Boris Kluski has occasionally felt a sensation of being detached from his surroundings. He tells the social worker that he feels as if he were "in a dream" during these times. Boris' feelings of unreality most commonly occur when he is feeling overtired. What is the most likely diagnosis to consider for Boris?

Question

Quizplus · Accepted Answer

Boris is experiencing symptoms of depersonalization/derealization disorder, which is characterized by feelings of being detached from one's surroundings or sense of self. These feelings often occur during times of stress or fatigue. Dissociative identity disorder involves the presence of multiple distinct identities or personalities, acute stress disorder involves the development of anxiety and other symptoms after exposure to a traumatic event, and dissociative amnesia involves the inability to remember important personal information.

Boris Kluski Has Occasionally Felt a Sensation of Being Detached