“Nothing feels real” — separating depersonalization from derealization
Fictional training scenario. A deterministic, authored teaching exercise — not a real patient and not a diagnostic tool. The aim is to establish the phenomenology cleanly, not to pick a “right answer”.
Patient: Nothing feels real any more. I can’t explain it.
The complaint is vague and hard to put into words. What would you ask first?
Pick the question you would actually ask. There is no marked “correct” option — each choice has consequences you will see.