How to get rid of depersonalization on your own?

If the patient feels the strength and desire to fight for the normalization of his mental status, he can try to return his "I". It is not worth delaying and thinking over the process for a long time, it is necessary to start correcting his lifestyle.

First of all, you need to analyze your daily routine - do you get enough sleep, do you abuse drinks that stimulate the nervous system, computer games, etc.

While you are bothered by symptoms of depersonalization, alcoholic and caffeinated drinks are excluded from your diet - coffee, strong tea, Coca-Cola, Pepsi-Cola, energy drinks.

If the onset of depersonalization was preceded by a course of therapy with drugs that can cause such a side effect, or you continue to take drugs at present, you should consult with your doctor. Perhaps a change in drug will relieve you of this painful condition.

If you are self-medicating (many drugs that can provoke depersonalization/derealization syndrome are sold without a prescription), then it is also worth analyzing the situation and switching to alternative treatment (folk remedies, homeopathy).

You can increase the duration of sleep by optimizing your daily routine. However, it is worth considering that oversleeping is just as harmful as undersleeping. Therefore, you need to decide how much time you need to sleep to feel good.

A drug such as Glycine can relieve nervous tension, optimize memory and concentration, improve mood, normalize the process of falling asleep and the quality of sleep. It is used for various reasons that lead to a decrease in the performance of the brain. Various conditions - neuroses, vegetative-vascular dystonia, use of toxic substances (alcohol, drugs), mental pathologies. The simplest aliphatic amino acid, which is glycine, performs the functions of a neurotransmitter in the body, regulating metabolic processes, as well as the activity of glutamate receptors.

Glycine can be used as a monodrug and in complex therapy, enhancing the effects of central system inhibition and reducing the toxicity of anticonvulsants, neuroleptics and antidepressants. There are no contraindications to Glycine, except for hypersensitivity. Allergic reactions are not excluded.

In addition, it is recommended not to dwell on your feelings, accept them, stop being afraid and inventing non-existent illnesses. Convince yourself that this is just a temporary painful condition and it will definitely pass. You need to develop an attitude towards depersonalization as transient symptoms. It is very important to replace terrible negative obsessive thoughts about mental illness with positive ones, to admit that symptoms exist and you need to live with them. Do not withdraw into yourself, into your experiences, but try to live a full life, try to revive your feelings, notice colors, sounds, smells, listen to your interlocutor, catch his intonations, fulfill your duties towards loved ones. Do what you like more often, if possible in a circle of like-minded people - go to clubs, sections, do not put anything off for later, and perhaps you will be able to break out of the vicious circle of leaving your own "I".

It is also recommended to communicate with people who are experiencing or have overcome the disorder, for example, on forums, listen to their advice, share your feelings, just talk it out.

Considering that the appearance of depersonalization symptoms is preceded by severe or chronic stress, increased anxiety, and its companions are a depressed state and depression, you can use folk remedies. There are many plants that have the ability to calm the nervous system, stimulate metabolic processes in the brain, and activate cognitive functions. They may well be a worthy alternative to pharmacological drugs, however, it is worth noting that the use of folk treatment is not always combined with medication, so it is recommended to consult with your doctor in advance. It is also a good idea to consult a professional herbalist.

Pillows with aromatic dried herbs – myrtle flowers and leaves, juniper, lemon balm, lavender – can help speed up the process of falling asleep and improve the quality of sleep.

Warm baths with pine decoction, poplar leaf infusion, a few spoons of honey, and essential oils have a relaxing and mild sedative effect. Add ten drops of the latter. Lavender, lemon balm, sage, lemon, and juniper oils are suitable for such baths. The duration of the treatment is a quarter of an hour, the water temperature in the bath is 37-38℃.

These same essential oils can be sprayed indoors; their aroma normalizes the state of the nervous system.

Herbs for the treatment of neurosis-like disorders are selected depending on which processes are predominantly observed in the clinical picture.

For irritable and excitable patients, decoctions and infusions of medicinal plants with a calming and mild hypnotic effect are prepared. These are valerian, motherwort, fireweed, oregano, peony, linden, lemon balm, passionflower.

Additionally, natural vitamin complexes are recommended, which include sprouted grains of wheat, oats, barley, sea buckthorn, rowan, rose hips, and chokeberries.

