Derealization is a form of dissociation where the patient doesn't believe that the world is real. I get this.

But:

Bring to you my wishes my feelings my aspirations my anxieties and when I talk to you. I want you to look at me. No this (typing) I want contact. I want connection. I want you to make me feel that I matter. I want you to reflect and validate me and I want to transcend this life of growing atomization. I also want you to Help me or to help together actually

Quote from Perel "Modern Love and Relatinships" https://www.youtube.com/watch?v=5iu9_8Vsmtk

All this is very true. And we talk. We talk very well, I think. But I don’t connect. Part of this is that while I talk well, there is an unreality to talk. Analogy: When I did trips with the boardng school, that was reality. Real work. Real effort. Real sweat. Real danger. Fear of dying, or letting others get killed. This, I think is part of my mental illness. Too many times as a kid where talk happened, but change didn’t? I can’t put my finger on specifics. But something made me stop talking to my parents when I needed council.

Can derealization be domain specific. Can I participate in conversations about emotions, and relationships, and at the same time dismiss them as unreal, irrelevant?