Derealization Symptoms, Causes & Statistics

Understand your derealization symptoms, including 3 causes & common questions.

This symptom can also be referred to as: nothing seems real

  1. 3 Possible Derealization Causes
  2. Real-Life Stories
  3. Statistics
  4. Related Articles

3 Possible Derealization Causes

The list below shows results from the use of our quiz by Buoy users who experienced derealization. This list does not constitute medical advice and may not accurately represent what you have.

Depersonalization/derealization identity disorder

Depersonalization/derealization identity disorder are two types of dissociative disorders. This means the person's thoughts and feelings become disassociated – or disconnected – from reality.

Depersonalization and derealization are similar and often occur together.

Depersonalization means the person feels no connection to their own thoughts, emotions, or experiences.

Derealization means the person feels that the world around them is unreal, dreamlike, or entirely imaginary.

Anyone can have a dissociative disorder, though it is most common among adolescents who have experienced traumatic events.

Symptoms include a sense of detachment from the self, as though standing aside and watching events happen to someone else; memory loss regarding certain events; and significant depression and anxiety. The symptoms may come and go.

Dissociative disorders can severely affect a person's quality of life and ability of function normally. A medical provider should be seen for referral to the appropriate specialist.

Diagnosis is made through patient history. Tests may be done to rule out any physical condition.

Treatment involves psychotherapy and sometimes medications such as antidepressants or anxiolytics.

Rarity: Rare

Top Symptoms: depersonalization or derealization, derealization, impaired social or occupational functioning, ringing in the ears, amnesia

Symptoms that always occur with depersonalization/derealization identity disorder: depersonalization or derealization

Urgency: Primary care doctor

Derealization Symptom Checker

Take a quiz to find out what might be causing your derealization


Schizophrenia is a complex and chronic mental illness that can severely affect a person's behavior and understanding of reality. Schizophrenia interferes with a person's ability to think, make decisions and manage emotions, with many other symptoms that can be significantly disabling.

A wide var...

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Depression is a mental disorder in which a person feels constantly sad, hopeless, discouraged, and loses interest in activities and life on more days than not. These symptoms interfere with daily life, work, and friendships.

Rarity: Common

Top Symptoms: fatigue, depressed mood, headache, anxiety, irritability

Symptoms that always occur with depression: depressed mood

Urgency: Primary care doctor

Real-life Stories

Once your story is reviewed and approved by our editors, it will live on Buoy as a helpful resource for anyone who may be dealing with something similar. If you want to learn more, try Buoy Assistant.

Derealization Symptom Checker Statistics

People who have experienced derealization have also experienced:

  • 5% Fatigue
  • 3% Headache
  • 2% Bloody Vaginal Discharge

People who have experienced derealization were most often matched with:

  • 36% Depersonalization/Derealization Identity Disorder
  • 36% Depression
  • 27% Schizophrenia

Source: Aggregated and anonymized results from Buoy Assistant (a.k.a. the quiz).

Derealization Symptom Checker

Take a quiz to find out what might be causing your derealization

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