In all cases, it is good to take a course of decoctions of herbs that have a general strengthening effect - plantain, nettle, dandelion, birch buds, sage.

The following will help strengthen the autonomic nervous system: hawthorn, chamomile, and wild pansy.

Herbal preparations based on eleutherococcus, ginseng, rose rhodiola, Chinese magnolia vine, rosemary, and zamaniha can have a tonic effect on depressed, inhibited patients. These plants help overcome loss of strength and restore the body's energy balance. However, if the patient suffers from insomnia, high blood pressure, or serious cardiovascular pathologies, it is undesirable to use these herbs.

Herbal treatment does not take much time. For example, in the morning, instead of tea, you can drink the following drink, which will give you energy and strength. Prepare it the night before. Pour one teaspoon of fine-grained dry grass into a liter thermos: yarrow, catnip, thyme, St. John's wort. Add the same amount of Chinese magnolia vine berries to the herbal mixture and pour boiling water over it overnight. In the morning, strain the infusion and drink half a glass warm twice - when you wake up and at lunchtime. It is better not to drink the invigorating drink at night.

In the evening, it is good to brew Ivan-tea (fireweed). It has sedative properties, eliminates nervous tension, headaches and suppresses excitement. This herb is also a natural nootropic, has anticonvulsant and antitumor effects.

You can brew herbal mixtures that have not only a sedative but also a general strengthening effect. For example, put a pinch of dried fireweed, blueberry leaves, currants, strawberries, raspberries and lingonberries, mint and wild pansy in a teapot, pour boiling water over it, and leave for 45 minutes.

Or: three pinches of fireweed, two pinches of chamomile and meadowsweet flowers, hop cones, oregano, nettle, mint, calamus root powder, one each of dill and blueweed seeds. Brew as in the previous recipe.

You can drink a glass three times a day: in the morning and afternoon - an hour before meals, in the evening - an hour before bedtime, the following infusion of herbal mixture: take 10 g of medicinal chamomile and calendula, 30 g of juniper berries, 25 g of valerian root, mix. One tablespoon of plant material is poured with 500 ml of boiling water, infused for two hours and filtered.

When treating with herbs, it should be taken into account that chicory root, hawthorn and passionflower fruits, in addition to a calming effect, have a beneficial effect on the heart and blood vessels, and have a mild hypotensive effect.

Juniper and wormwood not only soothe, but also restore elasticity to the walls of blood vessels, activate blood flow in the cerebral and peripheral arteries. Chamomile and immortelle relieve symptoms of vegetative-vascular dystonia.

Herbal treatment can be perfectly combined with various psychotherapeutic practices and auto-training, designed to distract the patient from subjective sensations and focus his attention on more productive actions.

You can do any kind of physical training on your own. Those who prefer extreme sports can do, for example, winter swimming or rock climbing. However, any kind of sport will do - swimming, running, Nordic walking. With dynamic sports, the human body produces endogenous antidepressants, attending sports sections, the desire to achieve certain successes, master new skills will allow you to distract yourself from pathological sensations, get out of the "shell" and reorient yourself.

People who have gone through depersonalization recommend: the main thing is to accept your condition and the idea that you can live and perform the necessary actions, even if formally at first, try to feel your need, see the prospect and meaning in your actions. You don’t need to try to get hung up on how to get rid of your condition as soon as possible, otherwise the problems will snowball.

Yoga of any kind can help well, although hatha yoga is very common in our area. During yoga classes, even the most dynamic kind, the human psyche comes to a meditatively calm state. Breathing is of great importance in all types of yoga, and by concentrating on doing exercises, correct posture, inhaling and exhaling, you involuntarily begin to meditate.

One of the most meditative types of yoga - Kundalini is suitable even for the weakest and most untrained people. The exercises in this method are quite simple, mantras (sacred texts) are mandatory, which begin and end the classes. Meditation in depersonalization is very useful, even inveterate nihilists, starting to seriously practice, fall into the captivity of the "silence of the mind".

Yoga Nidra or sleep yoga is a practice of total relaxation of every tiny part of the body, controlled by the mind while maintaining consciousness. It can be done by the weakest and even bedridden patients. Learning to relax correctly and completely is not that easy. This practice completely takes over the mind and can quickly help to break out of the state of depersonalization.

