What is Derealization? An outline of essential features.

In this video from The CTAD Clinic, Dr Mike Lloyd (Clinic Director) discusses what Derealization is in terms of diagnostic categories, and what needs to be taken into account when working out whetehr it is present or not within the spectrum of dissociation.
#dissociation #derealization #derealisation #diagnosis

Пікірлер: 47

  • @CandyThePuppy
    @CandyThePuppyАй бұрын

    Dang this channel's awesome.

  • @thectadclinic

    @thectadclinic

    Ай бұрын

    That means a lot, thank you!

  • @angelwild5665
    @angelwild5665Ай бұрын

    Explains why I can live the way I do. I just don't see my world the way most people do.

  • @Cathy-xi8cb
    @Cathy-xi8cbАй бұрын

    Unless you have known people in psychosis, it is not easy to differentiate. Assessing for psychosis is a clinical skill. It is also important to differentiate between derealization and co-presence of alters in DID.

  • @thectadclinic

    @thectadclinic

    Ай бұрын

    Agreed. This is why it is so problematic when unqualified people believe they are competent to diagnose dissociation simply because they have read about it, or attended basic courses.

  • @jazminebellx11
    @jazminebellx11Ай бұрын

    We find this the hardest state to try and get grounded. When it's just about Parts/Alters fronting and daily life is happening, grounding can happen as we have a bit of a tool kit. But when we go into this state it is like being in nowhere land and that is hard work. Thank you.

  • @psychopompes
    @psychopompesАй бұрын

    I'm autistic and I have DID. Derealization is a very common experience for me, so common that is not always something difficult for me. Thank you for your videos

  • @Lenergyiskey358
    @Lenergyiskey358Ай бұрын

    Thankyou. It is hard to explain the difference because to you the world around you seems off and when you try and explain it people can automatically assume you're hallucinating, but that is not it.

  • @Jennifer-oq4zj
    @Jennifer-oq4zjАй бұрын

    Thank you Dr Mike, my diagnosis listed DID, DR and DP. This video was extremely helpful. I’m often asked “what’s happening at the moment?” It’s hard to explain especially when I’m in it. Depending where I am, I find myself holding onto a wall or leaning on one. I think it’s hoping I can pass through it to somewhere safer.

  • @seans9203
    @seans9203Ай бұрын

    Hi Dr. Lloyd. You're right - this is difficult to put into words - you've done well here. For me/us it's like being a split second 'off' - a bit before - a bit after or to the side - Describing the indescribable, however with your experience, this may be a way others have articulated their experience when it comes to derealization. Also size of people/objects - speed of things in our surroundings - delayed or exaggerated noises... - it is excruciating and persistent - to the point where when we/I do find ourselves in a moment of 'sync' (for lack again of a better word), we pause and hold the moment for as long as possible (mostly because being in 'sync' is so awesome/soothing/hopeful/real). I, (g) also try to deconstruct/study the moment, if I can, to asses what brought us to this moment of 'unity' with our environment so that I can understand how to get there more often and more broadly, what were/are the conditions in that moment that made us feel or fall towards a more steady, inclusive/participative state, as it were. Some of this will only makes sense to you and a few others but thought I would take a moment to give you a more robust comment for your edification and your collection of experiences/descriptions. Thank you for your videos/effort/sincerity and expertise Dr. Lloyd. All the best from the West Coast of Canada.

  • @alysmarcus7747

    @alysmarcus7747

    Ай бұрын

    i wasn't aware that these things would be diagnosed separately. i have those symptoms and with DID there are times when it is so scary trying to figure out what to do. The was that sean9203 described things moving or changing speed is well pointed and happens to us alot.

  • @seans9203

    @seans9203

    Ай бұрын

    @@alysmarcus7747 Thanks for your comment alysmarcus7747 - i/we hear you on the fear point. Dr. Lloyd has quite a few helpful videos, many addressing the more excruciating experiences yous/we and many others have faced or are facing right now as in your case. Our 4 pillars - patience, love, kindness and forgiveness. This will take time - you are not alone - and, most importantly you are deserving and worthy - you'll here that a lot in different ways - anyway I'm being presumptuous. Take good care of yourselves - you deserve peace love and safety. All the best, g (of seans)

