[18F] Experiencing emotional numbness and disconnection

Patient Description

An 18-year-old female reports a gradual onset of emotional numbness and a total disconnection from reality over the past year, which has worsened over time. The patient has lost the ability to feel love and experiences episodes of extreme paranoia. She finds temporary relief in playing video games and engaging in online forums. The patient has a history of ADHD diagnosed at age 6. She reports an allergy to Codeine, which causes rashes and swelling of the throat. The patient is not currently on any medication. She has had thoughts of self-harm and suicide in the past but is not experiencing these thoughts at the moment. Changes in sleeping and eating habits were noted. The symptoms began following a significant change in her personal life, specifically the end of a relationship where she felt happy and healthy before losing her emotional connection.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing symptoms of a mental health condition. Here are some possibilities:

  • Major Depressive Disorder (MDD): This is a mood disorder that causes a persistent feeling of sadness and loss of interest. It affects how you feel, think and behave and can lead to a variety of emotional and physical problems. You've mentioned feeling emotionally numb and disconnected from reality, which are common symptoms of MDD.

  • Depersonalization-Derealization Disorder: This is a type of dissociative disorder that consists of persistent or recurrent episodes of depersonalization, derealization, or both. Depersonalization is described as feeling detached or disconnected from oneself, observing oneself from an outside perspective, or experiencing a sense of unreality. Derealization involves experiencing the world as unreal, dreamlike, distant, or distorted.

  • Schizoaffective Disorder: This is a mental health disorder characterized by a combination of symptoms of schizophrenia, such as hallucinations or delusions, and symptoms of a mood disorder, such as mania and depression. You've mentioned episodes of extreme paranoia, which could be indicative of this disorder.

Please remember that these are just possibilities based on the information you've provided, and a formal diagnosis can only be made by a healthcare professional.

What you can do

  1. Seek professional help: If you're not already seeing a mental health professional, it's important to get in touch with one. They can provide a formal diagnosis and treatment plan.

  2. Reach out to trusted people in your life: Let them know what you're going through so they can provide support.

  3. If you're feeling suicidal, reach out to a crisis hotline: In the U.S., the National Suicide Prevention Lifeline is 1-800-273-TALK (1-800-273-8255) or use the Crisis Text Line by texting HOME to 741741.

What you should look out for

If your feelings of disconnection, numbness, or paranoia worsen, or if you start feeling suicidal, it's important to seek help immediately. You don't have to go through this alone, and there are professionals who can provide help and support.

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11 mo ago

People Also Ask


What are the common symptoms of Major Depressive Disorder (MDD)?

Common symptoms of Major Depressive Disorder include persistent sadness, loss of interest in activities once enjoyed, changes in appetite or weight, sleep disturbances, fatigue, feelings of worthlessness or guilt, difficulty concentrating, and thoughts of death or suicide.


How is Depersonalization-Derealization Disorder diagnosed?

Depersonalization-Derealization Disorder is diagnosed through a clinical evaluation by a mental health professional. They will assess symptoms, rule out other mental health conditions, and determine if the symptoms cause significant distress or impairment in social, occupational, or other important areas of functioning.


What are the treatment options for Schizoaffective Disorder?

Treatment options for Schizoaffective Disorder typically include a combination of medication (such as antipsychotics and mood stabilizers), psychotherapy, and support for social and occupational functioning. Treatment plans are tailored to the individual's specific symptoms and needs.


How can someone manage feelings of paranoia?

Managing feelings of paranoia can involve therapy, such as cognitive-behavioral therapy (CBT), which helps in identifying and challenging paranoid thoughts. Medication may also be prescribed if paranoia is part of a broader mental health condition. Additionally, stress management techniques and building a support network can be beneficial.


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