Cambridge Depersonalisation Scale

The Cambridge Depersonalisation Scale (CDS) is a widely used, validated self-report instrument that captures the frequency and duration of depersonalization…

Cambridge Depersonalisation Scale
Questions
29
Duration
10 min
Original title
CDS — Cambridge Depersonalization Scale
Adaptation
Cambridge Depersonalisation Scale
Authors
Sierra, M. & Berrios, G. E.
Created
2000

The Cambridge Depersonalisation Scale (CDS) is a widely used, validated self-report instrument that captures the frequency and duration of depersonalization and derealization symptoms. Originally developed by Sierra and Berrios, it allows clinicians to evaluate the subjective and often distressing experiences of detachment from self, body, and surroundings. Because dissociative symptoms can occur across various mental health conditions—such as anxiety, trauma-related disorders, and mood disorders—a repeatable, standardized measure provides crucial clarity when mapping a patient's presentation.

By explicitly differentiating the frequency of symptoms from their typical duration, the CDS offers a nuanced clinical picture of how depersonalization impacts daily functioning. This granular approach helps clinicians track symptom fluctuations over time, establish an evidence-based baseline, and structure psychoeducation around the specific facets of the dissociative experience, from emotional numbing to anomalous body perception. Weaving the CDS into an assessment protocol like Depersonalization-Derealization: PDF Worksheet, Tools and Exercises can strengthen the shared understanding of these often hard-to-describe phenomena.

Example result

Fictitious result, computed from a sample set of answers.

Overall score
152/ 290
29-item self-report questionnaire assessing the frequency and duration of depersonalization and derealization experiences occurring over the past 6 months. It explores a broad range of phenomena: feelings of unreality or self-estrangement, detachment from the body, emotional numbing, alterations in the perception of the external world, distortions in the experience of time and memory, feeling of being an outside observer of one's own actions or thoughts. Benchmark instrument for screening and monitoring depersonalization/derealization disorder as well as dissociative symptoms in other disorders (anxiety, trauma, temporal lobe epilepsy, substance-induced effects).
0–69
Clinical threshold not met
70–290
Clinically significant depersonalization
152
Usual cutoff score for the original version, used to identify a clinically significant presentation of depersonalization.
généralemixed · general population · healthy controls · United Kingdom · n = 15 · 2015 · Owens et al. (2015)effectif faible
0290
152
M = 19.33 ± 15
cliniquemixed · condition: Depersonalization Disorder · United Kingdom · n = 14 · 2015 · Owens et al. (2015)effectif faible
0290
152
M = 141.79 ± 37.5
Scoring
Sum of item scores (frequency + duration, or 0 if the item never occurred), total score from 0 to 290, each item is scored on a 25-point scale (from 0 to 10).
Alienation from surroundings / Derealization
12/ 40
Alienation from surroundings: feeling of unreality or strangeness of the perceived world.
items 1, 2, 5, 13
12
040
Emotional numbing
34/ 60
Emotional numbing: reduction of emotional feeling toward oneself and others.
items 7, 9, 10, 18, 25, 28
34
060
Anomalous body experience
51/ 90
Anomalous body experiences: feelings of strangeness or non-belonging of the body.
items 3, 6, 8, 11, 15, 20, 23, 24, 27
51
090
Anomalous subjective recall
35/ 50
Anomalous subjective recall: memories experienced as distant, vague, or not belonging to oneself.
items 14, 16, 17, 19, 21
35
050

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What the test measures

The CDS captures the multidimensional nature of depersonalization and derealization experiences. It breaks down the overarching sense of unreality into four core clinical facets, allowing clinicians to pinpoint which aspects of dissociation are most prominent, often complementing a broader assessment of Exploring Your Anxiety Experience.

  • Anomalous body experience: Feeling detached from one's physical body, lacking agency over movements, or experiencing distorted somatic perceptions.
  • Emotional numbing: A marked absence of emotional reactivity, a loss of affection, or a blunted capacity for pleasure and distress.
  • Alienation from surroundings: Derealization symptoms where the environment feels flat, lifeless, or as if separated by a veil.
  • Anomalous subjective recall: Distortions in the subjective experience of time and memory, such as feeling disconnected from one's own past or experiencing déjà vu.

This instrument is intended for adult patients presenting with dissociative symptoms, whether as a primary concern or in the context of broader psychological difficulties such as severe anxiety or trauma.

