First experiences with depersonalization may be frightening, with patients fearing loss of control, dissociation from the rest of society and functional impairment.
During episodic and continuous depersonalization, sufferers are able to distinguish between reality and fantasy, and their grasp on reality remains stable at all times.
The common symptoms are an intense craving for nicotine, anxiety, depersonalization, drowsiness, depression, headaches, increase in appetite, weight gain and difficulty with concentration.
The main differences between dissociative psychedelics and serotonergic hallucinogens are that the dissociatives cause more intense derealization and depersonalization.