Syndrome of the derealization of the person: what to do, how to cure the pills

The condition developing as an independent syndrome on the background of acute or prolonged stress, arises suddenly and plunges a person, at least, into confusion. What to do with derealization? Naturally, we are not talking about a state that lasted several minutes, but about regular attacks or a sustained disorder, that is, about pathology.

Much depends on the severity of the disorder and the state of the psyche. There are cases when the syndrome has passed safely on its own, however, especially it is not worth counting on it. Nevertheless, there are many recommendations from psychologists and people who have experienced such a state, how to get rid of derealization on their own.

If the patient feels the strength, you can try to regain a connection with reality. It is not necessary to delay and consider the process for a long time, it is necessary to undertake correction of one's way of life.

First of all, alcoholic and caffeinated beverages - coffee, strong tea, coca-cola, pepsi-cola, energy - are excluded from the diet.

If the appearance of the symptoms of derealization is preceded by a course of therapy with drugs that can cause such a side effect, or you continue taking the drugs at this time, you should consult your doctor. Perhaps replacing the drug will save you from a painful condition.

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

You can increase the duration of sleep by optimizing the day mode. However, it is worth considering that peresyp is also harmful, as well as nedosyp. Therefore, you need to decide what time you need to sleep to feel good.

In addition, it is recommended not to focus on your feelings, take them, stop being afraid and think up your own non-existent diseases. You need to develop an attitude towards your condition as a symptom of side effects from drugs, overwork, increased anxiety. It is very important to replace the terrible negative obsessional thoughts about mental illness with positive ones, to recognize that the symptoms exist and they have to live with them. Do not shut yourself up, on your experiences, but try to live a full life, try to revive your feelings, notice colors, sounds, smells, listen to the interlocutor, catch his intonations, perform duties towards close people. Often do what you like, do not postpone anything for later, and perhaps you will be able to escape from the vicious circle of escape from reality.

It is also recommended to communicate with people who experience or overcome the disorder, for example, in forums, listen to their advice, share their feelings, just talk.

If you can not independently, you need to turn to professionals. They will help you with advice, teach methods of fighting the disease. Treatment of derealization without tablets is carried out using a variety of psychotherapeutic techniques. It is aimed at interrupting the action of stressful factors, which were either present at the time of the onset of the symptoms of the disorder, or arose earlier (negative childhood impressions) and could become its cause.

To different categories of patients, the methods of psychotherapy are selected individually.

For example, cognitive-behavioral therapy, based on the assertion that the emotions, feelings and model of the individual's behavior are determined not by established circumstances, but by the way he perceives them, they can block obsessive thoughts about the unreality of what is happening. Techniques are used to make it possible to identify and transform a non-constructive life strategy by flexible rational thinking, and also to help patients perform tasks that distract them from depersonalization and derealization.

Sensory techniques by affecting human senses (for example, hearing, sight, tactility) help patients to regain self-perception and / or perception of the outside world, to feel its reality.

Psychoanalysis (psychodynamic treatment) helps to solve the problems associated with the dynamic aspects of the patient's psyche: motivation, drives for action, and - to resolve internal contradictions, increase the threshold of stress resistance.

Hypnosis sessions and autogenic training are also used. With light cases of derealization, such treatment is enough. Vitamin preparations and light stimulants can be prescribed.

If treatment without the use of medicines is not successful, then drugs of different groups are used. Drug therapy is carried out only under the supervision of a doctor who, if necessary, makes a correction to the treatment regimen or dosage of the drug.

There is no single medication regimen for the depersonalization / derealization syndrome. In general, the effectiveness of drug therapy has not been conclusively proven, but some patients are assisted by serotonin reuptake inhibitors, tricyclic antidepressants, opioid receptor antagonists, tranquilizers and psychostimulants and nootropic drugs. The effect of these drugs can be effective, since it eliminates the symptoms of anxious, depressive other disorders that provoked the development of the symptoms of derealization.

The most popular drug that is prescribed for patients with the syndrome of depersonalization / derealization is the anticonvulsant  Lamycatal  (with the active ingredient Lamotrigine). This medicine is prescribed for epileptics and individuals subject to convulsive seizures of another etiology, nevertheless, in the treatment of this syndrome often has a quick positive effect. It is believed that Lamyctal has less pronounced negative effects on memory, attention and other cognitive functions, like other anticonvulsants. Nevertheless, like other preparations for epilepsy, it blocks nerve impulses that trigger the release of glutamate, an aliphatic amino acid, an excess of which leads to seizures. The glutamate system plays a significant role in the pathogenesis of not only epilepsy, its influence on the development of schizophrenia and depression, as well as NMDA-receptor hypofunction, which is one of the causes of dopaminergic transmission disorders. Perhaps that's why the medicine showed itself so well in the treatment of cases of depersonalization and derealization.

