From the author: Depersonalization treatment reviews forum. Drugs for treatment. How to treat? What to do? What's better? Consult a doctor. Antidepressants, neuroleptics or tranquilizers? Reviews and specialist forum. What do the doctor's say? To patients. Diagnostics. Introductory note. Comment added, November 2018, 2019. About_Medicines. Homeopathic treatment. Consultation with a psychiatrist, homeopath in Moscow. About_doctors. Pharmacies. Price. Depersonalization is a mental disorder that is severe in its subjective sensations. As a rule, it is formed against the background of anxiety-panic or anxiety-depressive disorders. In psychiatry, the experience of depersonalization is combined in ICD-10 with a feeling of derealization in the form of a nosological unit: “Depersonalization-derealization syndrome. F 48.1 "Diagnostic criteria (according to ICD-10). For a reliable diagnosis, the disorder must combine the first or second signs, or both of these signs in combination with the third and fourth signs: 1. Depersonalization. The patient complains that he is distant or that he is “not really here.” For example, patients may complain that their feelings or sense of inner life are separate, foreign to them, not their own or lost, or a feeling that their emotions or movements belong to someone else, or they feel like they are performing on stage.2. Derealization. The patient complains of a feeling of unreality. For example, there may be complaints that the environment or certain objects look unfamiliar, changed, flat, colorless, lifeless, uninteresting, or like a stage where one is acting.3. The patient's critical attitude towards symptoms of depersonalization and/or derealization. The patient feels that the disorders he has are subjective and spontaneous in nature, and not imposed from the outside by someone or something.4. Clear consciousness. There are no signs of toxic confusion or manifestations of an epileptic attack. The degree of subjective severity of this experience can be understood from the following description of the disorder: “Patients lose the feeling of the naturalness of all manifestations of their mental “I”, they say what they think, act one way or another simply because in such a situation others act in the same way, they call themselves as “lifeless”, “automata” (however without a sense of influence from the outside), reacting to everything around them only mechanically, formally. At the same time, painful mental anesthesia can develop - a painful feeling of insensibility, loss of a sense of compassion, empathy for others, especially relatives and friends. Sometimes the simple phenomenon of anesthesia develops without painful subjective experiences of loss of feelings as part of one’s own “I”. But more often than not, the phenomena of depersonalization are accompanied by general mental discomfort, although at the same time such patients still know that “they” are still “them”; to a certain extent, they manage to adapt to such a state of “disorder” of their own “I”. In some patients, with an aggravation of the feeling of change in their own “I,” states of excitement may arise with increased anxiety, panic confusion: “something is happening to my consciousness,” “I’m about to go crazy.” In other patients, the deepening of the depersonalization disorder develops as if “on the fly,” without a sharp aggravation of emotional reactions. Such patients may say that they have completely lost orientation in themselves, there is nothing left of their own “I”, everything that they do is only “copies” of behavior, their mental “I” has completely disappeared, faded away forever, nothing in the present or in the past is no longer connected with one’s own “I”, therefore they are completely unaffected. ... Clinically patients experience a sharp difficulty in contacting others, the feeling of complete misunderstanding of people’s behavior increases, patients cease to accurately understand speech addressed to them. They perceive the world as if through someone else's eyes and observe themselves from the outside. Many such patients havea subjective feeling that they are only “playing roles”, only “entering images that are alien to themselves.” Subsequently, as the disease develops, the phenomena of depersonalization lose their sharpness, subtle nuances, are deprived of clarity, and the feeling of “incompleteness” of the entire emotional life becomes more and more apparent. Such patients talk about the disappearance of spontaneity and naturalness of emotional reactions, that their emotions “have become artificial”, “devoid of liveliness and brightness”, that “they are guided only by reason”, they have “rational emotions”, they “do not capture them by their alive”, “they don’t captivate as before”, “they don’t give cloudless joy and pleasure”, “the sincerity of feelings and affections is lost.” “And one more thing: “Patients express peculiar complaints: they do not feel their body, do not feel that it consists of various parts (head, arms, legs), do not feel that they are wearing any clothes. But at the same time there are no disorders of tactile, proprioceptive, visceral sensitivity, and there are also no disorders of the “body diagram”. All organs, all parts of the body are in place, they all have normal sizes and proportions, but the very feeling that they are there, that they exist, that feeling that used to be natural, is absent in such patients. Such patients may experience neither hunger nor a feeling of fullness, so eating for them becomes an undesirable “procedure,” sometimes even painful. They do not experience the usual, previously characteristic satisfaction from fulfilling natural physiological needs. Patients may say that, for example, when washing their face in the morning they do not feel that the water is cold, refreshing, “wet”, that the heated air on a hot day is “dry”, “warm”, that the food seasoning is “spicy”, “pleasant” etc.”Description of the experience of derealization: “Patients say that the world around them is perceived as if separated from them, “it is unnaturally alien,” it is visible as if “through a film,” “covered with a haze,” “a light veil,” it “ does not reach them. It is difficult to perceive time by the clock; time is not realized. Such patients often turn to ophthalmologists and neurologists with complaints of deteriorating vision. During examination in such cases, no special pathology can be determined. In the process of more targeted questioning, it is easy to establish that the patient does not mean a decrease in visual acuity, but some kind of “fuzzy” image of objects, their “facelessness,” “lifelessness” of the faces of others. In some cases, patients simultaneously complain of “pressure” in the eyes, “compression” in the bridge of the nose, which reflects the presence of various senestopathies existing simultaneously with derealization and depersonalization. » Modern psychiatry uses the following to treat depersonalization-derealization syndrome: 1. Tranquilizers; 2. Antidepressants; 3. Neuroleptics;4. In some cases, nootropic drugs. All these achievements of the modern pharmaceutical industry are aimed at creating “lifelong remission”. Often, this requires “lifelong” psychopharmacotherapy. the patient is forced to take psychotropic drugs every day throughout his life in order to reduce (but not cure) the severity of the experience of his disorder. The homeopathic approach to the treatment of depersonalization syndrome is always aimed at completely curing the patient's existing pathology. Homeopathy is a therapeutic medical science that is based on the fact that substances that can cause certain symptoms in a healthy person can, in turn, heal the same symptoms and in a sick person. This system was developed by Samuel Hahnemann at the end of the 18th century and, with success, is practiced by many doctors today. In order for the doctor to find the desired remedy, there is a section in the homeopathic repertory “Synthesis” (in the “Psyche” section): “Confusion”, the descriptions of which correspond to the description of the whole variety of symptoms of depersonalization. In particular, there is a subcategory:.