![depersonalization bipolar depersonalization bipolar](http://i.ytimg.com/vi/bhVb6WAEhFs/maxresdefault.jpg)
In order to check the frequency and co-occurrence of this diagnostic entity we did a retrospective review of files as discussed below. Aim of the study was to find out an importance of missing DPDR diagnosis (ICD-10) from clinical and research perspective. Objective of this research is to understand the frequency of coding of DPDR as a diagnosis and to elucidate demographic and psychopathological status of DPDR in patients attending tertiary psychiatry institute. Separate categorization of various dissociative disorders includes dissociative motor disorders, dissociative sensory disorders, dissociative convulsions, dissociative stupor, dissociative amnesia, dissociative fugue, Trans and possession syndromes and DPDR syndromes. Much of these DPDR experiences form a part of routine day to day activities until they start disturbing normal functions as in certain predisposed individuals. This study justifies the enquiry of documented symptoms of DPDR and their prevalence in India to fill our knowledge gap. This study was undertaken to find out facts and figures of DPDR syndrome as a primary diagnosis, frequency of reporting the diagnoses of DPDR as per ICD-10 (most commonly followed diagnostic system in India), critical discussion about clinical coding of DPDR diagnoses and future implications of the results. There is dearth of phenomenological understanding about DPDR symptoms and hard to find such literature from India apart from individual case reports. Questionable requirement of DPDR as a separate diagnosis has not been studied so far in the literature. Prevalence of severe depersonalization are markedly lower (1%) in the general population while clinically significant depersonalization syndrome range from 0.8% to 3.8% across the world. DPDR symptoms are also quite common in patients with acute stress disorder, generalized anxiety disorder and sometimes in severe mental disorders like bipolar disorder, schizophrenia and obsessive-compulsive disorder (OCD). It is not uncommon to find these symptoms as an additional specifier for posttraumatic stress disorder (PTSD), panic disorder and Borderline personality disorders among clinical diagnoses. DPDR symptoms have been reported in conditions like substance intoxication (predominantly ketamine, LSD, and hallucinogens), aura of epilepsy, acute and transient psychotic disorders and ecstatic state of mania.
![depersonalization bipolar depersonalization bipolar](https://www.psychiatryadvisor.com/wp-content/uploads/sites/8/2020/03/sad-student_G_1151538952.jpg)
As a component of normal defensive reaction, it is not uncommon to exhibit DPDR symptom in the form of forgetfulness, mind wandering, day dreaming etc. DPDR experiences can range from commonly seen perceptual amnesias to possible psychopathologies associated with horrified feeling of disconnectedness from self and environment. In simple words, Depersonalization means feeling of disconnected from self and derealization means feeling of disconnected from an immediate environment.
![depersonalization bipolar depersonalization bipolar](https://img.izismile.com/img/img9/20161019/640/guy_makes_brilliant_drawings_of_mental_illness_and_disorders_640_high_04.jpg)
DPDR experience are difficult to understand and interpret due to complexly interwoven sensory-motor experiences resulting from loss of normal integration of perception, identity, memory and various other faculties of consciousness.
![depersonalization bipolar depersonalization bipolar](https://i.pinimg.com/originals/3b/f0/cd/3bf0cd5148099de8a38e472a66a7c18c.jpg)
Depersonalization and derealization (DPDR) syndrome is often classified under Dissociative disorders.