When and why to use it

Clinicians integrate the CDS into their practice to objectify symptoms that patients often struggle to articulate. It is particularly valuable for mapping the nuances of a dissociative presentation and guiding targeted interventions.

  • Intake and baseline assessment: To establish a comprehensive profile of dissociative symptoms when a patient presents with complaints of feeling unreal or numb.
  • Differential support: To help distinguish primary depersonalization from dissociative symptoms secondary to acute stress, panic attacks, or Generalized Anxiety Disorder (GAD).
  • Monitoring treatment progress: To track changes in symptom frequency and duration over the course of therapy, providing tangible evidence of improvement.
  • Psychoeducation anchor: To validate the patient's experience by showing them that their frightening symptoms are recognized phenomena, which pairs well with tools like a Friendly Formulation.

Using a validated score adds precision over clinical impression alone by formally quantifying both how often symptoms occur and how long they persist, ensuring that subtle shifts in the patient's condition are not missed.

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The questions

  1. This questionnaire describes strange experiences that may occur in healthy individuals as well as in those who seek help for psychological difficulties. We would like to know to what extent you have had these experiences OVER THE PAST 6 MONTHS. For each item, please indicate the FREQUENCY with which you have experienced it and its usual DURATION. If you are not sure, give your best guess. If the experience has never happened to you, check 'Never' (the duration question does not apply).
    1. For no apparent reason, I feel strange, as if I'm not real or as if I'm cut off from the world.
    Probes the sudden onset of profound detachment from reality and the self.
    • Never
    • Rarely – a few seconds
    • Rarely – a few minutes
    • Rarely – a few hours
    • Rarely – about a day
    • Rarely – more than a day
    • Rarely – more than a week
    • Often – a few seconds
    • Often – a few minutes
    • Often – a few hours
    • Often – about a day
    • Often – more than a day
    • Often – more than a week
    • Very often – a few seconds
    • Very often – a few minutes
    • Very often – a few hours
    • Very often – about a day
    • Very often – more than a day
    • Very often – more than a week
    • Constantly – a few seconds
    • Constantly – a few minutes
    • Constantly – a few hours
    • Constantly – about a day
    • Constantly – more than a day
    • Constantly – more than a week
  2. 2. What I see looks 'flat' or 'lifeless,' as if I'm looking at a picture.
    Assesses visual derealization where the environment loses its natural depth and vitality.
    • Never
    • Rarely – a few seconds
    • Rarely – a few minutes
    • Rarely – a few hours
    • Rarely – about a day
    • Rarely – more than a day
    • Rarely – more than a week
    • Often – a few seconds
    • Often – a few minutes
    • Often – a few hours
    • Often – about a day
    • Often – more than a day
    • Often – more than a week
    • Very often – a few seconds
    • Very often – a few minutes
    • Very often – a few hours
    • Very often – about a day
    • Very often – more than a day
    • Very often – more than a week
    • Constantly – a few seconds
    • Constantly – a few minutes
    • Constantly – a few hours
    • Constantly – about a day
    • Constantly – more than a day
    • Constantly – more than a week
  3. 3. Some parts of my body feel as though they don't belong to me.
    Evaluates somatic dissociation and the loss of ownership over one's physical body.
    • Never
    • Rarely – a few seconds
    • Rarely – a few minutes
    • Rarely – a few hours
    • Rarely – about a day
    • Rarely – more than a day
    • Rarely – more than a week
    • Often – a few seconds
    • Often – a few minutes
    • Often – a few hours
    • Often – about a day
    • Often – more than a day
    • Often – more than a week
    • Very often – a few seconds
    • Very often – a few minutes
    • Very often – a few hours
    • Very often – about a day
    • Very often – more than a day
    • Very often – more than a week
    • Constantly – a few seconds
    • Constantly – a few minutes
    • Constantly – a few hours
    • Constantly – about a day
    • Constantly – more than a day
    • Constantly – more than a week
  4. 4. I have experienced not feeling any fear in situations that would normally frighten or upset me.
    Investigates the dampening of natural fear responses in objectively threatening contexts.
    • Never
    • Rarely – a few seconds
    • Rarely – a few minutes
    • Rarely – a few hours
    • Rarely – about a day
