Can caffeine cause temporary depersonalization disorder?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: May 15, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

From the Guidelines

Caffeine can cause temporary depersonalization in some individuals, particularly at high doses, as evidenced by its effects on the central nervous system and anxiety levels. According to the provided evidence, caffeine exposure can lead to jitteriness, vomiting, bradycardia, and tachypnea in neonates 1, suggesting its potential to cause significant physiological and psychological effects. While the evidence does not directly link caffeine to depersonalization, it is reasonable to infer that high doses of caffeine could contribute to feelings of detachment or altered perception, especially in sensitive individuals.

Key points to consider:

  • Caffeine's stimulatory effects on the central nervous system can increase anxiety, a known trigger for depersonalization symptoms
  • The mechanism of caffeine's action, including the blockade of adenosine receptors and increase in adrenaline production, can potentially disrupt normal perception and contribute to depersonalization
  • Symptoms of caffeine-induced depersonalization, if they occur, are likely to resolve within hours as caffeine is metabolized, but may last longer in some individuals
  • Those with anxiety disorders or a history of depersonalization should exercise caution when consuming caffeine, as they may be more susceptible to its effects 1.

It is essential to note that the provided evidence does not directly address the question of caffeine-induced depersonalization, but rather provides insight into the effects of caffeine on the central nervous system and its potential to cause significant physiological and psychological effects 1.

From the Research

Caffeine and Depersonalization

  • There is limited direct evidence to suggest that caffeine can cause temporary depersonalization 2, 3, 4, 5.
  • However, studies have shown that high doses of caffeine can induce anxiety, psychotic, and manic symptoms in rare cases 2, 3, 4.
  • Caffeine can also exacerbate symptoms in individuals with pre-existing anxiety disorders, which may be related to depersonalization 3, 4, 5.
  • One study found that caffeine can increase alertness and reduce fatigue, but excessive consumption can lead to problems, especially in sensitive individuals 5.
  • Depersonalization disorder is a chronic condition with no definitive treatment, but some pharmacological approaches have shown promise, such as opioid receptor antagonists and add-on treatments with selective serotonin reuptake inhibitors (SSRIs) 6.

Mechanisms and Interactions

  • Caffeine's effects on the mind are complex and can vary depending on individual susceptibility and dosage 2, 3, 4, 5.
  • The threshold for caffeine's anxiogenic effect is influenced by a polymorphism of the A2A receptor 2.
  • Caffeine can interact with other substances, such as psychotropic drugs, and affect their metabolism 4.
  • More research is needed to establish the role of caffeine intake in psychiatric disorders, including depersonalization 2, 3, 4, 5.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Caffeine, mental health, and psychiatric disorders.

Journal of Alzheimer's disease : JAD, 2010

Research

Caffeine and psychiatric symptoms: a review.

The Journal of the Oklahoma State Medical Association, 2004

Research

Caffeine: The forgotten variable.

International journal of psychiatry in clinical practice, 2001

Research

Effects of caffeine on human behavior.

Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association, 2002

Research

Depersonalization disorder: pharmacological approaches.

Expert review of neurotherapeutics, 2008

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.