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Maladaptive daydreaming
Maladaptive daydreaming
Maladaptive daydreaming
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Daydreaming can become maladaptive when it interferes with everyday life.

Maladaptive daydreaming, also called excessive daydreaming, is when an individual experiences excessive daydreaming that interferes with daily life. It is a diagnosis proposed by Eli Somer for a disordered form of dissociative absorption, associated with excessive fantasy that is not recognized by any major medical or psychological criteria. Maladaptive daydreaming can result in distress, can replace human interaction, and may interfere with normal functioning such as social life or work.[1]

The term was coined in 2002 by Eli Somer of the University of Haifa.[2] Somer's definition of the proposed condition is "extensive fantasy activity that replaces human interaction and/or interferes with academic, interpersonal, or vocational functioning."[2] There has been limited research outside of Somer's.[2]

Range of daydreaming

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Daydreaming, a form of normal dissociation associated with absorption, is a highly prevalent mental activity experienced by almost everyone.[3][unreliable medical source?] Some individuals reportedly possess the ability to daydream so vividly that they experience a sense of presence in the imagined environment.[2] This experience is reported to be extremely rewarding to the extent that some of those who experience it develop a compulsion to repeat it that it has been described as an addiction.[1][4][5] Somer has proposed "stimuli" for maladaptive daydreams that may relate to specific locations. The main proposed symptom is extremely vivid fantasies with "story-like features", such as the daydream's characters, plots and settings.[6]

Somer has argued that maladaptive daydreaming is not a form of psychosis, as people with maladaptive daydreaming can tell that their fantasies are not real, while those with psychotic disorders have difficulty separating hallucinations or delusions from reality.[6]

Causes

[edit]

There is no consensus among psychologists as to the causes of maladaptive daydreaming, although some experts believe it may be a coping mechanism. Teenagers and young adults, particularly those with childhood trauma or abuse, more frequently report having the condition than older adults do. Individuals with the condition sometimes share traits with other behavioral addictions, such as gambling or video games, and may use their daydreams as a means to escape reality.[1][7][8]

Common themes

[edit]

Research indicates that individuals who experience maladaptive daydreaming often engage in the dissociative behaviors for a few reasons that appear to be a pattern. Violence is one of the factors, as some individuals who have maladaptive daydreaming report engaging in their daydreams to fulfill fantasies of aggression or slaughter. Others report engaging in maladaptive daydreaming to think about their idealized selves, and found it pleasing to imagine themselves as who they wish to be. Some individuals who experience maladaptive daydreaming have also proclaimed to engage in the behaviors to feel a sense of power, an escape, or for sexual arousal.[9]

Treatment

[edit]

While maladaptive daydreaming is not a recognized psychiatric disorder, it has spawned online support groups since Somer first reported the proposed disorder in 2002.[10][11] Although there are no specific treatments recommended for maladaptive daydreaming, Harvard Medical School suggests individuals with the condition may find treating other mental health conditions to be effective.[8]

Research

[edit]

Maladaptive daydreaming is currently studied by a consortium of researchers (The International Consortium for Maladaptive Daydreaming Research or ICMDR) from diverse countries including the United States, Poland, Switzerland, Israel, Greece and Italy.[12][5][13][14] Research done in Israel concluded that in the general Israeli population, 2.5% were suspected to experience maladaptive daydreaming. However, student rates were slightly higher with a rate of 4.39%. The research essentially identified that younger adults showcased more maladaptive daydreaming tendencies than older adults, which hints at maladaptive daydreaming being more common in younger adults.[15]

Diagnosis

[edit]

There are no official ways to diagnose maladaptive daydreaming in patients because it has not yet been recognized in any official diagnostic manual for psychiatry, such as the DSM-5-TR. However, some methods have been developed in an attempt to gauge the proposed mental disorder's prevalence.[6]

Maladaptive Daydreaming Scale (MDS-16)

[edit]

In 2015, a 14-item self-report measurement, known as the Maladaptive Daydreaming Scale or MDS-16, was designed to identify abnormalities in the daydreaming of individuals. The purpose of designing this instrument was to provide a reliable and valid measurement of the existence of the proposed condition in patients and to garner attention to the potential existence of maladaptive daydreaming as a mental disorder.[6][8]

Later, an additional two items were added, assessing the use of music in fostering daydreaming. The MDS-16 has been used in several countries such as the United States, Turkey, the United Kingdom, Italy, and Israel.[16][17]

Potential comorbidity

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Maladaptive daydreaming has been identified to potentially have comorbidity with a number of already existing recognized mental disorders such as attention deficit hyperactivity disorder, anxiety disorder, autism spectrum disorder, major depressive disorder, and obsessive–compulsive disorder.[18] In one case study, a patient believed to have the condition was administered fluvoxamine, a medication typically used to treat those with OCD. The patient found she was better able to control the frequency of her daydreaming episodes.[19] Maladaptive daydreaming has also shown to have a comorbidity with general mental health problems, such as low emotional regulation, low self-efficacy, low self-esteem, personality disorders, feelings of loneliness, and overall higher levels of psychological distress.[20]

In media

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James Thurber's story The Secret Life of Walter Mitty, written in 1939, showcases the main character, Walter, as he experiences maladaptive daydreaming while working in an office and regularly imagines himself in heroic situations. The character is also related to that of a fantasy-prone personality.[21] The story has been adapted twice into film, in 1947 by Norman Z. McLeod[22] and again in 2013 by Ben Stiller.[23]

Reality shifting is a pseudoscientific trend that appears to be a form of excessive daydreaming, which emerged as an internet phenomenon on TikTok around 2020. Professionals often describe it as a maladaptive coping mechanism because its primary goal is to provide an elaborate escape from the individual's "current reality".[24]