Drug therapy

If treatment without medication is not successful, then drugs from different groups are used. Psychotropic drugs can only be used under the supervision of a doctor, who, if necessary, makes adjustments to the treatment regimen or dosage regimen.

There is no cure for depersonalization. In general, the effectiveness of drug therapy has not been definitively proven, but some patients are helped by opioid receptor antagonists, serotonin reuptake inhibitors, tricyclic antidepressants, tranquilizers, psychostimulants, and nootropics. Drugs are prescribed depending on the predominant symptoms and the presence of comorbid conditions.

The most popular drug prescribed to patients with isolated depersonalization/derealization syndrome is Naloxone, a drug for relieving narcotic and acute alcohol intoxication, and bringing patients out of opiate anesthesia. At least, Yu. L. Nuller widely used this drug to treat patients with depersonalization and spoke positively of its effect. The hypothesis about the role of endogenous morphines (their receptors) in the mechanism of depersonalization development is based on the positive therapeutic effect of Naloxone. Especially in cases of the first type of syndrome, accompanied by pronounced symptoms of mental anesthesia, the use of this drug, which counteracts the effects of endorphins, quickly relieves symptoms, leaving the threshold of perception unchanged. The drug reduces such effects of opioids as hypalgesia, hypotension, and depression of the respiratory center. It can cause, especially with rapid intravenous administration, various side effects from tremor, arrhythmia and nausea to pulmonary edema, so it is used only under the supervision of a doctor. It is dosed individually, the duration and speed of action depends on the method of administration. With intravenous injection, the effect occurs faster, but is short-lived, with intramuscular - it occurs in about three quarters of an hour, but lasts about four hours.

Tranquilizers are also used for type 1 depersonalization, such as the "daytime" anti-anxiety drug Grandaxin. It can be used for outpatient treatment, as it is available in tablets. It has a specific effect, different from other benzodiazepines - it regulates psychovegetative functions without causing an anticonvulsant, hypnotic or muscle-relaxing effect, so it is prescribed to people who maintain work activity during the treatment period. The drug is prescribed to patients with moderate manifestations of isolated depersonalization (reduces anxiety and emotional stress, relieves obsessions, improves work capacity) and is not recommended for use in cases where the syndrome is part of the symptom complex of epilepsy, schizophrenia, severe psychogenic disorders. Grandaxin can cause seizures in epileptics. It is well tolerated, does not cause addiction, however, side effects from the gastrointestinal tract and central nervous system (insomnia, headache, increased agitation), as well as muscle and joint pain are not excluded. It is used in courses, the doctor prescribes taking one to three tablets three times a day. It is allowed to take one or two tablets as an emergency aid to relieve symptoms of depersonalization. More than 0.3 g per day should not be taken. When taken in therapeutic doses, it does not cause withdrawal syndrome when stopping the intake and does not even potentiate the effects of alcohol, although drinking while taking Grandaxin is still not recommended.

The tranquilizer Atarax is not a pronounced antidepressant, but it has a mild effect that eliminates anxiety, improves the process of falling asleep and the quality of sleep, moderately relieves muscle tension. It has the ability to expand the bronchi, eliminate skin itching and relieve symptoms of dermatosis. Paradoxical undesirable effects of taking it are possible. The drug is dosed depending on the patient's condition, his reaction to treatment individually. The standard dosage is a daily dose of 50 mg of Atarax. In cases of severe disorder, the daily dose is increased, but not more than 300 mg. Patients with liver and kidney failure require dosage adjustment.

With the first type of depersonalization, low-intensity neuroleptics can be used, for example, Teralen. In addition to the fact that this drug blocks dopamine D2 receptors of the mesolimbic neural pathway, it also affects the level of serotonin and is a moderate α-adrenoblocker, due to which an antipsychotic effect is achieved. The drug also provides sedation, normalizes temperature and eliminates vomiting. It acts within a quarter of an hour after administration and for a long time - from six to eight hours. Naturally, like all neuroleptics, it can cause a lot of unpleasant side effects - from dry mouth to disorders of hematopoiesis processes occurring in the spinal cord. Depending on the individual duration of action, the patient is prescribed to take the drug three to four times a day. To achieve an anti-anxiety effect, no more than 2.5 mg is usually prescribed per dose, a hypnotic effect is provided by a daily dose of 60 to 80 mg, for psychotic disorders, half the dose is enough.

