These problems are often the result of some other underlying mental disorder like bipolar disorder, anxiety and/or depression. What happens is that a person becomes so wrapped up in their imaginations that they lose touch (i.e. awareness) of reality. In other words, their thoughts become no longer linked up as intensely as they should be with the information coming in from the senses. The method that I find to be the most effective is to use labeling to force the thought process to become one with reality. What a person should do is be the narrator for what they see, taste, touch, smell, hear and so on. For example, if you are walking around your house, tell yourself "I am walking in my house"..."I am seeing a sink" ....etc. Basically use a controlled method of thinking in which you constantly describe what you observe, and be objective! Don't connect emotions with what you observe, this only causes delusional thinking. What we observe is not emotional. Separating emotion from our observation of reality is very important for mental health. Emotionally charged thinking causes so much stress; it's important to be constantly aware of our surroundings (not consumed with the imagination, based on reality or not), and to have our thought process in sync with our senses is so very important for creating accurate perceptions (which is one of the big underlying problems with anxiety, depression, and bipolar disorders). We are creatures of habit, and in order to change our habits, we must become aware of them and work to change them.
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