R2 - Required Module Two - Depersonalization and Derealization
R2 - Depersonalization and Derealization
Content Level: Advanced
Su Baker, MEd and Joan Turkus, MD
Depersonalization/Derealization Disorder, one of the DSM-5 Dissociative Disorders, is a generally underdiagnosed and misunderstood disorder, whose lifetime prevalence is about 2% of the population. While depersonalization and derealization symptoms are found in a variety of other psychiatric diagnoses, depersonalization (the sense of detachment from one’s own self) and derealization (the sense of detachment from the world around, making it seem unreal) as diagnoses attest to the persistence and distressing symptoms, which color the experiences of the sufferer. Generally starting in the teens and often persisting over the lifespan, this disorder is difficult to treat. This module with explore the diagnosis, etiology, symptoms, affects and treatment of Depersonalization/Derealization Disorder
1. Define Depersonalization/Derealization Disorder
2. Describe and discuss the etiology of Depersonalization/Derealization Disorder, it prevalence, and differential diagnosis
3. Discuss the research findings on depersonalization and affect
4. Discuss various treatment paradigms, including psychotherapeutic interventions and psychopharmacology, and their limitations
A. Michal, M. et al. (2016). A case series of 223 patients with depersonalization-derealization syndrome. BMC psychiatry, 16, 203.
B. Gentile, J. P., et al. (2014). Stress and trauma: psychotherapy and pharmacotherapy for Depersonalization/Derealization Disorder. Innovations in Clinical Neuroscience. 11(7-8), 37-41
C. Spiegel, D. (2017). Depersonalization/Derealization Disorder. Merck Manual: Professional Version.
D. Simeon, D. , Riggio-Rosen, A., Guralnik, O., Knutelska, M. & Nelson, D. (2003) Depersonalization Disorder: Dissociation and Affect, Journal of Trauma & Dissociation, 4:4, 63-76.
30 minutes: Discussion of Reading A, C and D
30 minutes: Discussion of Readings A, C and D
30 minutes: Discussion of Reading D
30 minutes: Discussion of Reading B
30 minutes: Discussion of student’s disguised cases, or further discussion of readings A, B, C and D if no case material available.
- 2.50 APAThe International Society for the Study of Trauma and Dissociation is approved by the American Psychological Association to sponsor continuing education for psychologists. The International Society for the Study of Trauma and Dissociation maintains responsibility for this program and its content.