Character depletion depersonalization
A recurring recurring feeling of a person's separation from himself or that he becomes a stranger.
You may feel like automated(works automatically), or like he's watching himself in a movie.
Reality derealization dispels a person's feeling that he is detached from reality, feels like he is dreaming or as if he is dead.
Both cases are very common, these complaints come in third place after depression and anxiety.
The prevalence can be as high as 15% among people.
They are common in people with epilepsy and migraines and in drug users, especially cannabis, and sometimes as a side effect of anticholinergic drugs.
When the character or surroundings dissipate following a traumatic event or poisoning, the general rule is gradual healing and disappearance.
In the normal case they are repeated, paroxysmal, and for a very long time.
They have a negative impact on work, social and personal relationships.
The case begins usually in late adolescence and early adulthood.
Some doctors consider these patients tired, and the complaint is ignored by many doctors, and even feel helpless and confused in dealing with it.
SSRIs therapy is beneficial.
Neither lamotrigen nor fluvoxamine benefit in treatment.
Cognitive psychotherapy, therapeutic interventions that relieve anxiety, as well as supportive therapy are useful.
In my experience, drug therapy is beneficial but requires the combination of several anti-anxiety, mood-modifying and sometimes anticonvulsant drugs.
Treatment requires great experience, thorough understanding and an analytical, not neurological approach to each case.