See also

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References

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Revisions and contributorsEdit on WikipediaRead on Wikipedia

Maladaptive daydreaming

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Maladaptive daydreaming is a proposed condition characterized by excessive, compulsive immersion in vivid, detailed, and often elaborate fantastical mental that significantly disrupts daily functioning, including social, occupational, and interpersonal responsibilities. Individuals engage in prolonged episodes of daydreaming, sometimes lasting hours, where they become deeply absorbed in imaginary scenarios, narratives, or characters, often to the exclusion of real-world interactions and obligations. This behavior is typically triggered as a mechanism for underlying emotional distress, such as anxiety, , or unresolved trauma, and can feel rewarding or addictive, making it difficult to control or interrupt. Key symptoms of maladaptive daydreaming include an inability to focus on present tasks due to intrusive fantasies, repetitive physical movements like pacing, hand gestures, or facial expressions while daydreaming, and intense emotional reactions—such as frustration or sadness—when unable to access the daydream. These episodes are often accompanied by a strong preference for the fantasy world over reality, leading to neglect of personal hygiene, work, or relationships, and may involve preferred music, objects, or environments that facilitate the immersion. Epidemiological research indicates a point of approximately 2.5% in the general , with higher rates observed among young adults and individuals with co-occurring psychiatric conditions, such as obsessive-compulsive disorder (OCD), attention-deficit/hyperactivity disorder (ADHD), anxiety disorders, and depression. The condition is more commonly reported in clinical samples, affecting up to 17.5% of those seeking treatment for related issues. Although maladaptive daydreaming is not formally classified in the or , it is increasingly recognized in as distinct from normal daydreaming due to its maladaptive impact. Potential causes include a history of childhood trauma, , or , which may foster as a maladaptive strategy for emotional regulation, alongside neurobiological factors like altered reward processing in the . Treatment typically involves , with (CBT) aimed at identifying triggers and developing alternative coping skills, mindfulness-based interventions to enhance present-moment awareness, and, in some cases, medication to manage comorbid conditions like anxiety or ADHD. Lifestyle strategies, such as structured routines and reducing exposure to daydream-enabling stimuli (e.g., certain music), can also help mitigate symptoms, though more empirical research is needed to establish evidence-based protocols.

Overview and Characteristics

Definition

Maladaptive daydreaming (MD) is defined as extensive fantasy activity that replaces human interaction and/or interferes with academic, interpersonal, or vocational functioning. This condition involves excessive, immersive, and uncontrollable fantasizing that significantly impairs daily functioning, social relationships, work, or academic performance. The term "maladaptive daydreaming" was introduced by clinical psychologist Eli Somer in 2002 to describe a pattern of vivid, plot-like daydreams often centered on preferred characters, scenarios, or idealized narratives. These daydreams are characteristically narrative-driven, emotionally intense, and function primarily as a form of , with episodes typically lasting from minutes to hours each day. Prevalence estimates indicate that MD affects approximately 2.5% of the general population, based on self-report studies using validated scales like the Maladaptive Daydreaming Scale, with rates rising to around 4-8% in clinical samples depending on the population assessed.

Symptoms

Maladaptive daydreaming manifests through distinct behavioral indicators, including involuntary immersion into elaborate fantasies often triggered by external stimuli such as music, boredom, or stress. During these episodes, individuals frequently display observable physical signs, such as pacing, rocking, repetitive hand movements, unconscious facial expressions, or whispering to themselves, which accompany the internal narrative. These behaviors are typically difficult to interrupt or control, with individuals reporting a compulsive pull back into the daydream even after attempts to disengage. Episodes of maladaptive daydreaming vary in length but commonly last from several minutes to multiple hours, with affected individuals spending an average of four hours per day engaged in this activity. The fantasies often revolve around preferred, richly detailed imaginary worlds featuring consistent characters, intricate plots, and recurring themes, providing a structured escape that individuals actively cultivate over time. Emotionally, maladaptive daydreaming involves intense pleasure and absorption during the immersion, creating a rewarding sense of fulfillment or emotional release, yet this is frequently followed by feelings of guilt, , or distress upon recognizing the time lost to unreality. These emotional shifts can exacerbate the cycle, as the post-episode highlights the unwanted nature of the habit. The condition leads to significant functional impairments, including reduced at work or due to neglected responsibilities, from diminished real-life interactions, and disruptions in daily routines such as eating or sleeping. These effects often result in academic or professional failures directly linked to the excessive time devoted to daydreaming.

Causes and Risk Factors

Psychological Contributors

Maladaptive daydreaming (MD) is often associated with cognitive predispositions such as high fantasy proneness, a personality trait characterized by vivid and immersive imaginative experiences that can escalate normal daydreaming into compulsive patterns. Individuals with elevated fantasy proneness, as measured by tools like the Creative Experiences Questionnaire, exhibit a heightened tendency toward absorption in internal narratives, which amplifies tendencies and sustains prolonged fantasy engagement over real-world tasks. These innate traits, including vivid imagination and dissociative absorption, contribute to MD by blurring the boundaries between fantasy and reality, leading to interference in daily functioning. Emotional regulation difficulties play a central role in MD, where daydreaming serves as a maladaptive mechanism to escape or attenuate negative emotions such as anxiety, loneliness, and low . Research indicates a strong positive association between MD and emotion dysregulation, with meta-analytic evidence showing a moderate (r = 0.37) linking excessive fantasy to avoidance of distressing affective states. This pattern suggests that individuals prone to MD use immersive fantasies to regulate unmet emotional needs, thereby reinforcing the cycle of withdrawal from interpersonal realities. MD is often comorbid with attention-deficit/hyperactivity disorder (ADHD), sharing features like attention difficulties and impaired that may exacerbate immersive fantasy engagement and distinguish MD from typical through its compulsive nature. Additionally, absorption—a personality trait assessed via the Tellegen Absorption Scale—represents a key mechanism, reflecting deep engagement with sensory and imaginative stimuli that predisposes individuals to maladaptive levels of daydreaming. Emerging also points to neurobiological factors, such as altered reward processing in the , contributing to the compulsive nature of MD. Insecure attachment styles, particularly preoccupied and fearful types, are implicated in MD as they foster reliance on fantasy worlds as substitutes for secure real-life relationships. Studies show that these attachment patterns predict higher MD severity, with maladaptive daydreaming mediating the pathway from attachment insecurity to behavioral escapes like problematic social media use, highlighting its role in compensating for relational deficits. This connection underscores how early relational insecurities can internalize into cognitive-emotional habits that perpetuate fantasy dependence.

