-flameohotman-

-flameohotman- t1_ixtftim wrote

It's because the diagnostic guidelines of the DSM and ICD specifically require that for someone to be diagnosed with DPDR, the depersonalization and/or derealization must not caused by another psychiatric disorder, drugs, etc. If the experience of dissociation is comorbid with something else, then it's just a symptom of that other thing (e.g., depression or anxiety). It's probably pretty rare for someone to have a dissociative disorder with no underlying cause.

1