    • Rarely – more than a day
    • Rarely – more than a week
    • Often – a few seconds
    • Often – a few minutes
    • Often – a few hours
    • Often – about a day
    • Often – more than a day
    • Often – more than a week
    • Very often – a few seconds
    • Very often – a few minutes
    • Very often – a few hours
    • Very often – about a day
    • Very often – more than a day
    • Very often – more than a week
    • Constantly – a few seconds
    • Constantly – a few minutes
    • Constantly – a few hours
    • Constantly – about a day
    • Constantly – more than a day
    • Constantly – more than a week
  5. 5. My favorite activities no longer bring me pleasure.
    Captures pervasive anhedonia and the blunted capacity to experience pleasure.
    • Never
    • Rarely – a few seconds
    • Rarely – a few minutes
    • Rarely – a few hours
    • Rarely – about a day
    • Rarely – more than a day
    • Rarely – more than a week
    • Often – a few seconds
    • Often – a few minutes
    • Often – a few hours
    • Often – about a day
    • Often – more than a day
    • Often – more than a week
    • Very often – a few seconds
    • Very often – a few minutes
    • Very often – a few hours
    • Very often – about a day
    • Very often – more than a day
    • Very often – more than a week
    • Constantly – a few seconds
    • Constantly – a few minutes
    • Constantly – a few hours
    • Constantly – about a day
    • Constantly – more than a day
    • Constantly – more than a week
  6. 6. When I'm doing something, I feel like I'm an 'outside observer' of myself.
    Probes the classic depersonalization symptom of observing one's own actions from an external vantage point.
    • Never
    • Rarely – a few seconds
    • Rarely – a few minutes
    • Rarely – a few hours
    • Rarely – about a day
    • Rarely – more than a day
    • Rarely – more than a week
    • Often – a few seconds
    • Often – a few minutes
    • Often – a few hours
    • Often – about a day
    • Often – more than a day
    • Often – more than a week
    • Very often – a few seconds
    • Very often – a few minutes
    • Very often – a few hours
    • Very often – about a day
    • Very often – more than a day
    • Very often – more than a week
    • Constantly – a few seconds
    • Constantly – a few minutes
    • Constantly – a few hours
    • Constantly – about a day
    • Constantly – more than a day
    • Constantly – more than a week
  7. 7. The taste of food no longer gives me any feeling of pleasure or disgust.
    Assesses the loss of sensory-affective reactivity to food.
    • Never
    • Rarely – a few seconds
    • Rarely – a few minutes
    • Rarely – a few hours
    • Rarely – about a day
    • Rarely – more than a day
    • Rarely – more than a week
    • Often – a few seconds
    • Often – a few minutes
    • Often – a few hours
    • Often – about a day
    • Often – more than a day
    • Often – more than a week
    • Very often – a few seconds
    • Very often – a few minutes
    • Very often – a few hours
    • Very often – about a day
    • Very often – more than a day
    • Very often – more than a week
    • Constantly – a few seconds
    • Constantly – a few minutes
    • Constantly – a few hours
    • Constantly – about a day
    • Constantly – more than a day
    • Constantly – more than a week
  8. 8. My body feels very light, as if it's floating in the air.
    Evaluates kinesthetic distortions and the sensation of physical weightlessness.
    • Never
    • Rarely – a few seconds
    • Rarely – a few minutes
    • Rarely – a few hours
    • Rarely – about a day
    • Rarely – more than a day
    • Rarely – more than a week
    • Often – a few seconds
    • Often – a few minutes
    • Often – a few hours
    • Often – about a day
    • Often – more than a day
    • Often – more than a week
    • Very often – a few seconds
    • Very often – a few minutes
    • Very often – a few hours
    • Very often – about a day
    • Very often – more than a day
    • Very often – more than a week
    • Constantly – a few seconds
    • Constantly – a few minutes
    • Constantly – a few hours
    • Constantly – about a day
    • Constantly – more than a day
    • Constantly – more than a week
  9. 9. When I cry or laugh, I don't feel like I'm experiencing any emotion at all.
    Investigates the disconnection between physical emotional expression and subjective affective experience.
    • Never
    • Rarely – a few seconds
    • Rarely – a few minutes
    • Rarely – a few hours
    • Rarely – about a day
    • Rarely – more than a day
    • Rarely – more than a week
    • Often – a few seconds
    • Often – a few minutes
    • Often – a few hours
    • Often – about a day
    • Often – more than a day
    • Often – more than a week