Antidopaminergic action is provided by the atypical neuroleptic Eglonil, which is prescribed in more severe cases, when the symptoms include an affect of excitement, a tendency to self-harm, and pronounced depressive moods. The effect of the drug is dose-dependent - low doses relieve dizziness of various etiologies. In standard doses, it has a moderate anti-anxiety, antipsychotic and antidepressant effect, while stimulating brain activity. Side effects from taking Eglonil develop less frequently than from other neuroleptics, their list is quite long and includes paradoxical phenomena. Reversible hyperprolactinemia may also develop.

Patients are prescribed the minimum effective dose, depending on the effect it can be from 0.2 to 1 g per day. It is not recommended to take Eglonil in the afternoon due to its stimulating effect.

Patients with depersonalization of varying severity and different etiology are often prescribed Diazepam, a powerful benzodiazepine anxiolytic that has the ability to stop convulsions, relax muscles, and provide a hypnotic effect. The action of this drug is based on its ability to enhance the central inhibition function, which is provided by γ-aminobutyric acid, due to which agitation, nervous tension, anxiety and fear, obsessive thoughts of hypochondriacal content, and a depressed or hysterical state are reduced. Delirium and hallucinations are not eliminated with this drug.

In addition, Diazepam has a relaxing effect on muscles (relieves cramps), increases the pain threshold, has an antihistamine effect, and reduces blood pressure. The effects of the drug depend on the dose taken: low-dose (up to 15 mg per day) intake provides stimulation of the central nervous system, high-dose - calms. Diazepam is incompatible with alcohol and other benzodiazepines. When taking this drug, do not bring down a high temperature with paracetamol, since in such a combination the elimination of Diazepam slows down and there is a high probability of overdose. When taken simultaneously with painkillers and antispasmodics, these effects are potentiated, which can lead to respiratory arrest. A long course of the drug requires gradual withdrawal, abrupt cessation of intake can cause depersonalization. Paradoxical side effects are possible. It is not recommended to prescribe to patients with suicidal tendencies.

The powerful benzodiazepine anticonvulsant Clonazepam is also used to treat depersonalization/derealization states. It is primarily prescribed to epileptics, and can also help with neuroleptic depersonalization. The drug has a pronounced anti-anxiety effect, calms and restores the process of falling asleep, especially at the beginning of therapy. Eliminates headaches, acute manic syndrome, panic attacks. However, it is not a drug of choice even for epileptics, since it is excreted from the body for a long time, and poses a serious risk of withdrawal syndrome. More modern anxiolytics and anticonvulsants are superior to it in terms of safety. Clonazepam negatively affects hematopoiesis and inhibits liver function, so with a long course it is necessary to monitor the composition of the blood and its biochemical parameters.

Patients with the initial stage of depersonalization, in whom the diagnostic diazepam test showed a delayed anxiety reaction, are helped by therapy with Phenazepam, which effectively eliminates anxiety and mental pain associated with a recent state of depersonalization. Symptoms usually disappear quite quickly and regression of the disease occurs in the first days - at first, internal mental stress and anxiety disappeared, then the symptoms of alienation of one's own body disappeared, autopsychic signs were eliminated last. Phenazepam, like other drugs in its group, acts on benzodiazepine receptors, reduces the likelihood of convulsions, ensures rapid falling asleep and a full night's rest. It enhances the effect of other sedatives and anticonvulsants, as well as ethyl alcohol. Short-term use of the drug practically does not lead to withdrawal syndrome when stopping the intake.

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Depersonalization and antidepressants

With long-term autonomously existing depersonalization, in the clinical picture of which mental suffering is no longer present, it acquires a monotonous chronic character. This form is already resistant to treatment with anti-anxiety drugs. In this case, treatment is used with combinations of powerful antidepressants with neuroleptics with a predominance of the stimulating effect in their spectrum of action.

Antidepressants can be effective in treating type 3 depersonalization, which develops against the background of various depressions. Preference is given to antidepressants from the group of serotonin and norepinephrine reuptake inhibitors.

