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Psychiatry Miscellaneous a109bed5

Which of the following is true regarding depersonalization?

A
More common after life threatening trauma
B
Seen in seizure and migraine patients
C
More common in females.
D
Mean age of onset about 25 years old.
High-Yield Explanation
Ans. (a) More common after life threatening traumaRef: Kaplan Lecture Notes 2017; Page No-50* Depersonalization: Persistent or recurrent feeling of being detached from ones mental processes or one's body, thoughts, feelings, or actions, accompanied by intact sense of reality.* Derealization: Experiences of unreality or detachment from one's surroundings.* The symptoms cause significant distress or social/ occupational impairment.* Gender ratio that is Male : Female- 1:1* Predisposing factors: Severe stress or trauma* Mean age of onset: 16 years.* Prevalence rate 2%.* Not accounted for by a substance (e.g., drug of abuse, medication), another medical condition, or another mental disorder.* T Incidence of comorbid anxiety disorders and major depression.* Treatment: Psychotherapy directed at decreasing anxiety, CBT, hypnotherapy, and supportive therapies may be helpful.* Differential Diagnosis: Perceptual disorder, panic disorder, and PTSD.

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