Treatment for derealization
Man, this video is a long time coming. Derealization. Have you ever experienced this before? It can be so scary for the person experiencing this. They can feel so trapped like there is no other way out. Derealization is a mental state or an individual may feel detached from their surroundings. People, objects, things around them may seem on unreal. You are even so aware that something is wrong that this can often be an obsession on how to make it right again. How to feel attached again. Unlike something like psychosis or delirium, individuals no that there are in an altered state that something isn’t normal.
More than half of people will feel this disconnection from reality at least once in their lifetime.
Hi my name is Nathan Peterson…..I am the creator the online OCD and BFRB courses and release videos every week that can help give you different treatment strategies for what you’re going through.
Derealization is similar to Depersonalization. The difference is depersonalization will experience the same thing except for adding a detachment of their own body, thoughts, and feelings. Almost as if you’re watching yourself as an outsider. I will have a whole separate video on this.
Derealization usually happens in different pockets of time. Meaning that these symptoms may come in they may go. Some common experiences that people have are these:
-The sounds around them can feel distorted, they can even seem too loud or too soft.
- Often individuals will feel like they are in a dream state or have some brain fog.
- The world around sees pretty lifeless, useless, what’s the point, you can seem fake that everyone is just doing their own thing every single day.
- Objects around them can look wrong. They can look different than how they actually appear. Things may seem to sharp, others may seem too small or too big. You can even seem blurry.
- Some may feel like there is something separating them from the world around them almost like an invisible wall. This wall that they cannot just break through.
Some have experienced these for only a few minutes while others may experience this for months at a time. Individuals often feel like they are going crazy. They recognize that something is off. And all the brain is wanting them to do this is to find a connection again.
Many will ask me: where does this come from?
Guess what, every person is different.
Some say that common events that trigger the derealization is emotional abuse or neglect. Others say it’s completely random. Some say it’s only linked to anxiety or OCD.
There is not currently a medical way to see if this is something you are experiencing or not.
When derealization manifest as part of anxiety or OCD the treatment I typically do is exposure and response prevention. Individuals may obsess and continually think about how to get out of these experiences. Their problem-solving is so much that they’re allowing themselves to continue being stuck in these Episodes. With exposure and response prevention the whole idea is how can you take power away from the bodily response or thoughts that you are having. Instead of pulling away from the experience we are moving closer to it. Meaning if somebody were to go through this experience right now, would focus on all the threats the brain comes up with an essentially answer every single one of them with either an uncertainty answer such as maybe maybe not, or we completely agree with the threat.
If the brain says all know what’s happening what if you don’t come out of this. The answer is maybe I will maybe it won’t. Or I totally hope I don’t come out of this, man it be wonderful if I was stuck in this forever. When we agree with the threat it takes the power and value away from it.
Instead what people try to do as they had the thought oh no it’s coming but I don’t come out of this. Maybe if I sit down it will go away, maybe for drink much water it will go away. Maybe I don’t go to that event because all make it worse. Maybe for research on the Internet it will go away. If I just on that answer I can get this to go away. The brain is coming up with plenty of ideas on how to solve this problem.
We are no longer trying to solve this problem. We practice not doing compulsions. These are the things you are trying to do to problem solve yourself through this. You may experience the moment even mindfully. I don’t feel connected to the moment, cool what do I experience. What do I see, what do I feel, that it’s not to make sense of it all is to show yourself that your living life here in the specific moment.
When people practice this exposure and response prevention every single time they go through an episode the brain finally gets it. It learns that it’s giving you these thoughts and feelings and disconnection and when you’re not responding to it the way it wants you to learns. He learns that if it doesn’t have value then it no longer needs to bring this into your life.
You don’t give yourself a timeline of when this is going to go away. You allow it to be there regardless of what’s happening in your life. You allowed to leave if it wants to that you are not the person that is pushing it away. A lot of acceptance is needed with derealization. You will continue living your life the way that you want to live your life not changing anything because of this feeling of disconnection.
Often I see derealization connected with OCD, if you’re looking for a little extra help with your OCD I do have an online step-by-step course that takes you through treatment. A link that down in the description below.
Here is my question for you.
Have you ever experienced derealization before? What things of help to you what things make a worse?
Thank you so much for watching, and I will see you next time.
How to stop derealization
How to cure derealization
COVID and OCD
COVID-19 and OCD. Wow. Can you believe it’s been a little over a year since the pandemic started? I’ve debated making this video multiple times and with multiple requests and emails I finally decided to take the plunge. I wanted to say with the disclaimer that I am not a medical doctor and I’m not giving you medical advice. I will however give you my thoughts on how somebody who struggles with OCD can do when it comes to the fears of possibly getting the virus. Not only the virus but any sickness.
Hi, my name is Nathan Peterson! I am a specialist with OCD and anxiety related disorders and the creator of the self-directed courses for OCD and BFRBs. I create videos every single week with tips and treatment strategies for OCD, anxiety, tics and Tourette’s, hair pulling and skin picking. Make sure you’re subscribed so you do not miss any of these.