  • @evamarie2247
    @evamarie2247Ай бұрын

    Well explained. When this process happens, it is vital to remember that once you start to get those painful memories back & you begin to view them, is that they are just that, memories... But one issue id love to see you explain and help cope with is the somatic symptoms that come with memory viewing. Its very painful and quite a struggle. Seems I can view the memories better, but the body pain is so very real and my body reacts in such a way that even the alternative states shake, freeze and have even had nose bleeds and spiked blood pressure and body tempt. Dnms Has helped tremendously with this, but would love to hear more on how you deal with these issues as well.😊

  • @mollyleaf

    @mollyleaf

    Ай бұрын

    I second this suggestion for a video! I can relate to this entirely. I'll have "memory screens" pop up in my mind's eye that will send certain child alters into internal flashbacks, while I, the "biggest matroyshka doll," as I've called it, experience the somatic reactions. Shaking, shallow breathing, wide-open eyes & not being able to blink, and sometimes tears (sans emotion). I always feel I've been run over by a train or something after these occurrences. I'm curious about what there is to be said about this. 😊 Blessings!

  • @Lenergyiskey358

    @Lenergyiskey358

    Ай бұрын

    ​@@mollyleafI bought myself one of those dolls because it reminded me of myself. I too have some physical reactions.

  • @mollyleaf

    @mollyleaf

    Ай бұрын

    @@Lenergyiskey358 heheh, I'm tempted to buy one for myself & my system now, too. 😊 Hope things are going well for you!

  • @watermelonmint_
    @watermelonmint_Ай бұрын

    The way you described them makes it sound like you’re suddenly transported into the world of Silent Hill or some horror movie/game with a scene where everything is foggy but is changing and such and like in those games/movies, it!s quite hard to get out of, much less navigate through Hope this made sense

  • @MundtStefan
    @MundtStefanАй бұрын

    Thank you for the video! I thought to have chronic derealization/ dissociation (not diagnosed). However, I do have an autism diagnosis (including early childhood signs of autism). Can you explain how to distinguish between the two, or how do I know if I am autistic and have derealization? Interesting to note is that when I am in a sensory deprivation chamber (a.k.a. float therapy), the dissociation/ derealization gets better or even fully away until I am exposed to the sensory overwhelm of the world. Any help is appreciated. Thank you

  • @Heidi_et.al.
    @Heidi_et.al.Ай бұрын

    We experience derealization by feeling like we’re walking a couple of inches above the floor, cannot feel the chair supporting us, & general unsteadiness as we walk/stand.

  • @The_Cyber_System
    @The_Cyber_SystemАй бұрын

    Heck yeah. Great video about something that's very hard to describe to people, and something almost everyone who doesn't experience it doesn't understand.

  • @olivefusse483
    @olivefusse483Ай бұрын

    Now that I’m learning more, I think that like other uncomfortable/weird symptoms I dissociate from experiencing DP/DR. Is that a coping possibility?

  • @kellyschroeder7437
    @kellyschroeder7437Ай бұрын

    Thank you 💙👊

  • @thectadclinic

    @thectadclinic

    Ай бұрын

    You're welcome 😊

  • @melissaowens8817
    @melissaowens8817Ай бұрын

    When you’re thinking about doing more on this topic of DP/DR consider educating on the neuroscience and physiological reactions that are occurring in the brain/body that make these symptoms happen. This helps me make sense of my own past experiences with it. And, I could replay it when it happens again and I can remind myself that i’m not crazy. 😅

  • @DIDHatchery
    @DIDHatcheryАй бұрын

    Can derealization feel like a waking nightmare? I often get bouts of hallucinatory unrealness that get so disturbing, parts sometimes do not very good things to ground. It’s very scary! You start doubting anything is real, which can lead to very dangerous behavior. After all, if nothing is real, how can anything really be harmed?

  • @jacintaphillips1439
    @jacintaphillips1439Ай бұрын

    Thank you for another great explanation ☺️ "trippy" is the wording I use when I feel all of this. Although this does seem to be becoming less now, I feel I'm starting to see our world with much clearer eyes, not so trippy 😉

  • @thectadclinic

    @thectadclinic

    Ай бұрын

    Interesting!

  • @princessodonata2729
    @princessodonata2729Ай бұрын

    Your videos are so helpful. We can't thank you enough.

  • @thectadclinic

    @thectadclinic

    Ай бұрын

    Glad you like them!

