Hi there, first of all Welcome to the forum! Well done for being able to manage it for that long especially without medication ! If I may ask , how did you get derealization at the first place ? I got mine from a panic attack caused by weed and it's only derealization, no depersonalization or emotional numbness. I got better with time and meds ( A combo of SSRI and anti-psychotic ) but they come with some small side effects ( like visual snow, which is fine for me ). I almost felt cured while I was on them so I decided to stop taking the meds however it returned after a while so I'm considering taking back the meds. They could help...