    • Very often – a few seconds
    • Very often – a few minutes
    • Very often – a few hours
    • Very often – about a day
    • Very often – more than a day
    • Very often – more than a week
    • Constantly – a few seconds
    • Constantly – a few minutes
    • Constantly – a few hours
    • Constantly – about a day
    • Constantly – more than a day
    • Constantly – more than a week
  10. 10. I feel like I have no thoughts, so when I speak, it's as if my words are spoken by an 'automaton'.
    Assesses cognitive emptiness and the subjective loss of agency over speech.
    • Never
    • Rarely – a few seconds
    • Rarely – a few minutes
    • Rarely – a few hours
    • Rarely – about a day
    • Rarely – more than a day
    • Rarely – more than a week
    • Often – a few seconds
    • Often – a few minutes
    • Often – a few hours
    • Often – about a day
    • Often – more than a day
    • Often – more than a week
    • Very often – a few seconds
    • Very often – a few minutes
    • Very often – a few hours
    • Very often – about a day
    • Very often – more than a day
    • Very often – more than a week
    • Constantly – a few seconds
    • Constantly – a few minutes
    • Constantly – a few hours
    • Constantly – about a day
    • Constantly – more than a day
    • Constantly – more than a week
  11. 11. Familiar voices (including my own) sound distant and unreal to me.
    Probes auditory derealization where recognized sounds feel distant or artificial.
    • Never
    • Rarely – a few seconds
    • Rarely – a few minutes
    • Rarely – a few hours
    • Rarely – about a day
    • Rarely – more than a day
    • Rarely – more than a week
    • Often – a few seconds
    • Often – a few minutes
    • Often – a few hours
    • Often – about a day
    • Often – more than a day
    • Often – more than a week
    • Very often – a few seconds
    • Very often – a few minutes
    • Very often – a few hours
    • Very often – about a day
    • Very often – more than a day
    • Very often – more than a week
    • Constantly – a few seconds
    • Constantly – a few minutes
    • Constantly – a few hours
    • Constantly – about a day
    • Constantly – more than a day
    • Constantly – more than a week
  12. 12. I have the impression that my hands or feet have become larger or smaller.
    Evaluates macrosomatognosia and microsomatognosia, capturing distortions in perceived body proportions.
    • Never
    • Rarely – a few seconds
    • Rarely – a few minutes
    • Rarely – a few hours
    • Rarely – about a day
    • Rarely – more than a day
    • Rarely – more than a week
    • Often – a few seconds
    • Often – a few minutes
    • Often – a few hours
    • Often – about a day
    • Often – more than a day
    • Often – more than a week
    • Very often – a few seconds
    • Very often – a few minutes
    • Very often – a few hours
    • Very often – about a day
    • Very often – more than a day
    • Very often – more than a week
    • Constantly – a few seconds
    • Constantly – a few minutes
    • Constantly – a few hours
    • Constantly – about a day
    • Constantly – more than a day
    • Constantly – more than a week
  13. 13. My surroundings seem detached or unreal, as if there's a veil between me and the outside world.
    Investigates the core derealization experience of an invisible barrier separating the individual from their environment.
    • Never
    • Rarely – a few seconds
    • Rarely – a few minutes
    • Rarely – a few hours
    • Rarely – about a day
    • Rarely – more than a day
    • Rarely – more than a week
    • Often – a few seconds
    • Often – a few minutes
    • Often – a few hours
    • Often – about a day
    • Often – more than a day
    • Often – more than a week
    • Very often – a few seconds
    • Very often – a few minutes
    • Very often – a few hours
    • Very often – about a day
    • Very often – more than a day
    • Very often – more than a week
    • Constantly – a few seconds
    • Constantly – a few minutes
    • Constantly – a few hours
    • Constantly – about a day
    • Constantly – more than a day
    • Constantly – more than a week
  14. 14. Things I've done recently feel as if they happened a long time ago. For example, what I did this morning feels like it was several weeks ago.
    Assesses distortions in time perception where recent memories feel inexplicably distant.
    • Never
    • Rarely – a few seconds
    • Rarely – a few minutes
    • Rarely – a few hours
    • Rarely – about a day
    • Rarely – more than a day
    • Rarely – more than a week
    • Often – a few seconds
    • Often – a few minutes
    • Often – a few hours
    • Often – about a day
    • Often – more than a day
    • Often – more than a week
    • Very often – a few seconds
