“Depersonalisation Disorder (DPD) constitutes, according to the Psychiatric Diagnostic and Statistic Manual (DSM) IV, ‘a feeling of detachment or estrangement from one’s self. The individual may feel like an automaton or as if he or she is living in a dream or a movie. There may be a sensation of being an outside observer of one’s mental processes, one’s body or parts of one’s body.’ People who experience depersonalisation may, at the same time, experience de-realisation, the sense that the external world is strange or unreal.
People with a major psychiatric disorder, including severe anxiety or panic disorder, depression, post traumatic stress disorder, obsessive compulsive disorder and schizophrenia, and people with neurological conditions such as migraine and epilepsy, can experience depersonalisation as a symptom. People who do not have mental health or neurological problems can also experience depersonalisation when they are in states of fatigue, fear, stress, emotional turmoil or meditation, or after taking drugs like cannabis or Ecstasy."
If someone presents to a psychiatrist with DP/DR AND actual hallucinations and paranoia, the diagnosis would move towards bipolar/mania, schizoprhenia, psychotic depression, etc.
Again, Solomon, you know I have great respect for you. I just get frustrated. I think some people terrify themselves and say "I am paranoid" when actually they may be overly self-conscious. Someone who is truly paranoid thinkis someone is following them, everywhere. I know a woman in my depression support group who also has paranoid personality disorder ... that is, it hasn't affected her work, but limits her social interactions. She doesn't trust anyone. She has few friends. She is certain people talk about her behind her back when this is NOT happening.
She SWEARS that someone has broken into her house (bypassing an alarm system) and rearranged clothes in her closet, moved furniture or small objects Stolen silverware and then brought it back. She also has called the police to report several men have been following her for the past ten years. One is a black man with dreadlocks. Another is a white man who looks like a skinhead.
The police have never found any proof of any of this. She literally believes theses things and shares these with us in group. She has nearly sued the police for not helping her, but we in the group know that these things are not happening. They couldn't be, etc.
Sometimes she stops bringing this up in group for months. Then sometimes when she is under stress it will come up again. There is no specific treatment for this type of paranoid thinking. And this would be a perfect example of paranoia by itself.
OK time for bed.
Again, in the spirit of clarity.
Edited by *Dreamer*, 04 March 2015 - 10:28 PM.