In psychiatry, chronic depersonalization that arises during sobriety is identified as "Depersonalization/Derealization Disorder" and is classified by both the DSM5 and ICD-11 as a single dissociative disorder. However, it can also occur under the influence of cannabis, psychedelics, and to a lesser extent during the withdrawal symptoms of depressants and SSRI's. It is most commonly induced under the influence of moderate dosages of dissociative compounds, such as ketamine, PCP, and DXM. ĭepersonalization is often accompanied by other coinciding effects such as anxiety, depression, time distortion, and derealization. While depersonalization is the subjective experience of unreality in one's sense of self, derealization is the perception of unreality in the outside world. It is worth noting that this state of mind is also commonly associated with and occurs alongside derealization. For example, many people often note that they enter a detached state of autopilot during stressful situations or when performing monotonous routine tasks such as driving. It is perfectly normal for people to slip into this state temporarily, often without even realizing it. This can be distressing to the user, who may become disoriented by the loss of a sense that their self is the origin of their thoughts and actions. Individuals who experience depersonalization feel detached from aspects of the self, including feelings (e.g., "I know I have feelings but I don't feel them"), thoughts (e.g., "My thoughts don't feel like my own"), and sensations (e.g., touch, hunger, thirst, libido). During this state, the affected person may feel like they are " on autopilot" and that the world is lacking in significance. Depersonalization or depersonalisation (sometimes abbreviated as DP) is medically recognized as the experience of feeling detached from, and as if one is an outside observer of, one's thoughts, body, or actions.
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