  • @foodisgoodthatsthetruth3231
    @foodisgoodthatsthetruth3231Ай бұрын

    Thank you, your videos mean so much to me/us.

  • @thectadclinic

    @thectadclinic

    Ай бұрын

    I'm so glad!

  • @catherinefoster3820
    @catherinefoster3820Ай бұрын

    This is one of the things with my condition that I find most distressing and scary. 😢

  • @mmorton6395
    @mmorton6395Ай бұрын

    I experience something like this and sometimes seem to go in and out of it. Something I call zooming because it's like a telephoto lens, that is trying to focus. Everything turns grey and people seem very far away and then it goes back and forth being ok and then not ok. Is this derealisation?

  • @matthewmiller3745
    @matthewmiller3745Ай бұрын

    If im not wrong, isn’t DP/DR also a common symptom of OSDD/DID?

  • @thectadclinic

    @thectadclinic

    Ай бұрын

    Realistically, one or both aspects of it are necessary for the diagnosis of OSDD or DID.

  • @SirHellmutt
    @SirHellmuttАй бұрын

    What might it be if you feel like you just stepped OUT of a dream, as if everything is correct now but was wrong before?

  • @2z2zl14
    @2z2zl14Ай бұрын

    When people describe being distressed by DP/DR, I am a bit confused because that's just been my reality for as long as I can remember. Most times, I find it comforting, and other times it can be quite annoying if I'm trying to get something done but DP/DR is hindering my ability to do so. It can also make it hard to connect with others, but I would never describe it as "scary" or "distressing". That's just my normal. Is the presence of distress regarding the symptoms necessary to diagnose, or can the symptoms having a negative effect on personal/social/occupational relations in itself make a disorder diagnosable?

  • @thectadclinic

    @thectadclinic

    Ай бұрын

    It varies from person to person. Commonly, people say they used to be distressed by it, but they became accustomed over time and sometimes don’t notice it, or found a way to compensate.

  • @malikalithgow2124
    @malikalithgow2124Ай бұрын

    Can you make a video that different parts have different reactions (even biological) when triggered? Thanks for the good work 🌷

  • @thectadclinic

    @thectadclinic

    Ай бұрын

    Thanks for the idea! I will look into this.

  • @TheNurseWhoLovedMe89
    @TheNurseWhoLovedMe89Ай бұрын

    Can I please ask for clarification about the autistic diagnosis in relation to the derealization symptoms? I wasn’t sure if the implication was that it could be both autism and DR (simultaneously), or if it might just be how the autistic person experiences their surroundings but that it isn’t necessarily DR? 🤔 Thank you for these videos, they’re incredibly helpful! 🤗😇🙏✨

  • @MundtStefan

    @MundtStefan

    Ай бұрын

    I am also hoping for an answer to this question! I thought to have chronic derealization/ dissociation (not diagnosed). However, I do have an autism diagnosis (including early childhood signs of autism). I hope he can explain how to distinguish between the two, or how do I know if I am autistic and have derealization? Interesting to note is that when I am in a sensory deprivation chamber (a.k.a. float therapy), the dissociation/ derealization gets better or even fully away until I am exposed to the sensory overwhelm of the world.

  • @LiEnby
    @LiEnbyАй бұрын

    Is this a thing you experience with DID? Because ive had this happen to me a couple times Oh its sn autism thing too? Interesting i have dx autism and DID ..

  • @thectadclinic

    @thectadclinic

    Ай бұрын

    If you have DID, you must have gone through a diagnostic process to get this ‘label’, and that should have worked through both depersonalisation and derealisation categories, so you should know.

  • @LiEnby

    @LiEnby

    Ай бұрын

    ​​​@@thectadclinic this isn't a very helpful reply tbh.. just saying i should already know the answer uh. Though admittidly. Im also not sure why i wrote this because i already knew depersonalization/derealization can happen with DID ... Diagnosis didn't actually go over that though iirc .. or if it did they didn't make it clear that's what it was about .. but it did go over other dissociative stuff. (I also wasn't there for all of it so maybe they did but.. to some other alter -) I don't actually get this very often though it's like once a month or so. I get more "general" dissociation way more. Anyway. I am a liiiitle curious if my occasional DP/DR symptoms are the cause of DID or autism though .. u had no idea that could even cause it

  • @alittlespacetime
    @alittlespacetimeАй бұрын

    ❤❤❤