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This is to differentiate from external voices which are more commonly found in psychoses. One-third to one-half of patients with DPDR also experience hearing internal voices. In some cases, individuals may be unable to accept their reflection as their own, or they may have out-of-body experiences. Individuals with the disorder commonly describe a feeling as though time is passing them by and they are not in the notion of the present. While depersonalization involves detachment from one's self, individuals with derealization feel detached from their surroundings, as if the world around them is foggy, dreamlike, or visually distorted.
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Individuals with depersonalization describe feeling disconnected from their physicality feeling as if they are not completely occupying their own body feeling as if their speech or physical movements are out of their control feeling detached from their own thoughts or emotions and experiencing themselves and their lives from a distance. People who are diagnosed with depersonalization also often experience an urge to question and think critically about the nature of reality and existence. The core symptoms of depersonalization-derealization disorder is the subjective experience of "unreality in one's self", or detachment from one's surroundings. 7.1 Relation to other psychiatric disorders.5.3 Repetitive transcranial magnetic stimulation (rTMS).3.4.3 Consequence of psychoactive substance use.3.3 International Classification of Diseases 11th Revision (ICD-11).