    • Very often – a few minutes
    • Very often – a few hours
    • Very often – about a day
    • Very often – more than a day
    • Very often – more than a week
    • Constantly – a few seconds
    • Constantly – a few minutes
    • Constantly – a few hours
    • Constantly – about a day
    • Constantly – more than a day
    • Constantly – more than a week
  15. 15. Although I'm wide awake, I have 'visions' in which I see myself from the outside, as if I were looking at my reflection in a mirror.
    Probes autoscopic experiences involving vivid external visualizations of the self.
    • Never
    • Rarely – a few seconds
    • Rarely – a few minutes
    • Rarely – a few hours
    • Rarely – about a day
    • Rarely – more than a day
    • Rarely – more than a week
    • Often – a few seconds
    • Often – a few minutes
    • Often – a few hours
    • Often – about a day
    • Often – more than a day
    • Often – more than a week
    • Very often – a few seconds
    • Very often – a few minutes
    • Very often – a few hours
    • Very often – about a day
    • Very often – more than a day
    • Very often – more than a week
    • Constantly – a few seconds
    • Constantly – a few minutes
    • Constantly – a few hours
    • Constantly – about a day
    • Constantly – more than a day
    • Constantly – more than a week
  16. 16. I feel detached from memories of things that have happened to me, as if I wasn't involved in them.
    Evaluates the loss of personal ownership over autobiographical memories.
    • Never
    • Rarely – a few seconds
    • Rarely – a few minutes
    • Rarely – a few hours
    • Rarely – about a day
    • Rarely – more than a day
    • Rarely – more than a week
    • Often – a few seconds
    • Often – a few minutes
    • Often – a few hours
    • Often – about a day
    • Often – more than a day
    • Often – more than a week
    • Very often – a few seconds
    • Very often – a few minutes
    • Very often – a few hours
    • Very often – about a day
    • Very often – more than a day
    • Very often – more than a week
    • Constantly – a few seconds
    • Constantly – a few minutes
    • Constantly – a few hours
    • Constantly – about a day
    • Constantly – more than a day
    • Constantly – more than a week
  17. 17. When in a new situation, I feel like I've experienced it before.
    Investigates the frequency of déjà vu experiences in novel contexts.
    • Never
    • Rarely – a few seconds
    • Rarely – a few minutes
    • Rarely – a few hours
    • Rarely – about a day
    • Rarely – more than a day
    • Rarely – more than a week
    • Often – a few seconds
    • Often – a few minutes
    • Often – a few hours
    • Often – about a day
    • Often – more than a day
    • Often – more than a week
    • Very often – a few seconds
    • Very often – a few minutes
    • Very often – a few hours
    • Very often – about a day
    • Very often – more than a day
    • Very often – more than a week
    • Constantly – a few seconds
    • Constantly – a few minutes
    • Constantly – a few hours
    • Constantly – about a day
    • Constantly – more than a day
    • Constantly – more than a week
  18. 18. For no apparent reason, I find myself feeling no affection for my family and loved ones.
    Assesses the sudden loss of interpersonal warmth and emotional connection to loved ones.
    • Never
    • Rarely – a few seconds
    • Rarely – a few minutes
    • Rarely – a few hours
    • Rarely – about a day
    • Rarely – more than a day
    • Rarely – more than a week
    • Often – a few seconds
    • Often – a few minutes
    • Often – a few hours
    • Often – about a day
    • Often – more than a day
    • Often – more than a week
    • Very often – a few seconds
    • Very often – a few minutes
    • Very often – a few hours
    • Very often – about a day
    • Very often – more than a day
    • Very often – more than a week
    • Constantly – a few seconds
    • Constantly – a few minutes
    • Constantly – a few hours
    • Constantly – about a day
    • Constantly – more than a day
    • Constantly – more than a week
  19. 19. Objects around me seem smaller or farther away.
    Probes visual distortions involving micropsia and altered depth perception.
    • Never
    • Rarely – a few seconds
    • Rarely – a few minutes
    • Rarely – a few hours
    • Rarely – about a day
    • Rarely – more than a day
    • Rarely – more than a week
    • Often – a few seconds
    • Often – a few minutes
    • Often – a few hours
    • Often – about a day
    • Often – more than a day
    • Often – more than a week
    • Very often – a few seconds
    • Very often – a few minutes
    • Very often – a few hours
    • Very often – about a day
    • Very often – more than a day
    • Very often – more than a week
