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Disordered: Anxiety Help

Existential Anxiety With Depersonalization/De-Realization (Episode 105)

Disordered: Anxiety Help

Josh Fletcher and Drew Linsalata

Mental Health, Health & Fitness

4.9663 Ratings

🗓️ 28 March 2025

⏱️ 44 minutes

🧾️ Download transcript

Summary

One of the perfect storms in the anxiety disorder world is the combination of existential related anxiety with the sensations/experiences of depersonalization and derealization. Unfortunately for many, this is a common combination and it can be so difficult to understand and address that it seemed an episode dedicated to this issue was in order.


As you might expect, the overall message in this episode is that while this is a very scary combination that be difficult to accept without fighting or resisting, in the end having existentially based thoughts/fears alongside this common anxiety symptom (DP/DR) is safe. It really is OK - though difficult - to take an acceptance based approach in this situation too.


The discussion touches on how anxiety can turn curiosity and wonder into dread, how an anxious mind will try very hard to answer un-answerable questions, and how DP/DR might seem to confirm the important/dangerous nature of existential thoughts and fears (but it really doesn't confirm anything except the fact that you are afraid and anxious).


As usual, the guys share some of their own experience, add clinical experience and expertise, and sprinkle a dash of humor and a helping of kindness and understanding into the discussion.


If you feel like DP/DR alongside existential anxiety is a deal breaker or show-stopper for you .... tune in. This one might be helpful.

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Disordered Roundtables are here! Think of it as "Disordered Live", a way for members of our audience to spend time with us in an intimate virtual setting (attendance is limited) to engage in real time sharing and discussion on specific anxiety disorder and recovery topics. To be notified when new Disordered Roundtable sessions are scheduled,⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠visit our homepage and get on our mailing list⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.

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Struggling with worry and rumination that you feel you can't stop or control? Check out ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Worry and Rumination Explained⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, a two hour pre-recorded workshop produced by Josh and Drew. The workshop takes a deep dive into the mechanics of worrying and ruminating, offering some helpful ways to approach the seemingly unsolvable problem of trying to solve seemingly unsolvable problems.


⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://bit.ly/worryrumination⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

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Want to ask us questions, share your wins, or get more information about Josh, Drew, and the Disordered podcast? Visit us on the web:

⁠⁠⁠⁠⁠⁠⁠https://disordered.fm⁠

Transcript

Click on a timestamp to play from that location

0:00.0

You're not going to solve those really deep existential questions in the middle of Walmart while you're triggered with DPDR and OCD.

0:12.1

Then why are we even here?

0:13.9

It just would devastate me.

0:15.4

Why are we even here?

0:16.2

How did that happen?

0:17.4

Love it now.

0:18.6

Hated it then.

0:19.5

Because DPDR was one of the symptoms that I,

0:21.9

just dogged me all the time. It was with me all the time. Feeling of depersonalization and

0:26.1

de-realization almost confirms that, yes, in fact, this horrible as existential type dilemmas that

0:31.3

I'm struggling with are really important. And you know it's an OCD anxiety disorder

0:36.6

worry when it's like, oh, what's the meaning of life?

0:38.6

You must find that out.

0:40.2

That isn't curiosity.

0:41.4

That is answer the exam quest.

0:43.2

Whereas when you're walking along and you're not triggered,

0:45.3

you're doing it out reflecting and wondering.

0:48.0

You're doing it through curiosity.

0:49.7

That's the difference.

0:53.4

Welcome to Disorder. This is episode 105 of the podcast. Today to Disorder.

0:54.7

This is episode 105 of the podcast.

0:57.0

Today we're talking about DPDR, which is depersonalization and derealization, very, very

...

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