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as
assia
1y ago

from depression to derealization

hello ,i am a 19 years old girl who studies ingeneering,my doctor said that i am suffering from derealization and strong depression ;so i have been taking medication for 2 years but i dont feel any improvement. in fact it is getting worst than ever.concerning derealization,it makes me feel like im in a dream which i have to wake up from, everything seems unreal in a bad way that i am always skeptical about my own existence and also the others', i believe that im in a virtual word eventhough smth inside is still reminding me that this word is real which give the sensation that im becoming a maniac, even the sky seems like a picture to me and gives me the feeling that im stuck on earth. i live like that everyday and this state doesnt disappear even for a single minute.it really hurts so much , specially when nobody belives what i say because of the fact that my inner self still tell me that im in the real word which is really confusing.it hurts so much and im scared;terrified and lonely , i feel like im stuck inside my head,i feel like my brain is trying to pull me down,im fighting against my own self.it is very hard to continue my studies like this ,in fact even my professor seems unreal ,i cant listen to him , i cant hear him,i cant concentrate at all, him and all people surrounding me seem very far ,and im just a watcher.this state of mine makes me very upset and angry,i know that im not okay , all i can feel is disgust , pain and sorrow. it s been 3 years now that i havent felt happiness or any positive emotions , all my smiles are fake because i dont wanna be weird with others , so sometimes i laugh, smile and say jokes in order not to hear them question me if im okay,since then im not living but just existing,and sometimes think of ending that painful existence, the only thing that's keeping me from it is the fact that maybe i will find smth more painful in the other life,so i can say that if i had a reassurance that there will be nothing after i die i will die with pleasure, but for now ;i am afraid to live as well that i am afraid to die.

Specialist answer
Our free therapy courses to cope with depression
Veena Choudhary
1y
Specialist

Derealization will make it hard for you to focus on task or remember things. It would make you feel anxious, depressed or hopeless. Person would feel that things happening around you seems from another world. Person would feel that he/she is not part of the surroundings or its like dream or movie. Person would be aware of the situation and has insight. Person knows reality around them but they don't feel part of it.


Therapist would use various ways to deal with it:


  • Grounding technique:


It's calling or activating your senses to help you feel more in touch with reality.


>>> Playing loud music to engage hearing

>>> Holding ice cubes to feel sensation

>>> Doing 5,4,3,2,1 technique where we sit down at one place. just breathe for 2 min. Inhale through nose and exhale through mouth. calm your senses and then start observing the surrounding you are sitting in. list 5 things you see around you, 4 things you can touch, 3 things you can hear, 2 things you can smell and 1 thing you can taste. notice minute details in the surroundings. This help you to be in touch with reality.


  • EMDR technique:


This involves 8 phases of treatment that focus on past, present and future. Each of this phase helps in dealing emotional distress and trauma then learn skills to cope with current and future stress.


>>> Discussing the painful memories, events or experiences from the past as well anything in the current. Based on this therapist will decide which specific memory to address


>>> Next step would be to learn ways to deal with anxiety by doing mental exercises like


# Guided imagery: Sit down in a comfortable place. close you eyes. Take a few deep breath so body can start relaxing. Visualise a peaceful, calm setting such as lake or beach etc. Picturise the scene and keep adding details like warmth of sun, cold air etc. Linger in the scene for few minutes. Person can stay in the scene to relax and stay calm. once done open the eyes and stretch gently to reenter the present.


>>> Now based on the specific memory you selected, you will start identifying several components for this memory:


# A vivid mental image related to the memory

# A negative belief about yourself

# Emotions or body sensation you are having


You will have to identify a positive belief about yourself related to the mental picture of the memory and rate this belief according to how true it is. once you have strengthened your positvie belief you will have to note if you have any sort of physical response while thinking of the target memory, The purpose is to identify if you have any distress. Till your distress is not completely gone you have to continue doing this.


Other than this kindly do these as well to help you out:


  • Pinch the skin on the back of your hand to bring you back to reality
  • Step outside and focus on sun hitting your skin. Feel that.
  • Sit down and touch the ground.Touch the soil or mud in the ground and feel it ,the texture .


  • Keep something hot in the hand or cold. Keep changing the temperature to shift your focus. Let it not be too hot just luke warm


  • keep moving your eyes from left to right or rotate ti stop yourself from zoning out


  • Look around the room and count the objects you can see and name each object.


  • try pausing and holding your breath and meditating Pay attention to how the breath enters the body and where it passes and how it is exhaled out.


  • Do meditation everyday.


You deserve to find a healing and way to move forward in your life. Don't hesitate to find a new therapist if you haven't been able to heal with the existing therapist.

fr
fritschfloy
1y

Hi!!! I really want to sympathize and support you!!! I would like to first reassure you, because despite everything, you somehow got into university and somehow still study. So it's not that bad. Hang in there!!! Tell the doctor that the pills don't help, believe me, he has stronger ones.... Takre condition happens when a person does not do what is in his goals. It's not a real derilium.... So all is well... Write... I will always be supportive

trantow
1y

My greetings, sympathy and support!!! I can imagine how hard it must be for you!!! especially hard for you to realize that you have "derealization". I was in the hospital due to having "gone" to "another world" from a computer game and having hallucinations. I've had a lot of conversations with warch and other patients. I have to reassure you, you don't have derealization. You're just under a lot of stress and having an identity crisis, which is what you're describing. I hope you're feeling better.

buckrid
1y

My sympathy !!! you write that you are very depressed, I want to give you strength...You are very immersed in your worries and it's hard for you...try to start helping yourself. To get out of this state without medication. Start helping just one person a day and your world will change.

buckrid
1y
Comment deleted
gunnar
1y

My greetings and support!!! most likely you play a lot on the computer or "hang out" in social networks!!! then exactly the world seems unrealistic.... if so, reconsider the mode of play, sleep, and study will be obtained... Be strong, only you decide whether to be your depression or not.

trant
1y

Hi!!! I understand that you can't focus and get into reality..... I was working with a psychotherapist and she gave me tasks for entering reality - just fixing attention on different objects one by one...it helps...Don't worry, depression will be cured for sure. About the term derealization, read carefully somewhere what it means, not that you have it.

lynn
1y

I sympathize with you, taking so long to be treated for depression...maybe you could change doctors or medication? All that you describe are just symptoms of depression, don't worry that you have something terrible...you will definitely get better!

gailpar
1y

Hi! I read that you are angry about your condition. And you are getting extra negative emotions...Accept yourself and your condition. And it will start to go away and bother you less...I know this from my experience.....

brianaк
1y

Hello! The main thing is that you have smiles...even if they are fake, as you said. This is already good...Accept yourself like this. As you are, it’s hard to concentrate on a lecture, don’t get too distracted, you’ll find out where to read about it.... don’t overwork, get plenty of rest and everything will work out

davion
1y

Hi! Since you're being treated, I'm in favor of your positive attitude toward the disease. Not fear and rejection. What's wrong with being confused during the day? It's a bit of a handicap, but not as much as the lectures you go to. Pull yourself together. You'll be fine.

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