You probably know what COVID-19 is. If you missed it, knock knock knock hello is anyone there. This virus in pandemic has sure set panic throughout the world. And rightfully so. When this thing first started, I made an ignorant comment. I said this is no different than getting the flu, or putting so much value and power on this thing. Boy was I wrong. With the countless lives lost, jobs lost, and mental health issues on the rise, I could never imagine what was going to happen.
Many people have asked me. Nate and I say uhuh, and they say so I’ve been doing treatment for my OCD, how does it now change because of the pandemic. This has been so difficult to figure out a great guideline. Because just like any other anxiety fear in our life, it is very uncertain. There isn’t going to be an answer that is given that is 100% sure.
When it comes to contamination OCD and the fear of possibly getting sick. Individuals felt the need to wash more, avoid more things, Thus sending them through massive spirals where they didn’t know they were following guidelines for fear creating their own rules.
Here is how I have been treating OCD in the midst of this pandemic. I have people create a guideline. How many times a day I want to wash my hands. Is it before I eat, after use the bathroom, or if I come in from outside. Maybe it’s if I physically see dirt on my hand. So typically maybe is five times or less a day.
I then say, we will follow the guidelines of the CDC. Even if we think they are incorrect or wrong. We have to follow some type of guideline or else the rules that your OCD will create could be catastrophic. For instance the CDC said, if you are vaccinated you no longer need to wear a mask. So guess over going to do, no longer wear a mask. But this doesn’t mean I’m no longer wearing a mask but I’m just gonna stay inside. We are following all the guidelines. They say I can go to a restaurant, I’m going to restaurant. They say I can hang out with my other friends vaccinated, I’m hanging out with my friends.
Here's the tricky part however, what about the things are not part of the CDC guideline. They can’t give every scenario possible that you are ever going to run into. This is where you take your best judgment. Meaning, the CDC didn’t mention if I go to my friend’s birthday party and is probably going to be 30 people there. What should I do? I say you do whatever you want to do. Sounds risky, but you do it following the CDC guidelines. They say wear a mask there’s over 20 people, I guess I’m wearing a mask.
I also wouldn’t want individuals to solely focus on this the rest of their life. I want individuals to live their life, sometimes feel like they are risking a lot. But knowing that the base of what I said was I want to wash my hands five times or less a day. How my going to do this.
Typically we use exposure and response prevention. We expose ourselves to things that make us scared or nervous and respond completely different to them. A lot of people hear this and I think that sounds pretty dumb. You want me to just go out and get myself contaminated and dirty and hug everyone I see. This is not an all or nothing approach. This means that I just went to the grocery store I got a lot of groceries other people probably touched, I’m putting them away in my pantry without washing them because the CDC did tell me I needed to. I did say however that if I come in from outside I can wash my hands.
But did the CDC say I need to wash my hands with 5 to 10 pounds of soap? NOPE! Did the CDC say that the water must be scalding hot? NOPE!
You may need to create your own guideline and foundation. I wash my hands for 30 seconds, one pump of soap, and the water may be hot or not.
Overall I want somebody’s experience to be a thoughtful one. Not in anxiety one. Meaning my decisions are based off of just general thought not my decisions are based off of my anxiety. And if anxiety is there I might risk the rules that have created in my brain and learn to respond completely different to them. A lot of times the magic words to the things we don’t know or maybe maybe not. Meaning I’m choosing to only solve the problem when there’s a problem presented in front of me. This is so incredibly hard to do. Because people have gone sick, people have died.
But we are living our life, OCD does not get to dictate what you do anymore. Because there is new value that is been placed in front of us doesn’t mean OCD treatment goes out the window.
A task that some choose to do is to write down all the rules are brain has created because of this pandemic. See if they match up with the CDC and the ones I don’t they may choose to do treatment with these. They feel like they’re doing a lot of risk. But without the risk there tends to not be the reward. The sound so incredibly scary, but what I’ve seen time and time again that the brains really good at saying once I get vaccinated then I will feel anxious about it. Once this one thing happens I will be nervous anymore. Guess what happens, a person gets vaccinated and there still anxious. The brain thinks it’s problem-solving but is continuing to keep you trapped. It’s only going to know that you’re the boss if you treated that way. Sometimes going against the rules that you’ve created in your brain.
I am in no way diminishing the effect that this virus is had on the world. I am diminishing the way OCD is making you think about the virus. Taking power and value away from OCD. It no longer deserves your attention.
If you’re looking for a little extra help, I’ve created a very specific course for OCD that takes you through understanding yourself, the treatment, and building your foundation for success. I will link this down in the description below.
Here’s my question for you. What rules are you following or are taking over your life because of this pandemic? Also, what you can start doing differently about your behaviors?
COVID and Anxiety
Spreading COVID and OCD
Anxiety! Most who feel anxiety are looking for relief. I mean, that’s what the body is urging them to do. Instead of looking for the cure or falling for those “anxiety recovery in 2 weeks” scams; we do what we know works. Let me teach you how individuals finally learn to retrain their brain with their anxiety.
Nathan Peterson specializes in working with OCD and Anxiety related disorders and has done so for the past 7+ years.