The leading symptom is a violation of self-awareness, which manifests itself as a distorted perception of the self in general, with a feeling of loss of its unity or distortion and alienation of its individual physiological or mental manifestations.
Depersonalization can occur as an independent syndrome, also enter into the structure of other psychopathological states.
There are the following forms of depersonalization:
Allopsychic depersonalizationcharacterized by a distortion or loss of action, deeds, speech, movement, etc. they are committed as if automatically, their alienation takes place. Then the feeling of unity of “I” (feeling of duality) is lost. Patients note that two individuals coexist in them.
Autopsy Depersonalizationcharacterized by a sense of ever-increasing loss of individual specificity of social communication. At first, there is a feeling of one’s own change, accompanied by difficulty in contacting people.Patients perceive themselves to be not as poorly as intellectually and spiritually, “strangers among people”. In the future, there is a feeling of complete loss of the idea of one’s “I”. Patients complain that they have completely lost their own worldview, views, judgments, have become faceless people.
Somatopsychic depersonalizationcharacterized by a sense of alienation of the perception of individual physiological processes with the loss of their sensual brightness. It can manifest itself in the form of alienation of sleep (if it is actually present), in the absence of a subjective sense of relief and satisfaction from emptying during bowel or urination, while saturating with food, etc.
Anesthetic depersonalization(painful mental insensitivity). Characterized by the patient's painful sensation of the gradual blanching of higher emotions, with their consequent loss. Patients have a hard time feeling the loss of the probability to rejoice, to grieve even with events and facts that are especially important for them. There is a painful feeling of feeling a loss of emotions, an inability to feel pleasure, joy, love, hate, sadness.
Derealization is a distorted perception of objective reality as a whole without disturbing the perception of its individual parameters. This is a distorted attitude with a sense of lifelessness, unreality, alienity, unfamiliarity, fading of the environment. Derealization also includes: “already seen” - a short-term state in which in an unfamiliar situation there is a feeling that she is familiar, that he was already in it; "Never seen" - a short-term state in which in a familiar situation there is a feeling that I got into it for the first time; “Already experienced” is a short-term state in which the complex of emotional experiences of a given moment is experienced as identical to what has already happened.