I was wondering if anyone had any tips for combating derealization in session? I tried physical groundings like sand and ice cubes. However, it doesn't help as much. Every time I step foot in my current therapist's office I feel as though I'm entering a dream world that can easily switch to a nightmare if I'm not careful. I always feel emotionally shut down and hypervigilance during sessions. I have my first session with a trauma therapist coming up and I don't want to feel derealized in her sessions as well.