Environmental and Developmental Factors

Maladaptive daydreaming often emerges as a mechanism in response to , including , , or , where individuals use immersive fantasies to escape distressing realities. A study of adults with probable maladaptive daydreaming found that 56% reported experiencing , with 51% noting that their traumatic experiences were reflected as recurring themes in their daydreams. Similarly, research on 539 individuals meeting criteria for maladaptive daydreaming revealed significant associations between childhood emotional and specific fantasy content, such as scenarios involving , , , , or heroism, suggesting trauma shapes the narrative structure of daydreams. Childhood and have also been positively correlated with maladaptive daydreaming severity, highlighting trauma's role in initiating excessive fantasy engagement. Chronic stress from dysfunctional family environments, social isolation, or socioeconomic hardships further contributes to the development and persistence of maladaptive daydreaming by reinforcing reliance on internal fantasy worlds as a refuge from external pressures. (ACEs), which encompass family dysfunction such as parental separation, mental illness, or , are commonly reported among those with maladaptive daydreaming and exacerbate vulnerability to this behavior. For instance, environments marked by ongoing interpersonal conflict or economic instability can intensify feelings of helplessness, prompting individuals to seek solace in controllable, idealized daydream narratives that compensate for unmet emotional needs. The onset of maladaptive daydreaming typically occurs during late childhood or , often coinciding with challenges in , peer relationships, or initial exposures to media that fuel imaginative . This developmental timing aligns with heightened vulnerability during transitional life stages, where fantasy serves as an adaptive response that later becomes maladaptive. Cultural factors influence the expression and prevalence of maladaptive daydreaming, with cross-cultural research demonstrating its presence across diverse societies, though global events like pandemics can exacerbate it through increased isolation. A multi-country study during the lockdown found that individuals with suspected maladaptive daydreaming reported significantly greater psychological distress and functional impairment compared to those without, attributing worsening symptoms to pandemic-induced social withdrawal and uncertainty. These environmental influences can amplify underlying processes, turning occasional fantasy into a compulsive .

Diagnosis and Assessment

Clinical Evaluation

The clinical evaluation of maladaptive daydreaming () primarily involves structured clinical interviews to assess the extent and impact of daydreaming on an individual's life. A March 2025 position paper advocates for the formal inclusion of as a in psychiatric manuals such as the DSM and ICD, proposing updated diagnostic criteria that emphasize its distinct clinical presentation, supported by psychological tests, neuroimaging, and epidemiological data. Clinicians typically explore the duration and frequency of daydreaming episodes, the level of distress experienced, and any resulting functional impairments in social, occupational, or other key areas, drawing on these updated proposed criteria. These criteria require (A) persistent/compulsive vivid fantasizing with intense absorption (visual, auditory, or affective); (B) at least two of the following: preference for fantasized over real experiences, stereotypical movements or enactments (e.g., pacing), relief from aversive feelings, annoyance when interrupted, or failed attempts to curb daydreaming; (C) time-consuming activity (episodes ≥30 minutes, ≥1 hour per day on most days for at least six months); (D) clinically significant distress or impairment; (E) not attributable to substances or medical conditions; and (F) not better explained by another . Due to MD's lack of official recognition in the , evaluation heavily relies on detailed patient self-reports and clinical history rather than standardized diagnostic codes. Clinicians inquire about potential triggers (e.g., stress or ), the thematic content of daydreams (often and immersive scenarios), and any prior attempts to control or reduce the behavior, which patients frequently describe as compulsive or addictive. This approach helps gauge the voluntary yet uncontrollable nature of the activity and its interference with daily functioning. Key red flags during evaluation include patient descriptions of daydreaming as an "addictive" escape that dominates , leading to neglect of responsibilities across multiple life domains such as work, relationships, or . Importantly, individuals with MD maintain awareness that their fantasies are not real, distinguishing the condition from , where hallucinations or delusions lack such reality testing. Clinicians should probe for the absence of perceptual disturbances like auditory or visual hallucinations to rule out psychotic disorders. Cultural considerations are essential in assessment to avoid , as vivid fantasy may overlap with valued traditions like or oral histories in non-Western contexts, potentially leading to misinterpretation of adaptive imaginative practices as maladaptive. indicate that while MD symptoms appear universal, the emotional significance and triggers of daydreaming can vary by cultural background, necessitating culturally sensitive interviewing to differentiate pathological preoccupation from normative fantasy engagement.