    • Constantly – a few seconds
    • Constantly – a few minutes
    • Constantly – a few hours
    • Constantly – about a day
    • Constantly – more than a day
    • Constantly – more than a week
  20. 20. I can't properly feel the objects I touch with my hands, because it feels like it's not me touching them.
    Evaluates tactile dissociation and the loss of physical boundary awareness.
    • Never
    • Rarely – a few seconds
    • Rarely – a few minutes
    • Rarely – a few hours
    • Rarely – about a day
    • Rarely – more than a day
    • Rarely – more than a week
    • Often – a few seconds
    • Often – a few minutes
    • Often – a few hours
    • Often – about a day
    • Often – more than a day
    • Often – more than a week
    • Very often – a few seconds
    • Very often – a few minutes
    • Very often – a few hours
    • Very often – about a day
    • Very often – more than a day
    • Very often – more than a week
    • Constantly – a few seconds
    • Constantly – a few minutes
    • Constantly – a few hours
    • Constantly – about a day
    • Constantly – more than a day
    • Constantly – more than a week
  21. 21. I can no longer picture things in my mind, for example, a loved one's face or a familiar place.
    Investigates subjective deficits in mental imagery and visual recall.
    • Never
    • Rarely – a few seconds
    • Rarely – a few minutes
    • Rarely – a few hours
    • Rarely – about a day
    • Rarely – more than a day
    • Rarely – more than a week
    • Often – a few seconds
    • Often – a few minutes
    • Often – a few hours
    • Often – about a day
    • Often – more than a day
    • Often – more than a week
    • Very often – a few seconds
    • Very often – a few minutes
    • Very often – a few hours
    • Very often – about a day
    • Very often – more than a day
    • Very often – more than a week
    • Constantly – a few seconds
    • Constantly – a few minutes
    • Constantly – a few hours
    • Constantly – about a day
    • Constantly – more than a day
    • Constantly – more than a week
  22. 22. When a part of my body hurts, I feel so detached from the pain that it seems like it's 'someone else's pain'.
    Assesses the dissociation of pain perception from a sense of personal ownership.
    • Never
    • Rarely – a few seconds
    • Rarely – a few minutes
    • Rarely – a few hours
    • Rarely – about a day
    • Rarely – more than a day
    • Rarely – more than a week
    • Often – a few seconds
    • Often – a few minutes
    • Often – a few hours
    • Often – about a day
    • Often – more than a day
    • Often – more than a week
    • Very often – a few seconds
    • Very often – a few minutes
    • Very often – a few hours
    • Very often – about a day
    • Very often – more than a day
    • Very often – more than a week
    • Constantly – a few seconds
    • Constantly – a few minutes
    • Constantly – a few hours
    • Constantly – about a day
    • Constantly – more than a day
    • Constantly – more than a week
  23. 23. I have the sensation of being outside my body.
    Probes out-of-body experiences and profound spatial detachment from the physical self.
    • Never
    • Rarely – a few seconds
    • Rarely – a few minutes
    • Rarely – a few hours
    • Rarely – about a day
    • Rarely – more than a day
    • Rarely – more than a week
    • Often – a few seconds
    • Often – a few minutes
    • Often – a few hours
    • Often – about a day
    • Often – more than a day
    • Often – more than a week
    • Very often – a few seconds
    • Very often – a few minutes
    • Very often – a few hours
    • Very often – about a day
    • Very often – more than a day
    • Very often – more than a week
    • Constantly – a few seconds
    • Constantly – a few minutes
    • Constantly – a few hours
    • Constantly – about a day
    • Constantly – more than a day
    • Constantly – more than a week
  24. 24. When I move, I don't feel in control of my movements; I feel 'automatic' and mechanical, like a 'robot'.
    Evaluates the loss of motor agency and the sensation of robotic automatism.
    • Never
    • Rarely – a few seconds
    • Rarely – a few minutes
    • Rarely – a few hours
    • Rarely – about a day
    • Rarely – more than a day
    • Rarely – more than a week
    • Often – a few seconds
    • Often – a few minutes
    • Often – a few hours
    • Often – about a day
    • Often – more than a day
    • Often – more than a week
    • Very often – a few seconds
    • Very often – a few minutes
    • Very often – a few hours
    • Very often – about a day
    • Very often – more than a day
    • Very often – more than a week
    • Constantly – a few seconds
    • Constantly – a few minutes
    • Constantly – a few hours
    • Constantly – about a day
    • Constantly – more than a day
