Anders’ suggestions to Tony about trying various

A Case Of Depersonalization Disorder

moncler bambino saldi Dr. Anders felt frightened of Tony from the very first time she met him. Fear was the least prevalent feeling that this well seasoned psychiatrist experienced when dealing with patients. However, piumini moncler saldi something about the tall, emaciated, 42 year old was unsettling. He shuffled into her small, private office like a much older man would. Dr. Anders directed him to sit in the comfortable, black leather chair across from her. After slowly removing moncler outlet trebaseleghe his charcoal colored, tweed jacket that was too large for him, he sat down on the edge of the chair. He reeked of cigarettes. Dr Anders searched for and found the telltale sign of a yellow thumb and forefinger, which moncler outlet serravalle indicated a penchant for chain smoking unfiltered cigarettes. moncler bambino saldi

piumini moncler “I can’t take it anymore, doctor. You must help me,” he pleaded. His face surrounded by long, straight, brown hair was finely sculpted like Michelangelo’s David. His heavy lidded, blue eyes looked sad. piumini moncler

moncler bambino outlet “Take your time and tell me moncler saldi outlet what’s wrong,” she encouraged. What was it that was so disturbing about his presence, she wondered, as she felt her own heart beating rapidly as they talked? moncler bambino outlet

moncler outlet serravalle “I’ve been this way for over 20 years. I don’t have much hope. You’re the fifth psychiatrist I’ve seen. No one knows how to help me,” he said. Stress strained piumini moncler his already raspy voice and moncler uomo made it climb up a notch higher. It was a bad sign that she was the fifth psychiatrist. His condition sounded chronic and entrenched. moncler outlet serravalle

moncler donna Tony told his story of being an only child whose doting mother died when he was only 10. His father, a Vet freshly returned from the Vietnam War, had raised him with the help of Tony’s aunt. He’d always been anxious and a loner. In school, he’d done mediocre work. After a year of college he dropped out outlet moncler and married a girlfriend from high school. Then, his problem started. moncler donna

moncler saldi uomo “One day I was walking around the city, minding my own business, when suddenly I found myself looking down at myself from somewhere near the piumini moncler scontatissimi awning of a store. It was unreal and the weirdest thing in the world!” he exclaimed, his hands shaking. “Since then, and that was 20 years ago, I’ve had one experience like that after another and never completely felt like I was back in my body. I constantly feel spaced out.” moncler saldi uomo

moncler moncler outlet serravalle saldi Clearly, Tony was terrified of moncler outlet his experience. It was Tony’s sense of an absence of himself that frightened Dr. Anders, not his presence, which she had assumed at first. moncler saldi

piumini moncler uomo Tony denied any drug use. He claimed he was too scared to try anything. Dr. Anders thought he looked like a junkie or pothead, but later when she took blood and urine samples, she found that he was perfectly clean and free of drugs. piumini moncler uomo

moncler outlet trebaseleghe He had separated from his wife, who said she was tired of dealing with his constant complaints of being “spaced out.” They still called each other and had phone sex once per week, since neither could stand to deal with the other in person. Tony was on SSI and lived in a moncleroutlet-i poor Brooklyn neighborhood. He spent his days sitting indoors, smoking two packs of cigarettes per day and brooding about his condition. moncler outlet trebaseleghe

moncler outlet online uomo He wanted Dr. Anders to refill a prescription he had taken twice daily for over 10 years. She told him she would help by giving him an antidepressant as well. He took the two prescriptions, but when he returned the following week, Dr. Anders learned that he hadn’t filled his prescription for the antidepressant. He had just continued with the first medication, an piumini moncler outlet addictive tranquilizer. moncler outlet online uomo

outlet moncler Their sessions went on like this for several months. Dr. Anders would prescribe an antidepressant, or an antipsychotic, or a mood stabilizer. Tony would agree to try the new medicine since he “most certainly desired” to be helped, but inevitably he would only take the one. Tony had done exactly the same thing with his previous four psychiatrists. He explained his behavior with the claim that he was too fearful to try anything new. outlet moncler

moncler outlet online shop During psychotherapy sessions, Tony spoke about his condition and how horrible it was to feel so unreal and outside of himself. He rarely was relieved of this feeling. Medication helped only moncler bambino outlet slightly. He never had any hallucinations or delusions, panic attacks or depressive episodes except relating to his condition. moncler outlet online shop

moncler uomo Dr. Anders sent him to a moncler bambino saldi neurologist who ruled out epilepsy, migraine headaches, brain moncler outlet online shop tumors, Huntington’s disease and any other neurological condition with a physical exam, CT scan and MRI. After an internist concluded that Tony did not have any toxic or metabolic disorders, like hypothyroidism or hypoglycemia, Dr. Anders moncler saldi made a diagnosis of depersonalization disorder. Tony worked with her for several more months, never taking any medicine other than the tranquilizer. He dropped out of treatment without improving. Dr. Anders felt she could have helped Tony if only he would have tried one of the new medications. moncler uomo

moncler saldi outlet Depersonalization disorder is a “persistent or recurrent experience of feeling detached from, and as if one is an outside observer of, one’s mental processes or body,” according to DSMIV TR. Reality testing remains intact. “Depersonalization causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.” Depersonalization moncler donna does not occur exclusively during the course of another mental disorder, such as schizophrenia. It is thought that women have the disorder twice as frequently as men and that depersonalization is rarely found in those over 40. Tony clearly fit the criteria of DSMIV TR and yet he was exceptional, being male and over 40. moncler saldi outlet

piumini moncler scontatissimi Depersonalization may occur occasionally in any individual, but if it continues as it did in Tony, then it is pathological and debilitating. Tony felt like he was in a dream all the time. piumini moncler scontatissimi

moncler outlet The disorder can occur suddenly and then be chronic. As in Tony’s case, it is likely to start between the ages piumini moncler uomo of 15 to 30. It is believed that it almost never moncler outlet online uomo begins after 30 or in the later years of life. It can be long lasting and either steady or episodic. Unfortunately, not much is known about the treatment of depersonalization disorder. Dr. Anders’ suggestions to Tony about trying various antidepressants, mood stabilizers and antipsychotics were logical, but thus far insufficient data about what really works is available. moncler outlet

piumini moncler saldi Carol W. When she’s not moncler saldi uomo listening to patients, she’s writing or painting. As an undergraduate she attended the University of California at Berkeley; she went to medical school at NYU Medical Center. Presently she is an Assistant Clinical Professor at NYU. She has practiced psychiatry for 25 years and is a member of the APA, ASJA and NWU. Her two books, “100 Questions and Answers About Panic Disorder” and “Personality Disorders,” have helped thousands of patients deal with mental disorders. Read her blog on Red Room piumini moncler saldi.

Leave a Reply

Your email address will not be published.

XHTML: You can use these tags <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <s> <strike> <strong>