Is is anybody familiar with feelings of depersonalization and derilization? I have had persistent struggles for 8 years straight. Those of you who may have experienced it truly understand how horrific it can be. I'm working for any sort of advice, Medication recommendations, Or any types therapy anyone would know of That could potentially help. I was told by a specialist that this is an OCD spectrum condition.. Thank you all.

I recently posted about my experience with Existential OCD (https://app.treatmyocd.com/community/posts/2184668), and one of the most common questions I got was how to deal with DPDR (depersonalization and derealization), as it often goes hand-in-hand with existential obsessions. I wanted to create this post to summarize my thoughts and understanding of DPDR, so I have something to point people towards. For context, I'm not a trained mental health professional, doctor, or neuroscientist. I'm just someone who has been through the gambit with OCD, and has learned about the mind through conversations with several therapists, reading books, and watching videos. I also regularly consult with a few Buddhist teachers, and have been practicing meditation for several years. Please keep all of this in mind, and take everything I say with a grain of salt. First, some quick terminology: Depersonalization = a feeling of "detachment" from your own body, almost as if you're living life as an autonomous robot. Derealization = a feeling of "detachment" from the outside world, where people, places, and things feel distant or alien. They often go hand-in-hand, and mainly differ in terms of what feels "unreal" (yourself, or the outside world). It's easy to see how this can coincide with obsessive existential thoughts. After all, when things feel unreal, how can you help but think about the big questions of existence? So these feelings often make those with OCD extremely uncomfortable, and the desire to make it "go away" inevitably arises. But, just like with anxiety, most attempts to "get rid" of it generally make it worse. Even grounding exercises can become problematic if the goal of those exercises is to get rid of DPDR, just like any other compulsion. That's why my first piece of advice is always to acknowledge and accept the feeling. One way to get comfortable accepting any feeling is to understand where it comes from. As of today, the exact neurobiological workings of DPDR aren't fully understood, but one thing seems to be pretty clear: DPDR is the result of the brain momentarily shifting gears to protect itself from overwhelm. It's something that happens when you are stressed, and/or burnt out. It's the brain protecting itself from overstimulation, similar to a circuit breaker closing down parts of an electrical circuit to prevent overloading. It's important not to take this information as reassurance against the existential intrusive thoughts that arise during DPDR, rather simply as an explanation as to what is happening in the present moment. I'm a big proponent of using "maybe, maybe not" responses to intrusive thoughts. So in the case of DPDR, you may considering responding to the existential thoughts with: "Maybe that's true, maybe it isn't. Right now, this brain is overwhelmed, and it is protecting itself." (Side note: the use of "this brain" instead of "my brain" is a habit I've picked up from Buddhist philosophy. It's a way of practicing non-attachment to the self. If that doesn't work for you then feel free to phrase it in whatever way makes sense. I also recognize the beautiful irony of bringing up non-attachment in a post about DPDR 😂) Basically, you want to acknowledge the existential thoughts, acknowledge the feeling of DPDR, acknowledge that the DPDR is coming from a place of stress, and then refocus your attention to the present moment. The key is to not refocus your attention in hopes to GET RID of the thoughts or feelings, but to do it DESPITE those things. You need to teach yourself first-hand that none of those things are dangerous, and that you can continue to live life while scary thoughts exist in the mind, and while you feel uncomfortable things. The more you try to push the DPDR away, or logically dig yourself out of a hole, the more stressed you will become. And since DPDR is a stress response, this will only cause it to stick around longer. It's the same ironic cycle that fuels the intrusive thought / compulsion loop. Sometimes it can last for a few minutes, a few hours, days, weeks, or even months. While DPDR disorder exists, in many cases (especially with OCD), DPDR tends to persist because of our resistance to it. If you find that it just won't go away, try not to get discouraged. Instead, look for the resistance, and consider how you may be able to open up to the experience in a lighter way. If you find yourself resisting, gently remind yourself: "I don’t need to figure this out right now. I can let the brain do its thing and focus on living life." It can also help to recontextualize the DPDR. I like to think of it like a warm blanket or sweater, or the brain taking a nap. You wouldn't want to wake someone up from a nap, would you? Let 'em rest! I hope there is something helpful here for those struggling with this issue. Trust me, I've been there.

I recently got diagnosed with OCD back in May of this year. What started it was a month prior, I took an SSRI which triggered an extremely intense couple of days due to panic attacks I’ve never had before. I’ve never had panic attacks but pretty intense anxiety. That’s when I started experiencing DPDR and hyper awareness. I’m good some days, but other days it’s so so hard. Especially because I have no one around me that understands. The DPDR and awareness of every feeling, thought, and just overall awareness of my existence gets really overwhelming. I feel like I’m losing my mind. It’s really hard to sit with my thoughts especially when they’re on a constant loop of every little thing I’m thinking and doing and on top of that feeling like I’m in a dream. I desperately just want to go back to how I was 4 months ago, but I know that’s just not possible right now. If anyone has experienced this and is doing much better now or even currently experiencing this please let me know! I need someone to relate to lol

In the past 2-3 years ive been having extremely distressing thoughts that for a year(towards the beginning of when it started) made me have extreme panic attacks every day and I was extremely miserable 24/7. The thoughts relate to pure ocd and pocd. It happened literally out of no where one day and it hasnt stopped since(it has slowly tapered down or i just got used to it to an extent) I have a thought and i begin to feel overwhelmingly anxious and horrible in general. I begin to question myself as a person. Not sure if im something that I dont ever want to be in a trillion years but never able to truly answer myself. I spend every day an hour and a half minimum looking up ocd symptoms to alleviate the mental anguish and questioning im going through sometimes it can be as long as 4 hours. Im not sure if this is just extreme anxiety but it hasn't stopped for years. Strange thing though is sometimes the severity of my struggle gets extremely bad ranging from a day to a year at a time and then other times its less severe to where I dont feel like its taking over my life unless my trigger (if I really do have ocd) is reminded to me but no matter how severe it gets Its always lingering over the back of my shoulder and can show up at any time. One thing I can say is ive dealt with sever anxiety since I was thirteen to where I would have panic attacks every day (18 now, symptoms for ocd started at around 15) and the level of anxiety I have now related to what im experiencing now is on an unbelievably higher level than what I used to have. Is it possible I could have ocd? If it is possible, does it sound like mine is severe? Or on a lower more treatable level. Please help I dont want to live like this anymore