Assessment Tools

The Maladaptive Daydreaming Scale–16 (MDS-16) is a self-report designed to measure the presence and severity of maladaptive daydreaming symptoms. Developed by Somer et al. as a revision of an earlier 14-item version, it consists of 16 items that assess key dimensions including absorption in elaborate fantasies, interference with daily functioning, and associated distress. Each item is rated on an 11-point from 0% (e.g., "never" or "no distress") to 100% (e.g., "extremely frequent" or "extreme distress"), yielding a total score ranging from 0 to 100. For example, one item asks respondents to rate how difficult it is to control or limit their daydreaming. The scale has demonstrated strong , with values exceeding 0.90 across diverse samples, including clinical and nonclinical populations from multiple countries. Shorter adaptations of the MDS have been developed for efficient screening in research and clinical settings. For instance, a 5-item screener (MDS-SF5) derived from the MDS-16 focuses on core symptoms and shows good reliability ( = 0.74) while maintaining for mental health correlates like and psychotic experiences. These brief versions facilitate quick identification of probable cases without sacrificing essential diagnostic utility. Other assessment approaches complement the MDS by providing structured or broader evaluations. The Structured Clinical Interview for Maladaptive Daydreaming (SCID-MD), developed alongside proposed diagnostic criteria, offers a clinician-administered format to probe symptoms, severity, and differential diagnoses such as ADHD or dissociation disorders. Additionally, the –II (DES-II) is often integrated for complementary assessment, as maladaptive daydreaming correlates strongly with absorption (r > 0.50 in validation studies), helping to distinguish it from related phenomena. Despite their strengths, these tools have limitations, including reliance on self-reports which may introduce response biases, and a scarcity of fully clinician-administered options beyond the SCID-MD. A total MDS-16 mean score of 40 or higher is commonly used as a to indicate probable maladaptive daydreaming warranting further clinical , as updated in 2025 guidelines.

Comorbidities and Differential Diagnosis

Common Co-occurring Conditions

Maladaptive daydreaming (MD) frequently co-occurs with various disorders, reflecting shared underlying mechanisms such as and . Research indicates strong positive associations between MD and , with rates often exceeding 50% for several conditions. Among the most prevalent comorbidities are anxiety disorders, affecting approximately 71.8% of individuals with , where excessive daydreaming may serve as a maladaptive strategy for heightened worry and distress. Depressive disorders show similar overlap, with 66.7% comorbidity, as can intensify feelings of isolation and by diverting from real-life . Attention-deficit/hyperactivity disorder (ADHD) is also highly common, co-occurring in 76.9% of cases, with potentially reinforcing inattention through immersive fantasy worlds that compete with external stimuli. Obsessive-compulsive disorder (OCD) appears in about 53.9% of MD cases, where ritualistic daydreaming elements may parallel compulsive behaviors. Dissociative disorders, particularly depersonalization-derealization disorder, exhibit notable links to MD, with studies suggesting MD functions as a milder form of dissociative escape, though diagnosed comorbidity rates are around 12.8%. MD shares phenomenological features with these disorders, such as absorption in internal narratives that temporarily detach individuals from reality. Trauma-related conditions, including (PTSD), show significant overlap, with 56% of MD individuals reporting childhood trauma histories that may contribute to both conditions through shared avoidance patterns. MD often exacerbates PTSD symptoms by providing an immersive avoidance mechanism, and meta-analytic evidence confirms positive correlations between MD severity and PTSD-related dissociation. Demographic patterns reveal higher MD prevalence among females, who comprise the majority in clinical samples, potentially due to greater emotional expressivity and societal pressures. Rates are also elevated in neurodivergent populations, such as those with ADHD or autism spectrum disorder, where bidirectional reinforcement occurs— for instance, MD intensifying ADHD-related inattention while neurodivergence heightens vulnerability to immersive .

Distinguishing from Similar Disorders

Maladaptive daydreaming (MD) is distinguished from normal daydreaming primarily by its excessive duration, compulsive quality, and resultant distress or impairment in social, occupational, or other important functioning. Normal daydreaming, often described as benign , typically involves brief, spontaneous thoughts that do not disrupt daily activities and occur for less than an hour per day without negative consequences. In contrast, individuals with MD engage in prolonged, vivid, narrative-driven fantasies that can consume several hours daily, often accompanied by repetitive movements or triggers like music, leading to avoidance of real-life responsibilities. This distinction underscores MD's maladaptive nature, as the fantasies serve as an immersive escape rather than fleeting mental diversions. Unlike or other , MD involves ego-syntonic fantasies that individuals clearly recognize as internally generated and unreal, without the loss of reality testing characteristic of . People with MD maintain control over initiating and terminating their daydreams to some extent, and the experiences lack the involuntary, sensory-based hallucinations—such as auditory voices or delusions—seen in . For instance, MD narratives are elaborate but self-aware constructs, often used for emotional regulation, whereas psychotic symptoms are perceived as external intrusions that impair insight. This awareness helps clinicians rule out during evaluation. MD shares some immersive qualities with autism spectrum disorder (ASD), such as intense absorption in internal worlds, but differs in its core motivation and content: MD centers on fantastical, character-driven escapism for relief from distress, whereas ASD-related interests are typically factual, repetitive fixations on specific non-narrative topics like systems or collections. Social withdrawal in MD stems from the pull of compulsive fantasies as avoidance, while in ASD it arises more from sensory overload or social communication challenges. Differentiation relies on evaluating whether the immersion serves narrative emotional coping (MD) versus rigid, non-escapist pursuits (ASD), though overlap can complicate diagnosis without comprehensive assessment. Although MD exhibits compulsivity and reward from immersion similar to behavioral addictions like or use, it is differentiated by its purely internal, non-behavioral manifestation without external actions, substances, or tangible consequences beyond psychological impairment. Unlike addictions, which involve overt activities and potential , MD's "addictive" pull is confined to mental fantasy worlds, lacking escalation through real-world . Key distinguishers include the absence of interpersonal or financial harms from external engagement and the fantasies' role as solitary emotional self-soothing rather than thrill-seeking behaviors.

