The Handbook of Adult Clinical Psychology: An Evidence Based Practice Approach by Alan Carr & Muireann McNulty

Author:Alan Carr & Muireann McNulty
Language: eng
Format: mobi
Tags: Aging, Counseling & Psychology, Psychology, Clinical Psychology, Developmental Psychology, Fitness & Dieting, General, Health, Medical Books, Adulthood & Aging, Psychology & Counseling
ISBN: 1138806269
Publisher: Routledge
Published: 2016-03-29T21:00:00+00:00

Table 18.1 Diagnostic criteria for depersonalization disorderDSM-5

Depersonalization/derealization disorder ICD-10

Depersonalization-derealization syndrome

A. The presence of persistent or recurrent experiences of depersonalization, derealization, or both.

1. Depersonalization: Experiences of unreality, detachment, or being an outside observer with respect to one’s thoughts, feelings, sensations, body, or actions (e.g., perceptual alterations, distorted sense of time, unreal or absent self, emotional and/or physical numbing).

2. Derealization: Experiences of unreality or detachment with respect to surroundings (e.g., individuals or objects are experienced as unreal, dreamlike, foggy, lifeless, or visually distorted).

B. During the depersonalization or derealization experiences, reality testing remains intact.

C. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

D. The disturbance is not attributable to the physiological effects of substance (e.g., a drug of abuse, medication) or another medical condition (e.g., seizures).

E. The disturbance is not better explained by another mental disorder, such as schizophrenia, panic disorder, major depressive disorder, posttraumatic stress disorder, or another dissociative disorder.

A. Either 1 or 2

1. Depersonalization. The patient complains of a feeling of being distant, “not really here” (for example he may complain that his emotions, or feelings, or experience of his inner self are detached, strange, not his own, or unpleasantly lost, or that his emotions or movements feel as if they belong to someone else, or that he feels as if acting in a play).

2. Derealization. The patient complains of a feeling of unreality (for example he may complain that the surroundings or specific objects look strange, distorted, flat, colourless, lifeless, dreary, uninteresting, or like a stage upon which everyone is acting).

B. Retention of insight, in that the patient realizes that the change is within himself, and is not imposed from outside by other persons or forces.

This diagnosis should not be used as a main or single diagnosis when occurring in the presence of other mental disorders, such as organic confusional or delusional states, or intoxication by alcohol or drugs, schizophrenia and related disorders, mood disorders, anxiety disorders, or other conditions (such as marked fatigue, hypoglycemia, or immediately preceding or following epileptic seizures).

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