Broad-spectrum antidepressants are used, for example, Melipramine. The drug copes with depressions of various genesis, providing an anti-anxiety, calming effect. It is an acetylcholine antagonist - blocks the transmission of an excitatory impulse and an α-adrenoblocker. Prevents urinary incontinence that occurs on nervous soil, has an antiulcer effect, has a positive effect on the concentration of monoamines and opiate receptors. Restores the balance of the serotonergic and adrenergic systems, the disruption of which leads to depressive disorders - background conditions for the development of depersonalization. The consequence of successful therapy is the elimination of motor retardation, improved mood and sleep quality, normalization of digestion and urination processes. Can be used in children from the age of six.

However, one of the paradoxical side effects of the drug is the development of depersonalization syndrome. The drug is hematotoxic.

It is taken starting with low doses, which are increased if necessary and then reduced again after the therapeutic effect is achieved. The maximum permissible dose for outpatient use is 200 mg per day. The medicine is taken in the first half of the day, so as not to provoke insomnia. The maintenance dose is taken, on the contrary, in the evening.

Velafax is a new generation antidepressant recognized as the most effective in the treatment of depressive disorders and neuroses. Its chemical structure differs from known modern drugs with antidepressant action. It is a racemic mixture of two (levo- and dextrorotatory) active antipodes of venafaxin hydrochloride. The active substance of the drug and its main metabolite potentiate the transmission of nerve impulses by inhibiting postsynaptic serotonin and norepinephrine receptors, to some extent dopamine receptors, and increasing the concentration of these neurotransmitters in the synaptic cleft. The active components of Velafax also reduce β-adrenergic reactivity, without affecting the activity of monoamine oxidase and without affecting other receptors (benzodiazepine, opiate, histamine, etc.). The drug is not prescribed to pediatric patients, individuals with decompensated liver and kidney dysfunction, pregnant and lactating women.

There is a possibility of mania or hypomania occurring while taking the drug, especially in patients with a history of such disorders. The drug may provoke epileptic seizures, hypertension, and increased heart rate, especially when the dose is adjusted upward.

Before starting therapy, it is necessary to take into account the fact that patients with depression are prone to commit suicide.

Given the possible side effects of antidepressants, the patient's health condition should be monitored by a physician during treatment.

The patient should also be warned about the possibility of cognitive impairment and psychomotor dysfunction, although it is negligible for this drug.

Prescribed intake from low doses, which, if necessary, are increased during the course of therapy. At the beginning of treatment, a daily dose of 75 mg is prescribed, divided into two doses. After some time, it can be doubled, if ineffective, the increase is carried out every two or three days by 75 mg. The highest permissible dose is 375 mg per day. If the effectiveness is clearly achieved, the dose is reduced to the minimum effective. In order to prevent exacerbations and for prophylactic purposes, the antidepressant is taken in this dose for six months or more.

Velafax is incompatible with drugs that inhibit monoamine oxidase activity. After a course of treatment with irreversible inhibitors, the course of the antidepressant should be started no earlier than two weeks later, with reversible inhibitors - after 24 hours. If Velafax was used first, then treatment with monoamine oxidase inhibitors is recommended to be started a week or more after stopping its use.

During a course of treatment with any psychotropic drugs, you should refrain from work that may be dangerous due to decreased concentration, do not combine the course of treatment with alcohol consumption, strictly follow the instructions of the attending physician, and inform him of negative reactions to taking the drugs.

As an alternative to classic antidepressant drugs, you can try to relieve depression and melancholy with the drug Gelarium Hypericum. This drug is produced on the basis of St. John's wort. Its extract retains the main quality characteristics of the plant, recognized by Hippocrates and Avicenna as an effective antidepressant. This drug is produced in Germany by Bionorica, a company specializing in the production of herbal preparations, using the experience accumulated by traditional healers. The raw material grows in Mallorca, in suitable climatic conditions and an ecologically clean zone.

The mechanism of fighting depression with St. John's wort has not yet been fully revealed, however, the main components of the herb that help overcome a depressed mental state are considered to be hyperforin and/or hypericin. Experiments in the laboratory have established that these substances or one of them is capable of inhibiting the reuptake of neurotransmitters - serotonin, norepinephrine, dopamine, gamma-aminobutyric acid and glutamate, increasing their concentration in the synapse.

