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Yes, severe depression can lead to a range of emotional and cognitive symptoms, and feeling unreal or disconnected from reality is one such symptom. This feeling of detachment from oneself or one's surroundings is often referred to as "depersonalization" or "derealization."

Depersonalization: This is characterized by a sense of being detached from oneself, as if you are an outside observer of your thoughts, feelings, and actions. It can lead to feelings of emotional numbness and disconnection from your own identity.

Derealization: This involves a sense of the external world feeling strange, unreal, or dream-like. Objects and people may seem distant or distorted, and the environment may lose its usual sense of familiarity.

These experiences can be distressing and may contribute to a sense of isolation and confusion in individuals struggling with severe depression. Depersonalization and derealization are often defense mechanisms or coping strategies the mind employs during periods of extreme emotional distress or trauma.

It's essential to note that depersonalization and derealization can also occur as part of other mental health conditions or in response to certain stressors, and they are not exclusive to depression.

If you or someone you know is experiencing severe depression or any associated symptoms like feeling unreal, it's crucial to seek professional help from a qualified mental health professional. They can conduct a thorough evaluation, provide an accurate diagnosis, and develop an appropriate treatment plan to address the underlying causes and provide the necessary support.

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