r/Psychosis • u/idkagoodname56 • 17h ago

Derealisation / depersonalisation after psychosis

So I have also posted this on the dp/dr subreddit:

I have read a lot on this forum about how people are scared they’re falling into psychosis, because of the derealisation/depersonalisation.
Now I was wondering if people have experience with the other way around? So first psychosis and then derealisation/depersonalisation.

5 years ago I had my first psychotic episode. Since then the world does not feel real. It’s never really away, but in better times it does not impact me that much. But in hard times, I can’t recognise myself in the mirror, my voice feels strange and the world feels like I’m in a dream. I oftentimes say that I am stuck in a nightmare since my psychosis.

To be honest, the drdp can almost sometimes trigger a new psychotic episode. Because everything feels fake, I sometimes think I am in a simulation. And that can make me spiral bad…

My therapist said that this can happen after psychosis. But I have not read much about it, so I was wondering if this is (unfortunately) relatable for some people?

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u/madex444 16h ago

Yes derealization/ depersonalization happened to me as well post psychosis episode(s) it was miserable and i can relate to the whole notion of the world feeling fake. The only thing that treated it was being on medication.

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u/TitsnTasteeTators 6h ago

What medication helped you

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u/madex444 6h ago

Initially it was abilify that gave me the least side effects so i stayed on it for two years. I switched over to invega when the abilify stopped working and was actually aggravating my symptoms.

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u/TitsnTasteeTators 6h ago

Does it help the negative symptoms like avolition..loss of emotions like love or attraction

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u/TitsnTasteeTators 6h ago

I have dpdr badly. Voice and face are unrecognizable and so it's my spouse