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The general manner in which people persuade the other person is dependant on many different factors: Anxiety Disorder Treatment Now, in review, derealization and depersonalization frequently accompany panic attacks and anxiety. In general terms, derealization is a frightening sense of detachment in one?s external environment, and depersonalization can be an quite as frightening a feeling of detachment from self. Both might be absolutely crippling and take you on the turnstiles of your respective perception of insanity.