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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for depersonalization/derealization disorder

Hi, about a year ago I started to get these weird sensations like I was in a dream. I started to have irrational thoughts that I was in a a dream and not in reality. I got really scared and I don't know what to do. I found out it is called depersonalization/ derealization disorder. What should I do about this?
Fri, 9 May 2014
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Psychiatrist 's  Response
Hi,

I read your query and can understand your concern regarding your symptoms. You might be having depersonalisation and derealisation symptoms. But to call it a disorder as such will need more detailed evaluation as it can happen in multiple conditions like anxiety or mood disorders as well.

I would advise you to consult a psychiatrist for the same. Anti-anxiety medications like selective serotonin reuptake inhibitors might be of help. Lamotrigine has also been found effective for depersonalisation/ derealisation.

However, the best treatment will be cognitive behavior therapy where regular sessions will be taken focusing on your symptoms, relaxation will be taught and efforts will be made to change your cognitive errors.

Hope this information was helpful. Best wishes.
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