Depersonalization and derealization (DPDR) involve feeling detached from one's body, thoughts, or emotions, typically triggered by trauma, stress, or drugs and causing high distress. Similar experiences arise during meditation, where they are often described as positive and meaningful. This cross-sectional study compared DPDR-like states triggered by meditation (60 participants) versus other triggers (61 participants). The meditation-triggered group rated their experiences as substantially more positive, though most participants in both groups described them as mixed. Meditation-induced DPDR occurred across types and experience levels. These experiences are phenomenologically similar but more welcome, pleasant, and spiritually meaningful than those from trauma or cannabis, though distress is not uncommon. Contemplative approaches may inform clinical support for DPDR, and guidance within meditation settings is needed.
Meditation can trigger states phenomenologically similar to depersonalization/derealization (DPDR), but these experiences are typically rated as more positive, welcome, and spiritually meaningful than DPDR triggered by trauma, stress, or cannabis. In a cross-sectional survey comparing 60 people whose DPDR-like experiences came from meditation with 61 whose came from other triggers, the two groups scored similarly on the Cambridge Depersonalisation Scale but differed on measures of mysticism, ego dissolution, challenging experiences, and mindfulness. Most participants in both groups described their experiences as mixed, yet the meditation group rated them as much more positive. The findings suggest that contemplative approaches could inform clinical support for DPDR and that guidance is needed within meditation settings.