This can be best understood as the individual feeling as if they see the events in third person therefore they cannot properly process information, especially through the visual pathway. Derealization also has been shown to interfere with the learning process, with cognitive impairments demonstrated in immediate recall and visuospatial deficits. This can, in turn, cause more anxiety and worsen the derealization. It is often difficult to accept that such a disturbing symptom is simply a result of anxiety, and the individual may often think that the cause must be something more serious. Those who experience this phenomenon may feel concern over the cause of their derealization. This type of anxiety can be crippling to the affected and may lead to avoidant behavior. In such cases it can build unnoticed along with the underlying anxiety attached to these disturbing thoughts, and be recognized only in the aftermath of a realization of crisis, often a panic attack, subsequently seeming difficult or impossible to ignore. This "blocking effect" creates a discrepancy of correlation between one's perception of one's surroundings during a derealization episode, and what that same individual would perceive in the absence of a derealization episode.įrequently, derealization occurs in the context of constant worrying or "intrusive thoughts" that one finds hard to switch off. When persons are in a state of derealization, they block this identifying foundation from recall. The degree of familiarity one has with their surroundings is among one's sensory and psychological identity, memory foundation and history when experiencing a place. Such perceptual abnormalities may also extend to the senses of hearing, taste, and smell. The world as perceived by the individual may feel as if it were going through a dolly zoom effect. One may not even be sure whether what one perceives is in fact reality or not. Familiar places may look alien, bizarre, and surreal. Feelings of déjà vu or jamais vu are common. Emotional response to visual recognition of loved ones may be significantly reduced. Individuals may report that what they see lacks vividness and emotional coloring. The experience of derealization can be described as an immaterial substance that separates a person from the outside world, such as a sensory fog, pane of glass, or veil. However, temporary derealization symptoms are commonly experienced by the general population a few times throughout their lives, with a lifetime prevalence of up to 26-74% and a prevalence of 31–66% at the time of a traumatic event. Experiencing derealization for long periods of time or having recurring episodes can be indicative of many psychological disorders, and can cause significant distress among sufferers. Chronic derealization is fairly rare, and may be caused by occipital–temporal dysfunction. The two are commonly experienced in conjunction with one another, but are also known to occur independently. Derealization is a subjective experience pertaining to a person's perception of the outside world, while depersonalization is a related symptom characterized by dissociation towards one's own body and mental processes. It is a dissociative symptom that may appear in moments of severe stress. Other symptoms include feeling as if one's environment is lacking in spontaneity, emotional coloring, and depth. Derealization is an alteration in the perception of the external world, causing sufferers to perceive it as unreal, distant, distorted or falsified.
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