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A daring young mobster turned bounty hunter, Spike Spiegel is as efficient at hunting down dangerous men as he is distant and detached from his life. To some, upon first meeting him, Spike doesn't seem to have a care in the world. It seems the only joy he gets out of life is being as close to death as one can possibly be.

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Spike was originally an enforcer of the crime syndicate, the Red Dragons. He was feared and respected amongst the organization, but he wanted a simpler life with his love, Julia.When his plan to elope fails, Spike leaves a trail of bodies on his way out of the Red Dragons, cutting off all ties, but also losing sight in one eye. It's because of this violent past that he sees his current life as nothing but a dream.

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Depersonalization/ Derealization Disorder, which according to the DSM-V is a diagnosis assigned to individuals who often experience feelings of detachment from themselves or their environment.

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"The most common immediate precipitants of the disorder are severe stress, depression and panic, and marijuana and hallucinogen ingestion. [it] has also been associated with childhood interpersonal trauma" (Simeon, 2004, pg. 343).

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Depersonalization and derealization are part of many disorders, "but when severe depersonalization and derealization are the primary problem, the individual meets criteria for depersonalization-derealization disorder"(Barlow, H., Durand, V. pg. 196-197)

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The fact that Spike dealt with such a severe and tragic event while he was so young in life most likely led to his feelings of detachment from the world around him and the thoughts and feelings of others

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Spike Spiegel, with both his troubled past and inability to form friendships or relationships due to his detachment from life, is a prime example of someone living day-by-day with DDD. Those struggling often find themselves. like Spike, living in a dreamlike state, where little feels real.

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Treatment options include cognitive behavior therapy and medication (SSRI, Benzodiazepines)

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Simeon, D. (2004). Depersonalisation disorder: a contemporary overview. CNS Drugs, 18(6)

Barlow, D. H., & Durand, V. M. (2015). Abnormal psychology: An integrative approach.

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Sometimes DDD is treated as as Disassociative disorder in the DSM, but is not treated as such by other publications, such as the ICD. This causes ambiguity on how to treat the disorder.