Clinical studies have shown that the drug was effective in treating patients with minor depressive episodes and in moderate stages. A satisfactory effect of treatment was noted after two weeks, and after a month, the positive results of treatment were beyond doubt. Side effects were observed in no more than five percent of patients and did not reach the level that is typical for the use of classic antidepressants. These were mainly phototoxic and skin allergic reactions.

In addition, Gelarium Hypericum did not cause a weakening of the ability to concentrate on performing certain actions or a slowing of motor reactions in the control group of patients.

An overdose of St. John's wort extract is also practically impossible; to hypothetically achieve this effect, the recommended dose would need to be exceeded by 50 times.

It is not recommended to take the drug to children under twelve years of age and expectant mothers, since studies with this category of patients have not been conducted. Adverse interactions with other drugs have been virtually non-existent, with the exception of a decrease in the effectiveness of drugs such as theophylline and cyclosporine.

The drug is recognized as safe and quite effective for the treatment of mild to moderate depressive disorders.

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Homeopathy as an alternative to psychotropic drugs

Psychotropic pharmacological drugs can be replaced with homeopathic ones, which do not have so many impressive side effects. Allergic reactions are unlikely, but not excluded. Naturally, for effective individual treatment, you need to see a homeopathic doctor. This area of medicine quite successfully copes with problems that are beyond the power of official medicine, in particular, neuroses and neurosis-like disorders are cured by homeopathy completely and without consequences. In case of depersonalization, the doctor will select a drug individually, based on the causes of this disorder, the patient's current feelings, his preferences, constitution and character traits.

Many representatives of official medicine are well acquainted with the action of complex low-dose medicines produced by the German company Heel. Strictly speaking, they cannot be called homeopathy, but they contain preparations used for certain conditions in homeopathic practice. They are devoid of individuality, but the manufacturer adheres to the principle of homeopathic dilutions and small doses. In case of depersonalization, Valerian-Heel drops can be used, which relieve excitement, calm, and facilitate falling asleep. The complex solution contains eight ingredients that have a central effect and normalize the state of the nervous system.

Valeriana officinalis (Valerian) is used in classical homeopathy as a monodrug in cases where the patient complains of mental alienation (seems to be a different person), perceives reality as if in a dream, feels restless and unmotivated anxiety, experiences fear and panic disorder. The tablets contain natural antidepressants: plant Hyperiсum perforatum (St. John's wort) and mineral Ammonium bromatum (Ammonium bromide) of origin. Stress as a result of physical and/or mental overstrain is well relieved by the substance Acidum picrinicum (Picric acid). Patients with clouded consciousness, but preserved mental functions are often prescribed Humulus lupulus (Common hops). Nootropic action is provided by Crataegus (Hawthorn) and Avena sativa (Oats). Such components as Chamomilla reсutita (Chamomile) and Melissa officinalis (Melissa officinalis) provide sedation to patients with neurotic disorders, strengthen the immune system. Asthenic symptoms are relieved by Natrium bromatum (Sodium bromide), and Kalium bromatum (Potassium bromide) soothes, improves mood, and has an antispasmodic effect.

The drug can be used from the age of two in a dose of five drops per dose, dissolved in half a glass of filtered water, for children who have reached the age of six, ten drops are also dissolved, starting from the age of twelve, patients take 15 drops per dose (dose for adults), before bedtime it can be increased to 20 drops. The frequency of administration is every eight hours, after which you can eat half an hour later. Alternatively, you can take the required dose an hour after eating.

The medicine Engystol, produced in tablets and ampoules, better known as a drug for the treatment of viral infections, can also be used in cases of behavioral and perception disorders. It has a two-component composition: Lastoven chemist's in three homeopathic dilutions (Vincetoxicum hirundinaria), which is used as a monodrug to treat cardiac pathologies and stimulate immunity, and two dilutions of Sulfur (Sulfur), used for psychoneurological disorders and depression, loss of strength.

The tablet form is used sublingually. A single dose for patients over twelve years of age is a whole tablet.

For younger children, prepare a solution of one well-crushed tablet in four tablespoons of water.

