Depersonalization-derealization syndrome
ICD-10 F48.1 is a billable code used to indicate a diagnosis of depersonalization-derealization syndrome.
Depersonalization-derealization syndrome is characterized by persistent or recurrent experiences of depersonalization, derealization, or both. Individuals may feel detached from their thoughts, feelings, or sense of self (depersonalization) or feel as though their surroundings are unreal or distorted (derealization). This syndrome can occur in the context of anxiety disorders, post-traumatic stress disorder (PTSD), obsessive-compulsive disorder (OCD), and various phobias. Patients often report a sense of disconnection from their own identity or the world around them, which can lead to significant distress and impairment in social, occupational, or other important areas of functioning. The onset of symptoms may be triggered by stress, trauma, or substance use, and the experiences can be transient or chronic. Effective management often involves psychotherapy, particularly cognitive-behavioral therapy (CBT), and may include pharmacotherapy for underlying anxiety or mood disorders. Understanding the interplay between these conditions is crucial for accurate diagnosis and treatment.
Detailed patient history, symptom duration, and impact on daily functioning.
Patients presenting with anxiety, trauma history, or dissociative symptoms.
Consideration of comorbid conditions and the need for a multidisciplinary approach.
Comprehensive psychological assessments and treatment plans.
Patients undergoing therapy for anxiety or trauma-related disorders.
Focus on therapeutic progress and symptom tracking.
Used for therapy sessions addressing symptoms of depersonalization-derealization.
Document the focus of therapy and progress notes.
Psychiatrists and psychologists should ensure alignment between diagnosis and treatment.
The primary symptoms include persistent feelings of detachment from oneself (depersonalization) and feelings of unreality regarding one's surroundings (derealization). These symptoms can lead to significant distress and impairment in daily functioning.
