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Symptoms and courseDerealisation is the feeling that the whole surrounding world, the whole surrounding reality has changed. It occurs most often in people with schizophrenia, in depressions, neurotic disorders, in some forms of epilepsy, after hallucinogenic substances. It usually co-exists with depersonalisation. It can also occur in healthy people.
Symptoms and course derealisation
A person experiencing derealisation has difficulty defining reality in relation to the world around them. In relation to the external world, these changes may relate to other people, objects, time and space.
It may seem to the patient that other people are unreal, alien, even though they belong to those closest to them. The outside world seems dead, unreal, colourless, as if it does not exist or as if it were a stage on which people play imaginary roles. It may seem to the patient that objects used previously have lost their former purpose, have become alien, different. If such a state occurs in people with depression, neurotic disorders or in people in a state of fatigue, these people are critical of the change in perception. However, if such criticality is lacking, this may indicate the development of a schizophrenic process. If this is the case, it is necessary to see a psychiatrist as soon as possible.
