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학습 자료 둘러보기 →The core feature is persistent or recurrent experiences of depersonalization (detachment from one's body/thoughts) or derealization (detachment from surroundings), causing significant distress or impairment. Reality testing remains intact; the client knows it is a feeling, not actual physical separation.
Key assessment findings include feeling like an outside observer of one's thoughts or body, emotional or physical numbing, and a sense of unreality. The client may describe it as "watching a movie" or "floating above" themselves. Onset is often in adolescence or early adulthood.
Distinguish from dissociative amnesia (memory loss) and dissociative identity disorder (multiple personality states). Rule out substance-induced or medical causes. Do not challenge the client's experience; validate distress while grounding them in the present.
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