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I've been reading "Overcoming Depersonalization Disorder" and I agree that dp can come from substance abuse or it can come "naturally" (from trauma or other disorders); consequently it may cause imbalances in the brain and wrong thinking patterns. In my opinion, chemicals imbalance can cause distorted thoughts/perception and the other way around as well. The point is if it's true, what kind of therapies could help us in solve this problem? The book mentions CBT in general, but, I've tryed it twice and had no results... I always think that dp affects us in a way deep level to the point we don't recognize ourselves anymore and question reality and techniques given by this approach like "think about something else", "try to prove your temporary beliefs are wrong" are too superficial. Maybe psychoanalysis would do a better job since it allows us to revisit our past and rediscover who we are? What do you guys think?
 

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I think cognitive-behavioral therapy works better with psychoanalysis for specific instances of mental health.

Many can get over their obsessive and automatic thoughts with cognitive-behavioral therapy alone, but sometimes people have much deeper problems that catalyzed those thoughts to begin with.

Personally, I believe it just depends on the individual.
 

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My friend was a psychologist, which was great as he wasn't costing me anything, he was thinking about me only.

I am a blank minder, which for me, only Mirtazapine in two years touches, with no thoughts CBT is pointless, like teaching you thought patterns when you don't think is one of the most ironic things i've ever heard. It's like teaching you how to play basket ball when you don't play it. It's like random.

HOWEVER. CBT one night really helped, i could not focus on a gig as I was spaced out, he told me the most simple CBT ever (as well as months of CBT to see if it helped) he also played guitar...I was full DP anxiety and out of it, he said "just think of your bass drum all night"... drums is a thing with two hands playing counter rhythms and hands... it worked so well i was shocked... he told me, "just stare at your bass drum, and when you need to play it that's all you are thinking about it".... my god it worked, but i've played 15 years, so it was automatic the rest. So in one way I am saying for anxiety it did not help me with no thoughts, but in a weird way.... it helped me in one specific situation, so i can't totally say rubbish, i get it.

So it depends what you want it to do. If it lowers your anxiety thoughts, which can help to the bigger picture, that can't be anything but good surely?

As for 20 sessions CBT and BAM, not convinced from what I know. I do know he had to test it himself and his fear was spiders and over 3 months he went from not being able to go near siders to holding huge spiders without any fear at all and he still after 3 months years later still has no fear at all, so there is something very true about overcoming fear, so if your DP has fear in it, sounds like a good thing. I would not be surprised if exposure therapy and
 
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