Treatment Approaches

Individuals with maladaptive daydreaming should seek professional help from a psychiatrist, psychotherapist, or clinical psychologist if the condition severely impacts their work, relationships, or daily life, such as interfering with tasks, social interactions, or overall functioning. Consulting such professionals is recommended, with cognitive behavioral therapy (CBT) being an effective evidence-based approach for managing symptoms by addressing cognitive distortions and behavioral patterns. Mindfulness practices, including grounding techniques, and strategies for identifying and working on triggers can also help disrupt daydreaming cycles. In severe cases, particularly with comorbid conditions like anxiety or depression, medications such as antidepressants or anxiolytics may be prescribed as adjunctive treatments. Accessible starting points include online platforms, mental health centers, or crisis hotlines for initial support or urgent assistance if thoughts of self-harm arise.

Psychotherapy Methods

Cognitive Behavioral Therapy (CBT) is a primary evidence-based psychotherapy for maladaptive daydreaming (MD), focusing on identifying and modifying cognitive distortions and behavioral patterns that perpetuate excessive daydreaming. Techniques include thought challenging to reframe maladaptive beliefs about fantasy as a necessary escape, and behavioral activation to replace daydreaming time with structured, goal-oriented activities that reduce triggers such as or stress. In a of a with MD, a tailored cognitive approach incorporating these elements led to substantial symptom reduction, with the patient reporting decreased immersion in fantasies and improved daily functioning after 15 sessions. Small-scale trials and case reports indicate symptom reductions of approximately 40-60% in daydreaming frequency and interference, though larger randomized studies are needed to confirm efficacy. Mindfulness-Based Interventions, such as (MBCT), aim to enhance present-moment awareness and disrupt the automatic entry into daydreaming cycles by cultivating non-judgmental acceptance of intrusive thoughts. Core practices include body scans, breathing exercises, and mindful observation of daydream onset to interrupt the cycle without suppression, often integrated with acceptance strategies to tolerate discomfort that triggers fantasies. A of a brief self-guided web-based program combining meditation and self-monitoring with 353 participants demonstrated significant reductions in MD symptoms, with a large (η² = 0.24) and 24% achieving clinically significant improvement; gains were maintained at 6-month follow-up. In a single case of a 19-year-old with MD linked to attachment issues, 8 sessions of MBCT resulted in no longer meeting diagnostic criteria, alongside improvements in academic and social functioning. Trauma-Focused Therapies, including (EMDR) and prolonged exposure, target MD as a secondary symptom of underlying (PTSD), which frequently co-occurs and fuels escapism into fantasies. EMDR uses bilateral to reprocess traumatic memories, reducing the emotional avoidance that sustains MD, while prolonged exposure gradually confronts trauma-related cues to diminish their triggering power. Given the frequent with PTSD, these therapies are selected when trauma history influences daydreaming choice. Case reports suggest symptom alleviation when addressing PTSD core, though controlled efficacy data specific to MD remains limited. Emerging approaches like address maladaptive daydreaming by targeting deep-seated coping schemas, such as emotional deprivation or abandonment, that drive fantasy as a compensatory mechanism. This integrative method involves identifying schema modes during therapy, using cognitive, experiential, and behavioral techniques to heal unmet needs and foster healthier emotional regulation. In a spanning 25 sessions over 8 months, schema therapy effectively resolved underlying emotional drivers of MD, leading to sustained symptom control beyond surface-level management. Group therapy, as an adjunctive format, facilitates shame reduction through shared experiences, promoting normalization and mutual support, though is preliminary and primarily drawn from support-oriented pilots. As of 2025, ongoing research, including a advocating for MD's classification as a , underscores the need for more standardized treatments.

Adjunctive Strategies

Individuals with maladaptive daydreaming (MD) can employ techniques to manage symptoms alongside treatment. Journaling episodes helps track triggers such as or rejection, allowing individuals to recognize patterns and develop awareness of when daydreaming begins. through structured logging has been shown to reduce MD symptoms in randomized controlled trials of brief web-based programs. Setting intentional time limits for daydreaming and using distraction techniques, such as engaging in to redirect focus, further support symptom control by interrupting prolonged immersion. Apps delivering reminders can aid in cultivating present-moment awareness, promoting gradual reduction in compulsive fantasizing. Lifestyle modifications play a key role in mitigating by addressing environmental factors that exacerbate symptoms. Maintaining a routine with regular sleep, physical activity, and balanced nutrition supports overall mental health and reduces symptom triggers. Improving , including maintaining consistent bedtimes, aiming for at least seven hours of sleep nightly, and establishing a calming pre-bed routine while avoiding in the evening, enhances overall regulation and reduces fatigue-induced daydreaming. Additionally, avoiding alcohol and other substances that can worsen symptoms of MD and comorbid anxiety or depression is recommended. Reducing exposure to media or stimuli that trigger fantasies, such as certain or music, helps minimize episode frequency by limiting cues that prompt immersion. Building real-world social connections through sharing experiences with trusted individuals fosters validation and reduces isolation, which often fuels . No medications are specifically approved for , but pharmacological options targeting comorbid conditions show variable benefits based on self-reports. In a survey of 202 individuals with probable , most reported little to no effect of medications on daydreaming, though tentative recommendations can be made for antidepressants in managing associated anxiety or depression. Similarly, for overlapping with attention-deficit/hyperactivity disorder (ADHD), stimulants like have shown modest effects in some cases. These interventions are typically adjunctive to and require monitoring for potential worsening of symptoms. Support groups offer peer validation for those with , helping to normalize experiences and reduce feelings of in the absence of widespread clinical recognition. Individuals often form online peer-support communities to share strategies and seek emotional support. Participation should complement professional guidance, as groups are not a substitute for and may vary in moderation quality.