Another antiepileptic drug,  Carbamazepine, is also sometimes used in the treatment of the syndrome. It has a more pronounced anticonvulsant effect, in addition, it can be used in hyperkinesis. Like the previous drug, except for the cramping of seizures, it enhances the action of antidepressants and stimulates the functions of neurotransmitters responsible for improving mood, liberation and productive activity - dopamine, serotonin, noradrenaline.

Usually prescribed in combination with antidepressants from the serotonin reuptake group, increasing its concentration in the synapse. Since the serotonin deficiency is assumed in the pathogenesis of derealization, and in the clinical picture, depression symptoms are almost always present.

The drugs are used, usually in low doses, the dosing and the admission scheme for each patient is selected by the doctor.

Nevertheless, such treatment is not always effective, so other drugs are also used.

Eglonyl  from derealization is prescribed in cases when its cause is an increased level of anxiety. The active ingredient of this agent is sulpiride. It excites dopamine receptors, increases its synthesis and prevents biodegradation. The drug is also given in a minimally effective dose.

A benzodiazepine tranquilizer, phenazepam, may be prescribed  . Its action also suppresses the feeling of anxiety, relaxes the muscles, reduces the likelihood of convulsions, and also - provides a quick sleep and a full night's rest. It strengthens the action of other soothing and anticonvulsants, as well as - ethyl alcohol. At its reception it is necessary to refrain from works which can represent danger at the lowered concentration of attention.

Fluanaxol  is an antipsychotic whose active ingredient belongs to thioxanthene derivatives (flupentixol). It reduces anxiety, improves mood, promotes adaptive processes. Has, like all preparations of this group, a long list of contraindications and side effects, however, in some cases, derealization is effective. It is not compatible with alcohol, barbiturates, opiates, other neuroleptics and other drugs.

Glycine  - of all these drugs is the most "safe". It is used for various reasons, leading to a decrease in the brain's ability to work. Various conditions - neuroses, vegetovascular dystonia, the use of toxic substances (alcohol, drugs), mental pathologies. The simplest aliphatic amino acid, which is glycine, performs in the body the functions of a neurotransmitter regulating metabolic processes, as well as the activity of glutamate receptors. Relieves nervous tension, improves memory and concentration, improves mood, normalizes sleep and sleep quality

Glycine can be used as a mono drug in complex therapy, strengthening the effects of inhibition of the central system and reducing the toxicity of anticonvulsants, antipsychotics and antidepressants. Contraindications, except for hypersensitivity, to Glitsin not. Allergic reactions are possible.

Drug therapy must necessarily be combined with psychotherapeutic treatment. Adequate therapeutic tactics will help to quickly cope with derealization, the danger of which is undesirable to be underestimated.

How to treat derealization at home?

Given that the emergence of the phenomenon of derealization is preceded by severe or chronic stress, an increased level of anxiety, and its companions is a depressed state and depression, alternative means can be used. There are many plants that have properties to calm the nervous system, stimulate metabolic processes in the brain, and activate cognitive functions. They may well constitute a worthy alternative to pharmacological drugs, however, it is worth noting that the use of alternative treatment is not always combined with medication, so it is advisable to consult a doctor in advance. It's also good to get advice from a professional herbalist.

To speed up the process of falling asleep and improve the quality of sleep can help pads with fragrant dry herbs - flowers and leaves of myrtle tree, juniper, melissa, lavender.

Relaxing and easy sedative effect is provided by warm baths with coniferous broth, infusion of poplar leaves, several spoons of honey, essential oils. The latter add ten drops. For such bathtubs are suitable oils of lavender, lemon balm, sage, lemon and juniper. The duration of the intake 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.

Alternative treatment of neurosis-like disorders is performed depending on which processes prevail in the clinical picture.

Irritant and easily excitable patients prepare decoctions and infusions from medicinal plants with a predominantly calming and easy hypnotic effect. This is valerian, motherwort, kiprej, oregano, peony, linden, melissa, passionflower.

In addition, natural vitamin complexes are recommended, which are sprouted grains of wheat, oats, barley, fruits of sea buckthorn, mountain ash, dog rose, irgi.

