Understanding and treating depersonalisation disorder

Medford, Nick, Sierra, Mauricio, Baker, Dawn and David, Anthony S (2005) Understanding and treating depersonalisation disorder. Advances in Psychiatric Treatment, 11. pp. 92-100. ISSN 1355-5146

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Depersonalisation disorder involves an unpleasant, chronic and disabling alteration in the experience
of self and environment. In addition to these classic features of depersonalisation and derealisation,
symptoms may also encompass alterations in bodily sensation and a loss of emotional reactivity.
Primary depersonalisation disorder is probably more common than previously thought, and here we
discuss the diagnosis, assessment and treatment of the condition, with particular reference to our
experiences in a specialist depersonalisation clinic. We also consider psychological and biological
aspects of the condition. Although there is as yet no recognised treatment for this disorder, various
pharmacological interventions, particularly a combination of lamotrigine and a selective serotonin
reuptake inhibitor, have shown promise. We discuss these drug treatments, together with psychological
approaches, in particular a recent cognitive–behavioural conceptualisation and treatment approach.

Item Type: Article
Schools and Departments: Brighton and Sussex Medical School > Brighton and Sussex Medical School
Subjects: R Medicine > RC Internal medicine > RC0321 Neurosciences. Biological psychiatry. Neuropsychiatry
Depositing User: Jonathan Williams
Date Deposited: 20 Aug 2015 13:33
Last Modified: 08 Mar 2017 06:57
URI: http://srodev.sussex.ac.uk/id/eprint/56197

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