Posts Tagged Medication

Feeling that Reality is Unreal


It feels like NOTHING is real, but…that doesn’t depress me. Shouldn’t it? For the past few months (and nothing I can think of significant has happened in the past few months, at least nothing out of the ordinary) i’ve begun to feel as if the world around me wasn’t real. But it’s not…depressing or scary…and the fact that its not scary, is a little bit odd to me. I don’t feel particularly unhappy or unsafe, in fact, you could even say that recently I’ve been happier than normal. But even sitting down in the living room typing this seems like it isn’t really happening. It’s like i’m just thinking really hard about things happening or watching some odd 3d projection of information pretending to be physical matter or light or whatever. Shouldn’t I be depressed? Why do I feel so strangely…I don’t even know how to explain it. Not euphoric, because that’s too extreme, just…disconnected. A sort of happy isolation. Am I crazy, or am I like…SUPER CRAZY? What’s wrong with me?

A. I would need many more details about your symptoms to know what, if anything, may be wrong. For instance, it would have been helpful to have answers to the following questions:

  • Do you have a recent history of substance use?
  • How often do you feel as though nothing is real?
  • When did these feelings begin?
  • Are you able to distinguish between what is real and what isn’t?
  • Are you engaging in any particular activity when these feelings occur?
  • Did you recently began taking a new medication?

There are several general possibilities that may explain your symptoms: a significant lack of sleep or the use of drugs or alcohol. If you have used drugs or alcohol recently, your symptoms may be a side effect of those substances. I receive many letters from individuals who have recently “smoked something” and subsequently feel similar to what you have described.

It’s also possible that you are experiencing symptoms of a mental health condition. Depersonalization disorder is characterized by feeling detached or estranged from oneself. Sometimes individuals with this disorder describe feeling as though they are in a movie or living in a dream. Some individuals who experience depersonalization worry that they are “crazy.”

On some occasions, individuals with depersonalization disorder experience derealization. Derealization is the experience of feeling as though the external world is strange or not real. Depersonalization disorder typically develops in adolescence or early adulthood (average age is about 16) and can be exacerbated by a traumatic event. Depersonalization disorder is categorized as a dissociative disorder and may be associated with other conditions such as schizophrenia, panic disorder, acute stress disorder, another type of dissociative disorder, drug use, or a general medical problem.

My recommendation is to have an evaluation by a mental health professional. An evaluation could determine if you should be concerned about your symptoms, if your symptoms require treatment and if you have a mental health condition. It is advantageous to receive an objective opinion from a trained professional when experiencing unusual psychological symptoms. Please take care. I wish you the best of luck.

Dr. Kristina Randle

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Need Help with Extreme Anxiety


Middle of the night I wake up in a panic and need to check on my husband because I am sure that he died in his sleep. I feel his chest and cannot feel him breathing or a heart beat, I usually shake him or grab him freaking out which wakes him up. Some nights I wake up sobbing other nights my husband has to wake me up because I am crying in my sleep. I have done this with all of my children when they were little and my husband for years now but it was only once in a great while. Now it is much more extreme, at least once a week. I was the day time caretaker of my grandmother who passed away in January and I think that could be the cause of the increase in this anxiety. I need to know what this is and how I can make it stop. Please give me some direction .

A: I’m so sorry this has gone on so long without treatment. What you are describing is an anxiety disorder. Everyone who loves someone has some fears that something will happen to them. But in your case, those fears are in over-drive. I agree that the death of your grandmother probably exacerbated what was already a serious problem. Her death made your fears even more real for you.

I think you should consider seeing a mental health professional who is experienced with anxiety disorders. It might be helpful to take some anti-anxiety medication for awhile just to bring the anxiety down a notch to make it more possible for you to take advantage of talk therapy. Cognitive-behavioral therapy has been found to be the most useful approach for managing this kind of problem. You will learn ways to stop the negative thoughts and to replace them with reassurances on your own.

Please follow through and get the help you need. You – and your husband – deserve to sleep peacefully.

I wish you well.
Dr. Marie

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Hallucinations Tell Me To Do Things That Hurt


I feel like I am being controlled by the man in my head named Simon. He is new. The other ones aren’t here now, he just came. I intended on it anyways, but yesterday when I put a razor inside my private area, I was fine you know, it felt good. The. It felt like Simon took over my hand and he cut and cut, and I only saw blood. And he told me he’d do it every night until he stopped. I’m ging to tell my therapist, I just dunno what to do till then. I’m on my medicines right. I don’t like being I trouble so I can’t tell anyone, they might send me away again. I just need some advice please. I cry and he keeps yelling and if I do anything he yells more and says bad thing and it’s gonna be worse next time. I’m scared, and I hope you’ll answer this, thanx.

A. I would recommend calling your therapist or your psychiatrist immediately. They may be able to assist you before your next appointment. This is a serious problem that should not be ignored. You feel compelled to cut yourself and have done so already. You have lost your ability to control your behavior. This is a situation where you need to be safe and you should not fear the hospitalization, if necessary, that will protect you.

You should consider going to the hospital. You may not require inpatient hospitalization. The hospital staff can keep you safe until you feel as though you can control your behavior. The staff at the hospital may also be able to adjust your medication which could significantly reduce your hallucinations and desire to cut. Perhaps they can even contact your psychiatrist or therapist who could guide them in adjusting your medication. Please don’t ignore this problem and make an effort to receive emergency assistance. I hope you’re able to receive the help that will make you safe.

Dr. Kristina Randle

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