How to treat personality disintegration

Personality disintegration can be intervened through psychological therapy, medication therapy, lifestyle adjustments, social support, physical therapy, and other methods. Personality disintegration may be related to psychological trauma, mental illness, drug abuse, sleep deprivation, chronic stress, and other factors, usually manifested as symptoms such as loss of sense of reality, emotional numbness, and enhanced self observation.

1. Psychotherapy

Cognitive behavioral therapy is a core intervention for personality disintegration, which helps patients rebuild their sense of reality by identifying and correcting distorted self-awareness. Acceptance and commitment therapy can reduce excessive attention to symptoms and guide patients to focus on current behavior. Psychodynamic therapy is suitable for exploring potential psychological conflicts, especially for cases related to childhood trauma. The treatment cycle usually takes several months, and it is recommended to have 1-2 professional consultations per week. Group therapy can alleviate shame by sharing experiences with peers.

2. Drug therapy

Selective serotonin reuptake inhibitors such as fluoxetine hydrochloride capsules may improve accompanying anxiety and depression symptoms. Benzodiazepine drugs such as lorazepam tablets are limited to short-term relief of acute attacks. Atypical antipsychotic drugs such as olanzapine tablets may be effective for patients with concomitant perceptual disorders. Medication should strictly follow the guidance of a psychiatrist and avoid self adjustment of dosage. Medication is usually used as an adjunct to psychotherapy and is not recommended for long-term monotherapy.

3. Lifestyle Adjustment

Maintaining a regular sleep schedule can help stabilize biological rhythms, with a daily sleep time of 7-9 hours. Restricting caffeine and alcohol intake can reduce the probability of symptom triggering. Mindfulness meditation training for 20-30 minutes a day can enhance self-awareness. Moderate aerobic exercise such as swimming can promote the secretion of endorphins, recommended 3-5 times a week. Add deep-sea fish rich in omega-3 fatty acids to the diet and reduce refined sugar intake.

4. Social Support

Family members should avoid overreacting to symptoms and maintain a stable emotional response pattern. Participating in mental health education courses can help family and friends understand the essence of illness. Establishing patient mutual aid groups can reduce social isolation and conduct regular offline communication every month. Adaptive adjustments can be applied in the workplace or school environment to avoid triggering high-pressure tasks. Partner participation in therapy can improve emotional connections in intimate relationships.

5. Physical therapy

Transcranial magnetic stimulation therapy has shown certain effects on some refractory cases and needs to be evaluated by professional institutions before implementation. Biofeedback training helps patients autonomously regulate physiological indicators and improve body perception abnormalities. Touching stimuli such as warm baths or massages can help rebuild the sense of body boundaries. Art therapy, such as clay sculpture, can enhance one's sense of existence through nonverbal expression. Avoid excessive reliance on virtual reality devices to prevent further weakening of the sense of reality.

Patients with personality disorder need to establish a symptom diary to record the triggering factors and mitigating factors, and regularly review the progress with the attending physician. Maintain stable social role participation and avoid avoiding daily activities due to symptoms. Pay attention to balanced nutrition in diet, and supplement B vitamins and magnesium in moderation. When there is a tendency towards self harm or injury, immediate crisis intervention should be sought. During the long-term rehabilitation process, phased small goals should be set to avoid rushing for treatment results. It is recommended to undergo a comprehensive psychological assessment every 3-6 months.