Does anyone have feelings of unreality?!


Question:

Does anyone have feelings of unreality?

Hi, I have suffered with anxiety for a year now and from time to time, have feelings that I am unreal or am in a dream state. I am aware that this is normal when you have anxiety problems. But has anyone else felt this way and is there anything that I can do about it? It is not very pleasant and has put me off driving which has been very difficult since I have driven for 23 years with no problems! The feelings seem to kick in when I am feeling lower than usual and am wondering if its worth taking a 5-HTP supplement or something. Has anyone got any advice? Thank you.
Basil


Answers:

Depersonalization can exist alone or as part of another disorder, most notably Panic Disorder and PTSD, but it may also be connected with depression, especially in milder form where people describe feeling numb or like their emotions are blunted or flat lined. However, actual depersonalization is usually more extreme and represents a significant sense of detachment from oneself more than just the chronic numbness that often accompanies depression.
It is also has a relationship to “trance” and can be brought on by significant periods of sleep deprivation or other “trance-inducing” activities that require extreme and prolonged focus and concentration, like addicting computer games or monotonous and routine activity, both of which I believe are related. “Trance-inducing activity” leads to an altered state where there is reduced sensitivity to your surroundings. (Just think of "highway hypnosis"-this is pretty common and normal, but lasts briefly, though it shares many of the same features)
There's a good chance that Depersonalization will resolve on its own without intervention, particularly if it’s brief and hasn’t become habitual. However, a longer duration suggests that treatment aimed at helping you reconnect with yourself may be beneficial. Often times, depersonalization becomes a chronic way of coping with overwhelmingly uncomfortable or painful feelings and disconnecting from the experience of them, hence its frequent occurrence in response to trauma. Depersonalization is a frequent and common symptom associated with PTSD and also extreme anxiety and functions as a defense against the intense feelings people experience during abuse, life-threatening circumstances and extreme anxiety and panic and protects a person from becoming completely overwhelmed. People often "trance out" when under stress, and it functions to decrease their awareness of and sensitivity to distressing experiences, like the "freeze" response seen in trauma victims. (Just think of the teenager who "tunes out" when a parent or other person is berating them with criticism-they hear it, but don't really react to it). Therapy can be especially helpful if there is a history of emotional abuse that depersonalization helps you escape as it can become a familiar and almost automatic process that gets triggered by emotional arousal. In that way, it becomes a disorder as it serves to keep a person detached from their own experiences and disconnected from their sense of self. Therapy aims at making this a less automatic process and helping people reconnect to their emotions, their body and their sense of self and learning other ways to cope and self-soothe so that dissociation is no longer a “knee-jerk” reaction to emotional triggers.
Things you can do involve grounding yourself in various ways. As one answerer suggested, "mindfulness" is excellent and is simply being in the moment and concentrating on all the sensations you are aware of (Eg: doing the dishes: concentrate on the temperature of the water, the smell of the dish detergent, the feel of the glass or ceramic you're holding, notice the soap bubbles, etc.) It can break the "trance" effect when you are experiencing depersonalization. Another tip is to keep your eyes moving-frequently when we are stressed and "freeze" our gaze becomes fixed, or locked, and this induces the hypnotic "trance" state. Keep your eyes moving and avoid becoming transfixed or staring at a single object. Using a journal or meditative practices that seek to connect you with yourself, being in touch with your feelings and even your physical state, as well as your emotional self, can help reconnect you and ground you. Deep breathing and progressive muscle relaxation is excellent as it treats both the disconnectedness as well as being the single most effective technique for stopping a panic attack. Hope this helps, but please seek out a therapist who can assist you further if you suffer from continued panic and depersonalization.
Hope this helps.




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