If you think it's an emergency, call 911.Thinking about suicide or in crisis? Call or text 988.Being hurt or threatened at home? National Domestic Violence Hotline: 1-800-799-7233.Help with alcohol or drug use: SAMHSA Helpline, 1-800-662-4357.
Overview
Often brief.
Grounding techniques help.
When to get medical care
Call 911Thoughts of harming yourself or others: call or text 988, or call 911 if you're in danger.
Get care todayNot usually urgent.
See a doctor soonOngoing feelings.
Causes
Causes include anxiety, stress, trauma, and drugs.
OwieClear has pages on 1 condition that can cause feeling unreal, detached, or outside my body. Each shows how soon to get care.
Common causes
- Dissociation (feeling unreal)See a doctor if it doesn't get better
Feeling detached from yourself or the world, like watching yourself from outside or like things aren't real.
What you can do at home
- Use grounding techniques.
- Sleep.
Medicines
Therapy.
At the doctor
An evaluation.
Questions you may be asked
- Episodes
The exam
A physical exam.
Tests
- Screening
Prevention
Manage stress.
- Sleep well
Check your symptoms
Most symptoms have more than one possible cause. The symptom checker looks at all of your symptoms together, plus your age, and shows how soon to get care.
Sources
Last updated 2026-11-13.