New CED – Psychological Disorders Practice Test

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Which statement best distinguishes depersonalization from derealization?

Reality testing is impaired

Reality testing is intact

In depersonalization and derealization, the person feels detached from either their own self or the surrounding world, but they still know that what they’re experiencing isn’t real in the sense of a true and fixed belief about reality. That is, reality testing remains intact. This intact reality testing is what helps clinicians distinguish these dissociative experiences from psychotic disorders, where individuals may have delusions, hallucinations, or an inability to distinguish what’s real from what isn’t. The other options point to psychotic features—impaired reality testing, mood-congruent psychosis, or visual hallucinations—none of which are typical of depersonalization/derealization themselves.

There is prominent mood-congruent psychosis

Visual hallucinations are common

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