Research Developments

Historical Context

The roots of recognizing excessive fantasizing as a psychological phenomenon trace back to 19th-century literature, where Victorian authors explored themes of wandering and disembodied daydreaming as markers of inner turmoil and blurred boundaries between reality and imagination. These depictions highlighted how prolonged immersion in fantasy could disrupt daily engagement, prefiguring modern understandings of maladaptive patterns without formal psychological framing. Psychological interest in excessive daydreaming emerged more systematically in the amid on dissociation and imaginative absorption. In the early , psychologists Cheryl Wilson and Theodore introduced the concept of the "," describing individuals who spend an inordinate amount of time in vivid, immersive fantasies that mimic experiences and interfere with real-world functioning. This work laid groundwork for viewing extreme daydreaming as a potential clinical issue linked to trauma and dissociation, though it remained undelineated as a distinct . A pivotal milestone occurred in 2002 when clinical psychologist Eli Somer published "Maladaptive Daydreaming: A Qualitative Inquiry" in the Journal of Contemporary Psychotherapy, formally proposing maladaptive daydreaming (MD) as a unique behavioral syndrome characterized by extensive, compulsive fantasy activity that supplants human connections and impairs academic, interpersonal, or vocational pursuits. Drawing from in-depth interviews with six patients in a trauma treatment setting, Somer's analysis revealed common features including vivid, plot-driven narratives, facial expressions and movements during episodes, and triggers rooted in music or stress, establishing MD's phenomenological profile for the first time. In a 2025 position paper, Soffer-Dudek, Somer, and colleagues proposed MD's inclusion as a dissociative disorder in psychiatric manuals such as the DSM and ICD, emphasizing its addictive quality, distress, and interference with functioning. This proposal was not adopted in the finalized ICD-11 (2019). Concurrently, awareness grew through online communities in the 2010s, such as the Wild Minds Network founded in 2010, where individuals shared experiences and self-identified with MD, fostering early peer support and contributing to its visibility beyond academic circles. Foundational empirical work followed, including initial surveys of non-clinical populations to gauge and traits. For instance, a 2016 study by Bigelsen et al. examined MD characteristics in 447 participants, including self-identified MDers and controls, finding high rates of with anxiety and obsessive-compulsive tendencies, thus highlighting its occurrence outside treatment-seeking groups. The point of approximately 2.5% in the general population was established in a 2022 study in .

Recent Findings and Gaps

Recent neurobiological on maladaptive daydreaming (MD) has begun to explore underlying mechanisms, with a 2025 study examining individual differences in the behavioral inhibition system (BIS) and behavioral activation system (BAS). Findings indicate that individuals with MD exhibit heightened BIS activity, associated with avoidance and , alongside elevated BAS sensitivity, which drives reward-seeking behaviors potentially linked to pathways in emotional regulation. A 2025 pharmacotherapeutic and case study further provides preliminary evidence of altered activity during MD episodes, suggesting involvement of reward centers, though larger-scale imaging studies are needed to confirm patterns such as heightened engagement similar to . Epidemiological investigations have solidified MD's prevalence at approximately 2.5% in the general , based on a 2022 population-based study in that remains the benchmark, with consistent references in 2025 reviews noting higher rates among young adults. A 2025 meta-analysis of 40 studies involving over 24,000 participants confirmed strong associations between MD and comorbidities like depression, anxiety, dissociation, obsessive-compulsive disorder, and attention-deficit/hyperactivity disorder, with effect sizes indicating MD exacerbates functional impairment in these conditions. Underdiagnosis in males persists due to biases in reporting and symptom expression, as highlighted in recent discussions of epidemiological disparities. Genetic and biomarker research on MD remains nascent, with no large-scale twin studies establishing estimates, but indirect evidence points to potential genetic influences through related traits like fantasy proneness and reward sensitivity. The aforementioned BAS findings imply possible pathway involvement, warranting genome-wide association studies to identify s. A 2025 scoping review underscores research gaps, particularly the lack of data from diverse ethnic and cultural populations, limiting generalizability. Methodological limitations pervade MD research, including small sample sizes often drawn from online communities, heavy reliance on self-report measures like the Maladaptive Daydreaming Scale, and a of randomized controlled trials for interventions. These issues contribute to heterogeneous findings and hinder clinical validation. The 2025 scoping review calls for standardized diagnostic tools and diverse, prospective cohorts to address these shortcomings, while a advocates for MD's inclusion as a in the DSM to facilitate rigorous research and treatment development.

Cultural Representations

In Media and Literature

Maladaptive daydreaming has been explored in through characters who immerse themselves in elaborate inner worlds as a means of with isolation or dissatisfaction, often predating the formal recognition of the condition in 2002. In Fyodor Dostoevsky's novella White Nights (1848), the unnamed describes a life dominated by vivid, ongoing fantasies that substitute for real social interactions, leading to profound and detachment from everyday responsibilities. This depiction illustrates how excessive daydreaming can create a barrier between the individual and reality, mirroring core aspects of maladaptive daydreaming. Similarly, James Thurber's short story "The Secret Life of Walter Mitty" (1939), later adapted into films including the 1947 and 2013 versions, portrays a mild-mannered man whose spontaneous, heroic daydreams interrupt his routine tasks, highlighting the disruptive potential of immersive fantasies. The narrative underscores the tension between escapist imagination and practical functioning, serving as an early literary precursor to clinical descriptions of the disorder. In film, (2003), directed by and based on Daniel Wallace's novel, presents elaborate storytelling and fantastical narratives as a form of used by the protagonist's father to navigate life's hardships, blurring the boundaries between creative expression and maladaptive withdrawal. Such portrayals in cinema emphasize daydreaming's dual role as emotional refuge and potential hindrance to interpersonal relationships. Television and streaming series have featured characters exhibiting maladaptive daydreaming-like traits amid trauma, contributing to broader cultural recognition. For instance, in (2014–2020), the titular character's introspective episodes and internalized narratives reflect escapist tendencies intertwined with depression and regret, while (2019–present) depicts Lexi Howard's imaginative playwriting as a way to process family dynamics and personal insecurities. Anime and manga, popular among fantasy-prone youth, often incorporate themes of immersive worlds that parallel maladaptive patterns, influencing how younger audiences conceptualize excessive imagination. Non-fiction media has played a key role in raising awareness by sharing personal accounts and expert insights, facilitating self-identification among affected individuals. Documentaries such as Dream Prisoners (2022), a drawing from real-life stories and scientific perspectives on into fantasy worlds, and the DW production My Dark Beautiful World (2025), which profiles the psychological burden of excessive mental digressions, provide empathetic examinations of the condition's impact. Podcasts like Parallel Lives (ongoing), hosted by individuals with , discuss diverse narratives from the maladaptive daydreaming community, emphasizing themes of trauma and recovery. These formats have democratized access to information, encouraging dialogue and reducing isolation. In and genres, maladaptive daydreaming influences the portrayal of creators who delve deeply into imagined realms, raising questions about the boundary between artistic immersion and pathological preoccupation. This thematic overlap fosters greater public understanding of how vivid fantasies can both inspire and, when unchecked, impede real-world .