In all cases, it is good to drink a course of broths from herbs that have a general strengthening effect - psyllium, nettle, dandelion, birch buds, sage.

To strengthen the vegetative nervous system will help: hawthorn, chamomile, violet tri-color.

Tonic effect on depressed, inhibited patients can be phytopreparations based on eleutherococcus, ginseng, rhodiola rosea, Chinese magnolia vine, rosemary, zamanichi. These plants help to overcome the decline of energy, restore the energy balance of the body. Nevertheless, if the patient suffers from insomnia, increased blood pressure, severe cardiovascular pathologies, these herbs are not advisable.

Herbal treatment does not take much time. For example, in the morning instead of tea you can prepare the next drink, which will give vivacity and add strength and energy. In the evening, fill in a liter thermos with one teaspoon of dry grass of a fine fraction: yarrow, cat's mint, thyme, St. John's wort. Add to the herbal mixture as many berries of Chinese magnolia vine. Pour overnight with steep boiling water. In the morning, strain and drink warm in half a cup twice - both wake up and at lunch. At night, it is better not to drink an invigorating drink.

In the evening, it is good to brew Ivan-tea (kiprei). It has sedative properties, well eliminates nervous tension, headache and extinguishes excitement. This herb is also a natural nootropic, has an anticonvulsant and antitumor effect.

It is possible to brew phyto-mixtures that provide not only a sedative, but also a restorative effect. For example, in a teapot to fill a pinch of dried willow-tea, leaves of blueberries, currants, strawberries, raspberries and cowberries, mint and violet tricolor, pour boiling water, insist 45 minutes.

Or: three pinch of willow-tea, two - flowers of chamomile and labaznika, cones of hops, oregano, nettle, mint, powder from the root of ayr, one - seeds of dill and cyanosis. Brew the same way as in the previous recipe.

You can drink three times a day a glass: in the morning and in the afternoon - one hour before a meal, in the evening - an hour before going to bed the next infusion of phyto-slime: take 10 g of chamomile and marigold, 30 g of juniper fruit, 25 g of valerian root, mix. One tablespoon of vegetable raw materials are poured with 500ml of boiling water, insisted for two hours and decant.

When treating herbs should be noted that the root of chicory, fruits of hawthorn and passionflower, in addition to soothing effect, have beneficial effects on the heart and blood vessels, have a mild hypotensive effect. Juniper and wormwood not only soothe, but also return elasticity to the walls of blood vessels, activate blood flow in the cerebral and peripheral arteries. Chamomile and cucumber cut off the symptoms of vegetative dystonia.

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

Homeopathy

Replace psychotropic pharmacological drugs can be homeopathic, not having so many impressive side effects. Allergic reactions are unlikely, but not excluded. Naturally, for successful treatment you need to go to the reception to a professional. Derealization is treated with very different drugs that the doctor will select, based on the causes of the disorder, the patient's current sensations, his preferences, constitution and character traits.

In homeopathy, with such symptoms as the confusion of thoughts, consciousness, fears, illusions, and perceptions, Valeriana officinalis is used. It is prescribed to epileptics, with anxiety disorders, neurasthenia and increased excitability, if the patient feels as if in a dream, seems to be another person for panic attacks, headache, nervous tic. This is the main tool that is used to treat the depersonalization / derealization syndrome.

Nitric Acid Silver (Argentum nitricum), American Saberella (Sabadilla) is used to treat patients with somatopsychic depersonalization. Assigned to people who think that parts of their body are deformed or missing, shriveled. With refusal to eat, melancholy, melancholy, depression.

The white veratrum (Veratrum album) is a constitutional perfectionist drug, Cimicifuga is prescribed to patients who fear that madness will occur, with suicidal tendencies, other means may be prescribed.

Of the complex homeopathic preparations can be prescribed, Valerian-heel, Engistol, Nervo-heel, Cerebrum compositum.

Catching excitement, soothing, facilitating the falling asleep Valerian-heel drops in its composition contain eight components, including:

Valeriana (Valeriana officinalis) - is used for anxiety disorders, neurasthenia and increased excitability, if the patient feels as if in a dream, it seems to be another person, with panic attacks, headache, nervous tic;

Picric acid (Acidum picrinicum) - it stops the effects of mental and nervous overwork;

St. John's Wort (Hypericum perforatum) - the main homeopathic antidepressant;

Humylus lupulus (Humulus lupulus) - is used with a darkened mind with preserved mental functions;

Hawthorn (Crataegus) - improves blood circulation in cerebral vessels, soothes;

Melissa officinalis (Melissa officinalis) - neurosis and neurasthenia, as an immunostimulant;

Oats (Avena sativa) - nootropic effect;

Chamomile reticulum (Chamomilla reutita) - sedative effect;

Ammonium bromate (Ammonium bromatum) - a means for meticulous, pedantic, idealistic neurasthenics, antidepressant;

Potassium bromide (Kalium bromatum) - fear of mental disorder, paresthesia, anxiety, overexcitation, convulsions;

Sodium bromide (Natrium bromatum) - a decline in strength.

