The psychodynamic perspective is a modern therapeutic approach that evolved from Sigmund Freud's psychoanalytic theories. While it continues to focus on the influence of internal drives, unconscious forces, and childhood experiences on behavior, its application in therapy is typically less intensive than traditional psychoanalysis. The goal is to help individuals gain self-awareness and change problematic patterns in their thoughts, feelings, and relationships.

Psychodynamic Therapy

During periods of relatively mild symptoms, a psychodynamic approach may be used in which the patient focuses on self-reflection and self-examination.

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- Psychotherapy
- Supportive interventions
- Psychodynamic approach
- Pharmacotherapy

The most effective treatment for DDD is specifically adapted to address the complex traumas and high level of dissociation among DDD patients.

Depersonalization-Derealization Disorder Treatments

Sierra, M., & David, A. S. (2011). Depersonalization: A selective impairment of self-awareness. Consciousness and Cognition, 20(1), 99–108. https://doi.org/10.1016/j.concog.2010.10.018

Depersonalization: A selective impairment of self-awareness

Gentile, J. P., Snyder, M., & Gillig, P. M. (2014). STRESS AND TRAUMA: Psychotherapy and Pharmacotherapy for Depersonalization/ Derealization Disorder. Innovations in Clinical Neuroscience, 11(7–8), 37–41. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4204471/pdf/icns_11_7-8_37.pdf

STRESS AND TRAUMA: Psychotherapy and Pharmacotherapy for Depersonalization/Derealization Disorder

Psychotherapy can be complicated and may require a unique approach or a change between supportive and psychodynamic approaches.

Psychotherapy and DDD

Supportive interventions consist of crisis interventions and shoring up existing coping skills and strategies. These are a better fit during periods of acute stressors, frequent dissociation, and/or severe depression and anxiety.

Supportive Interventions and DDD

Psychodynamic Approach and DDD

There’s no known pharmacotherapy for treating DDD. Most medications prescribed to patients with DDD fall into the categories of antidepressant and anxiolytic and are used to alleviate comorbid anxiety and mood symptoms (especially panic and obsessions), but don't treat the dissociative psychopathology. Stabilization of mood may contribute to a more tolerable affective state with DDD.

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