Societal and Public Perceptions

Maladaptive daydreaming is frequently stigmatized in society, with individuals often facing dismissal of their experiences as mere laziness or a lack of willpower, leading to significant underreporting and reluctance to seek help. Many sufferers report intense shame and guilt associated with their excessive fantasizing, which exacerbates isolation and hinders daily functioning, as the condition is perceived as controllable despite its compulsive nature. This internalized stigma is particularly pronounced, with disclosures about maladaptive daydreaming often met with more judgment than admissions of other mental health issues like anxiety or depression. Efforts to raise awareness have been led by advocacy organizations such as the International Consortium for Maladaptive Daydreaming Research (ICMDR), which promotes education through scientific publications, assessment tools, and media resources like the 2021 documentary The Daydreamers to normalize the condition and encourage research participation. The ICMDR collaborates globally to foster studies and public understanding, emphasizing maladaptive daydreaming's impact on real-life disconnection. Cultural perceptions of maladaptive daydreaming vary, with the addictive and comforting aspects of fantasies holding different meanings across countries, potentially influencing how the condition is interpreted and addressed. In collectivist societies, such as those in parts of , excessive daydreaming may be viewed more negatively as antisocial behavior that disrupts social harmony, contrasting with individualistic cultures where vivid might be reframed positively in creative professions as a form of . From a perspective, maladaptive daydreaming gained heightened attention during the , as isolation and pre-existing psychiatric conditions intensified symptoms, underscoring the need for broader recognition and initiatives to prevent escalation into more severe impairments. Reports indicate increased prevalence and distress post-pandemic, prompting calls for integration into awareness programs, including school-based , to address its role as a maladaptive mechanism.

