Derealisation and Depersonalisation: When Reality Loses Focus

The Hormona Team

Have you ever had that freaky feeling that you’re in a dream – but you’re actually awake? Nothing particularly strange may be happening but something about the world around you seems less… real? Or maybe it’s more on an inward disconnection, as though something within you has shifted and although your memory is intact, you don’t feel like the same person you were yesterday? Welcome to derealization and depersonalization…

Say what now?

During these episodes, you may be well aware that your sense of detachment is only a feeling and not reality – but it is kind of disturbing all the same. The experience can be difficult to describe. It may leave you feeling hopeless, like you’re somehow distant from your own life. Or even down an existential spiral where you question the reality and relevance of everything – understandably making your daily responsibilities seem to fade in importance. These episodes may last hours, days, weeks, or even months at a time.

Every one of us has at least moments where we can relate to this – sensations described by philosophers throughout history – such as Sartre and Camus. So is this just a part of the human condition?

After experiencing bouts of neurological derealisation-depersonalization disorder myself, during the days following a seizure, I vouch that this can escalate far beyond the usual “is anything real?” inner turmoil you get when you wake up at around 3am. For me, it is a complete shift in perspective which makes everything look and feel tangibly different, and can have both terrifying and strangely calming effects (and more on that down below).

Most people don’t get one without the other – but to begin, let’s make it clear what the differences are between derealization and depersonalization:

Derealization symptoms

  • Feelings of being alienated from or unfamiliar with your surroundings — for example, like you’re living in a movie or a dream, or that you are seeing or experiencing things that are actually familiar to you for the very first time.
  • Feeling emotionally disconnected from people you care about, as if you were separated by a glass wall – or that they seem different but you can’t put your finger on why.
  • Surroundings that appear distorted, blurry, tinted, artificial, or alternatively a heightened awareness and clarity of your surroundings – shifting your focus to peculiar details.
  • Distortions in your perception of time, such as recent events feeling like a distant past, or memories from a while ago seem like they only just happened.
  • Distortions of distance and the size and shape of objects.

Depersonalization symptoms

  • Feelings that you’re an outside observer of your own thoughts, feelings, body, or parts of your body — for example, as if you were floating in the air above yourself, or as though your hands in front of you are not your own.
  • Feeling like a robot or that you’re not in control of your speech or movements.
  • The sense that your body, legs or arms appear distorted, enlarged or shrunken, or that your head is wrapped in cotton.
  • Emotional or physical numbness of your senses or responses to the world around you – like you are somehow not a part of what is going on in your own life.
  • A sense that your memories lack emotion, and that they may or may not be your own memories but a memory of a story, or someone else’s life you heard about.

Derealization and depersonalization – What causes them?

The exact cause is yet to be pinned down. Some people may be more vulnerable to experiencing depersonalization and derealisation than others, possibly due to genetic and environmental factors. Heightened states of stress and fear may also trigger episodes. As do epileptic or non-epileptic seizures.

Why you might experience derealization or depersonalization

Passing feelings of depersonalization or derealization are common and aren’t necessarily a cause for concern. But ongoing or severe feelings of detachment and distortion of your surroundings can be a sign of an underlying disorder or neurological problem.

The following factors could mean you are more likely to experience derealisation-depersonalization disorder – and may be an indicator of whether there is indeed an underlying issue provoking these sensations for you:

    • Certain personality traits such as being a highly-sensitive person, or personality disorders such as BPD, that mean you tend to avoid or deny difficult situations and become easily stressed or agitated.
    • Trauma during childhood or as an adult, such as experiencing or witnessing a traumatic event or abuse.
    • Severe stress or burnout such as major relationship, financial or work-related issues making your subconscious separate itself from your reality as a coping mechanism.
    • Depression or anxiety, especially severe or prolonged depression, or anxiety with panic attacks or seizures.
    • Using recreational drugs as psychoactive compounds can trigger episodes of depersonalization or derealization.

Derealization, depersonalization, and your anxiety

As an often overly-anxious person myself, once you get past the initial alarm of these two D’s, they can be strangely comforting.

Hear me out – as any fellow anxious person will know, we are plagued with racing thoughts and irrational obsessions over details every waking minute. But during an episode of derealisation,  it is as though the senses have been partially numbed or muffled. You still hear and see just fine, but since everything seems slightly more distant – slightly removed – this can actually reduce my anxiety levels.

As for depersonalization – similarly, that odd sensation that you are now different somehow only contributes to you caring slightly less about the stuff which usually keeps you up at night. Although emotional detachment has negative connotations, for those who are usually too emotionally attached – it can be somewhat of a relief to temporarily remove yourself from this.

Arguably, this is essentially the aim of the disorder – as a curious coping mechanism for the over-active mind.

Derealization and Depersonalization: The bottom line

Overall, derealisation and depersonalization are very strange, little-understood neurological phenomena that many of us experience at some time or another for various reasons.

And although I would not wish them on anyone, I can’t help noticing that they accompany an unmatched level of inner calm which my normally-frazzled mind had never really experienced before.

But of course, if you are having a hard time with derealization and/or depersonalization, then please seek help. See your GP to perhaps get referred to a neurologist. And explore ways to reconnect with yourself by experimenting with meditation, meditation alternatives, or therapy such as somatic experiencing.

Have you ever experienced derealization or depersonalization? Did you know what it was at the time and what were your experiences?


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The Hormona Team

The Hormona Team

Articles by the Hormona team are written by the amazing people that are, or have been, involved in Hormona and who all stand behind the cause and purpose of educating and empowering women to live better and healthier lives. It’s all of our goal to share personal stories, helpful information, tips, tricks and experiences to help other women in our community in their daily lives and on their hormonal health journey.