CBT for Depersonalisation-Derealisation

In my current NHS role, I am the Clinical lead for a National and Highly Specialist Depersonalisation - Derealisation Disorder Service, where I use CBT to specifically help people who are struggling with symptoms of Depersonalisation/Derealisation, including but not limited to:

Feeling as if you are on autopilot all the time

Feeling emotionally or physically numb

Feeling like you aren’t in control of your speech/movements

Feeling like you are observing your thoughts and feelings

Feeling like you are detached from your body or parts of your body

Depersonalisation symptoms

(a sense of feeling disconnected from your body)

Feeling as if the world around you is not real

Feeling as if you are seeing the world through a pane of glass or in bubble

Feeling as if you are living in a dream or a film

Experiencing visual distortions, such as objects appearing bigger or smaller than normal/blurry/2D/artificial or having heightened awareness of your surroundings

Experiencing time distortions, such as time feeling slower or faster

Derealisation symptoms

(a sense of feeling disconnected from the world around you)