References

  1. https://pmc.ncbi.nlm.nih.gov/articles/PMC9091653/
  2. https://www.health.harvard.edu/mind-and-mood/maladaptive-daydreaming-what-it-is-and-how-to-stop-it
  3. https://my.clevelandclinic.org/health/diseases/23336-maladaptive-daydreaming
  4. https://www.webmd.com/mental-health/maladaptive-daydreaming
  5. https://pmc.ncbi.nlm.nih.gov/articles/PMC5962718/
  6. https://onlinelibrary.wiley.com/doi/10.1002/cpp.2820
  7. https://pmc.ncbi.nlm.nih.gov/articles/PMC6426361/
  8. https://www.researchgate.net/publication/226088977_Maladaptive_Daydreaming_A_Qualitative_Inquiry
  9. https://www.sciencedirect.com/science/article/abs/pii/S0003448719302665
  10. https://www.sleepfoundation.org/mental-health/maladaptive-daydreaming
  11. https://onlinelibrary.wiley.com/doi/10.1002/cpp.70104?af=R
  12. https://daydreamplace.com/how-many-people-have-immersive-or-maladaptive-daydreaming/
  13. https://pubmed.ncbi.nlm.nih.gov/26707384/
  14. https://pubmed.ncbi.nlm.nih.gov/35573338/
  15. https://doi.org/10.1037/cns0000304
  16. https://www.apa.org/pubs/journals/features/cns-cns0000304.pdf
  17. https://pmc.ncbi.nlm.nih.gov/articles/PMC11858500/
  18. https://www.sciencedirect.com/science/article/abs/pii/S0191886921005730
  19. https://pmc.ncbi.nlm.nih.gov/articles/PMC12504816/
  20. https://digitalcommons.murraystate.edu/cgi/viewcontent.cgi?article=1234&context=honorstheses
  21. https://pubmed.ncbi.nlm.nih.gov/34448734/
  22. https://pubmed.ncbi.nlm.nih.gov/34448734
  23. https://link.springer.com/article/10.1007/s12144-021-01546-5
  24. https://www.sciencedirect.com/science/article/pii/S0001691824001781
  25. https://www.tandfonline.com/doi/full/10.1080/15299732.2020.1809599
  26. https://pmc.ncbi.nlm.nih.gov/articles/PMC8403514/
  27. https://academiccommons.columbia.edu/doi/10.7916/87mg-3f18/download
  28. https://www.researchgate.net/publication/387109194_Exploring_the_Relationship_Between_Maladaptive_Daydreaming_and_Adverse_Childhood_Experiences
  29. https://pmc.ncbi.nlm.nih.gov/articles/PMC7667241/
  30. https://pmc.ncbi.nlm.nih.gov/articles/PMC8969720/
  31. https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/maladaptive-daydreaming-should-be-included-as-a-dissociative-disorder-in-psychiatric-manuals-position-paper/54F944C59CB77D9224E6BB78ADBCDF4A
  32. https://www.somer.co.il/images/MD/MD_diagnostic_criteria.pdf
  33. https://psycnet.apa.org/record/2017-25583-001
  34. https://www.bps.org.uk/psychologist/maladaptive-daydreaming
  35. https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2018.00194/full
  36. https://www.somer.co.il/images/MD/Eng-MDS-16.pdf
  37. https://pubmed.ncbi.nlm.nih.gov/31012744/
  38. https://pmc.ncbi.nlm.nih.gov/articles/PMC8943674/
  39. https://www.sciencedirect.com/science/article/pii/S0010440X23000780
  40. https://www.researchgate.net/publication/317689151_Maladaptive_Daydreaming_Proposed_Diagnostic_Criteria_and_Their_Assessment_With_a_Structured_Clinical_Interview
  41. https://pmc.ncbi.nlm.nih.gov/articles/PMC9176046/
  42. https://psychiatryonline.org/doi/10.1176/appi.prcp.20190050
  43. https://psycnet.apa.org/record/2026-24321-001
  44. https://onlinelibrary.wiley.com/doi/full/10.1002/ijop.70027
  45. https://www.researchgate.net/publication/315744059_The_Comorbidity_of_Daydreaming_Disorder_Maladaptive_Daydreaming
  46. https://pmc.ncbi.nlm.nih.gov/articles/PMC12038384/
  47. https://www.praxis-psychologie-berlin.de/wikiblog-english/articles/maladaptive-daydreaming-in-men-and-women-are-there-differences
  48. https://pmc.ncbi.nlm.nih.gov/articles/PMC10686311/
  49. https://www.psypost.org/these-four-factors-predict-maladaptive-daydreaming-in-neurodivergent-individuals/
  50. https://link.springer.com/article/10.1023/A:1020597026919
  51. https://link.springer.com/article/10.1007/s40489-023-00386-2
  52. https://www.sciencedirect.com/science/article/pii/S0022395624004102
  53. https://988lifeline.org/
  54. https://www.cambridge.org/core/journals/the-cognitive-behaviour-therapist/article/introducing-a-psychological-formulation-model-of-maladaptive-daydreaming/883AC5B2DFE48DD252A2FA2EB6B82EE9
  55. https://pmc.ncbi.nlm.nih.gov/articles/PMC11558703/
  56. https://www.psychiatrist.com/pcc/beguiling-daydreams-case-maladaptive-daydreaming/
  57. https://www.irjweb.com/Mindfulness%20Based%20Cognitive%20Therapy%20MBCT%20for%20Maladaptive%20daydreaming%20A%20Case%20Report.pdf
  58. https://pubmed.ncbi.nlm.nih.gov/36634023/
  59. https://journals.sagepub.com/doi/10.1177/09731342251379190
  60. https://maladaptivedaydreamingsociety.com/new-scientific-position-paper-advocates-for-maladaptive-daydreaming-to-be-recognized-as-a-dissociative-disorder/
  61. https://www.newportinstitute.com/resources/co-occurring-disorders/maladaptive-daydreaming/
  62. https://www.researchgate.net/publication/366066804_Mindfulness_Meditation_and_Self-Monitoring_Reduced_Maladaptive_Daydreaming_Symptoms_A_Randomized_Controlled_Trial_of_a_Brief_Self-Guided_Web-Based_Program
  63. https://balancedmindofny.com/blog/practical-coping-skills-for-managing-maladaptive-daydreaming/
  64. https://www.uhc.com/news-articles/healthy-living/coping-with-anxiety-depression
  65. https://pubmed.ncbi.nlm.nih.gov/31688494/
  66. https://www.researchgate.net/publication/365230842_Wandering_Attention_Victorian_Daydreaming_Disembodiment_and_the_Boundaries_of_Consciousness
  67. https://www.theatlantic.com/health/archive/2015/04/when-daydreaming-replaces-real-life/391319/
  68. https://wildminds.ning.com/page/information
  69. https://www.sciencedirect.com/science/article/abs/pii/S1053810016300460
  70. https://journals.sagepub.com/doi/10.1177/02762366251352852
  71. https://www.sciencedirect.com/science/article/pii/S2773021225000069
  72. https://www.psychologytoday.com/us/blog/if-i-be-waspish/202508/why-maladaptive-daydreaming-deserves-more-attention
  73. https://onlinelibrary.wiley.com/doi/10.1002/cpp.70104
  74. https://newuniversity.org/2025/03/01/maladaptive-daydreaming-and-the-harm-in-fantasizing/
  75. https://bigthink.com/neuropsych/maladaptive-daydreaming/
  76. https://www.researchgate.net/publication/341489156_Bojack_Horseman_and_Mental_Health_An_Academic_Exploration_of_Existentialist_Themes
  77. https://www.imdb.com/title/tt27164425/
  78. https://www.dw.com/en/my-dark-beautiful-world/a-72964229
  79. https://open.spotify.com/show/7CJ44XpdLeY2fwoRLVSPIq
  80. https://oaktrust.library.tamu.edu/server/api/core/bitstreams/f227b281-a9a4-4971-862b-87234219bc0c/content
  81. https://www.theguardian.com/science/2022/aug/28/i-just-go-into-my-head-and-enjoy-it-the-people-who-cant-stop-daydreaming
  82. https://daydreamresearch.wixsite.com/md-research
  83. https://pubmed.ncbi.nlm.nih.gov/33141115/
  84. https://jhwcr.com/index.php/jhwcr/article/viewFile/758/661
  85. https://themich.org/2025/04/16/escaping-reality-the-rise-of-maladaptive-daydreaming/
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