the morning with complaint of feeling heaviness in his head. ![]() He realized that these feelings were his own, wanted to get rid of these but could not. He often pinched himself and felt the pain. While he went to the market or any other crowded place, he felt as if he was roaming in some different world or in a dream. He continued his job although he had decreased interest in sociocultural activities. He was scared and ran to his home he felt his house, even his mother also, was changed, These feelings continued and he often became fearful and restless, as he could not distinguish between the real and the unreal. Suddenly in the first week of March 2005 while he was playing with his friends, he felt that they were changed they were not his friends - as if they were ghosts or devils. A 22-year-old young boy, with 14 years of formal education, working as a postman, from a nuclear family of lower middle socioeconomic status, who was leading a happy and peaceful life six months ago presented to our outpatient department in August 2005 with a history of feeling of unreality, as if he himself and his surroundings had changed, and heaviness of head.
0 Comments
Leave a Reply. |