Infants are given one teaspoon of solution per dose, 1-5 years old – two, 6-11 years old – three.

The scheme for relieving acute conditions is as follows: take a single dose with a fifteen-minute break, but no more than eight times in a row, then every eight hours half an hour before meals or an hour after.

There is also an injection form of the drug. Injections in acute conditions are given daily (no more than five times), then they switch to a regimen from once every two or three days to once a week.

Also, Nervo-heel tablets can help stabilize the nervous system in case of depersonalization. The preparation contains homeopathic dilutions of three preparations used as antidepressants: St. Ignatius beans (Ignatia), a substance from the ink bag of cuttlefish (Sepia officinalis), and Scabies nosode (Psorinum-Nosode). They are also prescribed to patients for the treatment of various mental illnesses (schizophrenia, epilepsy) and milder disorders. In addition, the tablets include: Valerian-zinc salt (Zincum isovalerianicum), which stabilizes the nervous system and relieves signs of vegetative-vascular dystonia. Fear of going crazy, overexcitement, other types of anxiety, and convulsions can be eliminated by another component - Potassium bromide (Kalium bromatum). Patients with an exhausted psyche, who have experienced emotional shocks, and who have no desire to live are prescribed Phosphoric Acid (Acidum phosphoricum), which is also included in the drug.

The tablets are sucked until completely dissolved under the tongue. Half a tablet is dosed for patients under three years of age, the rest are given a whole one. Acute attacks of excitement, melancholy and anxiety, irritability are relieved by taking a single dose every quarter of an hour, but not more than eight times in a row, then switch to the usual three-time dose.

A homeopathic composition of 26 components - Cerebrum compositum has a regulatory effect on metabolic processes occurring in the central nervous system, is prescribed for exhaustion of the nervous system, depression, vegetative-vascular and neurocirculatory dystonia, various neurotic conditions. Injections are prescribed with a frequency of one to three ampoules per week, can be used as a drinking solution. For this purpose, one ampoule is dissolved in ¼ glass of water and drunk in equal parts at equal intervals throughout the day.

Depersonalization psychotherapy

Medication therapy must necessarily be combined with psychotherapeutic assistance. Adequate therapeutic tactics will help to quickly cope with depersonalization, the danger of which should not be underestimated.

Psychotherapy is aimed at interrupting the action of stress factors that were either present at the time of the onset of symptoms of the disorder, or arose earlier (negative childhood experiences) and could have caused it.

For different categories of patients, psychotherapy methods are selected individually.

For example, cognitive behavioral therapy, based on the assertion that an individual's emotions, feelings, and behavior patterns are determined not by circumstances but by how they perceive them, helps block obsessive thoughts about rejecting the mental component of the personality and/or body parts, losing one's mind, and not wanting to live. Techniques are used to identify and transform unconstructive life strategies with flexible, rational thinking, and to help patients perform tasks that distract them from depersonalization and derealization.

Sensory techniques, through the impact on human senses (for example, hearing, vision, tactility), help patients restore self-perception and/or perception of the outside world, to feel its reality.

Psychoanalysis (psychodynamic treatment) helps to solve problems related to the dynamic aspects of the patient’s psyche: motivation, drives that motivate action, as well as to resolve internal contradictions and increase the threshold of stress resistance.

Hypnosis sessions and autogenic training are also used. This approach is most effective for the first type of depersonalization.

Authoritarian formulas of hypnotic suggestion are used extremely rarely; basically, it is advisable to use them in rare cases of acute transient depersonalization disorders.

Psychiatrists often focus on people with a protracted course of the disease, so it is advisable to combine hypnosis with explanatory therapy. Not authoritarian suggestion, but motivated suggestion is used. The patient is in a state of drowsiness, and the main provisions of suggestion are based on rational psychotherapy. Patients are taught that when alarming symptoms arise, they can easily refocus their attention on the surrounding environment, people or activities, and that such a practice reduces the feeling of alienation, they weaken and cease to be frightening.

The construction of autogenic training is based on a similar foundation. Most often, these practices are combined, and the content of the suggested formulas is addressed to social rehabilitation.

In mild cases of depersonalization, such treatment is sufficient. In addition, vitamin and herbal preparations, mild psychostimulants, may be prescribed.