![]() ![]() With depersonalization, the same mental manifestations are felt as "not mine," automatic, devoid of personal belonging, the activity of one's own "I" is lost. Normally, all personal psychological manifestations of a person - sensory and bodily sensations, mental representations have a subjective coloring of "my personal" sensations and perceptions. In the same patient there are symptoms of alienation not only from his "I", but also the perception of the surrounding world is disturbed - he loses his colors, becomes flat, extraneous, faceless and indistinct. The perception of reality and self is also distorted in it - derealization and depersonalization are rarely isolated, much more often go hand in hand. The patients complain that the emotional fullness, natural perception and feelings left the life, they became soulless "living dead", automata. Constant comparison of his new state with the former, as a rule, causes a sense of loss of personal individuality, naturalness of perception. ![]() The depersonalization syndrome is manifested, first of all, by the intensification of introspection, the sharpened and deep "self-digging", the comparison with its former state and other people. ![]() In fact, patients with isolated perceptual disorders are very healthy in a physical sense with people with good immunity, rarely sick even with ARI. Part of the patients had supervalued or delusional ideas about the presence of their unrecognized somatic disease, they looked for its manifestations, mainly, they were complaints of various discomfortable sensations, more often - of myalgia. Over time, mental suffering subsided, the course of the disease became more monotonous, the symptoms of derealization joined in. Often, the symptomatology of depersonalization prevailed in the morning, and the symptoms of anxiety disorder intensified toward night. In this period, patients, along with symptoms of depersonalization, were experiencing anxiety, anguish, sometimes a strong fear or obsessive thoughts that contradict the moral and moral criteria of the patient, frightening him and delivering him anguish. Nuller, somatopsical symptoms predominated, with the addition of psychic anesthesia. In the initial stage in most patients, according to Yu.V. Manifest the disorder severely immediately after severe stress, sometimes in premorbid anxiety disorder is observed, gradually evolving into depersonalization. The first signs are manifested as a feeling of a sharp qualitative change of today's self in relation to his former. ![]()
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