    • Constantly – more than a week
  25. 25. The smell of things no longer gives me any feeling of pleasure or displeasure.
    Assesses olfactory numbing and the absence of affective response to scents.
    • Never
    • Rarely – a few seconds
    • Rarely – a few minutes
    • Rarely – a few hours
    • Rarely – about a day
    • Rarely – more than a day
    • Rarely – more than a week
    • Often – a few seconds
    • Often – a few minutes
    • Often – a few hours
    • Often – about a day
    • Often – more than a day
    • Often – more than a week
    • Very often – a few seconds
    • Very often – a few minutes
    • Very often – a few hours
    • Very often – about a day
    • Very often – more than a day
    • Very often – more than a week
    • Constantly – a few seconds
    • Constantly – a few minutes
    • Constantly – a few hours
    • Constantly – about a day
    • Constantly – more than a day
    • Constantly – more than a week
  26. 26. I feel so detached from my thoughts that they seem to have a 'life' of their own.
    Investigates the loss of cognitive ownership where thoughts feel independent of the self.
    • Never
    • Rarely – a few seconds
    • Rarely – a few minutes
    • Rarely – a few hours
    • Rarely – about a day
    • Rarely – more than a day
    • Rarely – more than a week
    • Often – a few seconds
    • Often – a few minutes
    • Often – a few hours
    • Often – about a day
    • Often – more than a day
    • Often – more than a week
    • Very often – a few seconds
    • Very often – a few minutes
    • Very often – a few hours
    • Very often – about a day
    • Very often – more than a day
    • Very often – more than a week
    • Constantly – a few seconds
    • Constantly – a few minutes
    • Constantly – a few hours
    • Constantly – about a day
    • Constantly – more than a day
    • Constantly – more than a week
  27. 27. I have to touch myself to make sure I have a body or a real existence.
    Probes reality-testing behaviors aimed at countering the fear of non-existence.
    • Never
    • Rarely – a few seconds
    • Rarely – a few minutes
    • Rarely – a few hours
    • Rarely – about a day
    • Rarely – more than a day
    • Rarely – more than a week
    • Often – a few seconds
    • Often – a few minutes
    • Often – a few hours
    • Often – about a day
    • Often – more than a day
    • Often – more than a week
    • Very often – a few seconds
    • Very often – a few minutes
    • Very often – a few hours
    • Very often – about a day
    • Very often – more than a day
    • Very often – more than a week
    • Constantly – a few seconds
    • Constantly – a few minutes
    • Constantly – a few hours
    • Constantly – about a day
    • Constantly – more than a day
    • Constantly – more than a week
  28. 28. I feel like I've lost certain bodily sensations (e.g., hunger and thirst), so that when I eat or drink, it's like an automatic routine.
    Assesses the fading of basic interoceptive signals and the resulting mechanical experience of bodily needs.
    • Never
    • Rarely – a few seconds
    • Rarely – a few minutes
    • Rarely – a few hours
    • Rarely – about a day
    • Rarely – more than a day
    • Rarely – more than a week
    • Often – a few seconds
    • Often – a few minutes
    • Often – a few hours
    • Often – about a day
    • Often – more than a day
    • Often – more than a week
    • Very often – a few seconds
    • Very often – a few minutes
    • Very often – a few hours
    • Very often – about a day
    • Very often – more than a day
    • Very often – more than a week
    • Constantly – a few seconds
    • Constantly – a few minutes
    • Constantly – a few hours
    • Constantly – about a day
    • Constantly – more than a day
    • Constantly – more than a week
  29. 29. Places that were familiar to me seem foreign, as if I've never seen them before.
    Evaluates jamais vu experiences where known environments suddenly feel entirely foreign.
    • Never
    • Rarely – a few seconds
    • Rarely – a few minutes
    • Rarely – a few hours
    • Rarely – about a day
    • Rarely – more than a day
    • Rarely – more than a week
    • Often – a few seconds
    • Often – a few minutes
    • Often – a few hours
    • Often – about a day
    • Often – more than a day
    • Often – more than a week
    • Very often – a few seconds
    • Very often – a few minutes
    • Very often – a few hours
    • Very often – about a day
    • Very often – more than a day
    • Very often – more than a week
    • Constantly – a few seconds
    • Constantly – a few minutes
    • Constantly – a few hours
    • Constantly – about a day
    • Constantly – more than a day
    • Constantly – more than a week
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