It is prescribed to children from the age of two to five drops, diluted in 100ml of water, after reaching the age of six, ten drops of water drip into the water, from the age of twelve - an adult dose of 15 drops, at night it can be increased to 20 drops. Multiplicity of reception - three times a day, half an hour after it can be eaten. If desired, you can take the necessary dose 60 minutes after eating.

Medication Engistol, available in tablets and ampoules, more commonly known as an agent for the treatment of viral infections, can also be used in cases of impaired behavioral function and perception. It consists of two ingredients: Medicinal Leaf in three homeopathic dilutions (Vincetoxicum hirundinaria), used to treat cardiac pathologies and stimulation of immunity, and two dilutions of Sulfur, used for psychoneurological disorders and depressions, for the decline of strength.

The tablet form is used sublingually. One-time reception for patients over the age of twelve is a whole pill.

For younger children, a solution is prepared from one well-ground tablet in four tablespoons of water.

To receive infants give one teaspoon of solution, 1-5 years - two, 6-11 years - three.

The scheme for arresting acute conditions is as follows: taking 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 afterwards.

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

Nerve-heel tablets can help a patient with a depersonalization / derealization syndrome. The complex includes:

Psorinum-Nosode, Beans of St. Ignatius, substance from the ink bag of cuttlefish (Sepia officinalis) - homeopathic antidepressants, are also used in the treatment of schizophrenia, epilepsy and other mental pathologies;

Acid phosphoricum (Acidum phosphoricum) - used for symptoms of mental exhaustion, emotional shocks, memory loss, suicide attempts;

Potassium bromide (Kalium bromatum) - fear of mental disorder, paresthesia, anxiety, overexcitation, convulsions;

Valerian-zinc salt (Zincum isovalerianicum) - insomnia, convulsions, other manifestations of dysfunction of the nervous system.

From the age of three they apply sublingually for the whole tablet, the scheme for relief of acute conditions: taking a single dose with a fifteen minute interval, but no more than eight times in a row, then every eight hours half an hour before meals or an hour afterwards.

For children up to three years, the tablet is divided in half for one procedure.

Homeopathic composition of 26 components - Cerebrum compositum has a regulatory effect on metabolic processes occurring in the central nervous system, is prescribed when the nervous system is depleted, depression, vegetovascular and neurocirculatory dystonia, and various neurotic states. Injections are administered at 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 cup of water and drunk in equal parts at regular intervals throughout the day.

Alternative to psychotherapy

At home, or rather independently, you can do any kind of training. The main thing is to get distracted from your sensations, get out of the "shell" and reorient. People who have gone through derealization recommend: the main thing is to accept your state and the idea that you can live and perform the necessary actions in a flat world. Do not try to get hung up on how to get rid of your condition as soon as possible, otherwise the problems will grow like a snowball.

Those who prefer extreme sports, you can do, for example, walrus or rock climbing. However, any sport - swimming, running, Nordic walking is suitable. With dynamic sports, the human body produces endogenous antidepressants.

Yoga of any direction can help, although Hatha Yoga is very common in our territory. In yoga classes, even the most dynamic of her kind, the person's psyche comes to a meditative calm. In all forms of yoga, breathing is of great importance, and when you concentrate on doing exercises, proper posture, inspiration, you begin to meditate involuntarily.

One of the most meditative types of yoga - Kundalini is suitable even for the weakest and untrained people. Exercises with this method are fairly simple, mandatory are the mantras (sacred texts), which begin and end classes. Meditation with derealization is very useful, even hardened nihilists, starting to seriously engage in, fall into captivity "silence of the mind."

Yoga nidra or yoga sleep - the practice of total relaxation of every tiny part of the body controlled by the mind with a saved mind. You can do the weakest and even the bedridden patients. Learning to properly and completely relax is not really that easy. This practice completely takes hold of the mind and can quickly help break away from the state of derealization.

[1], [2], [3], [4], [5], [6], [7]