[19M] Experiencing episodes of altered time perception and dissociation

What might be happening

Based on your symptoms, possible explanations include:

• Depersonalization-derealization disorder: This is a type of dissociative disorder that consists of persistent or recurrent feelings of being detached (dissociated) from one’s body or mental processes, usually with a feeling of being an outside observer of one's life (depersonalization), or of being detached from one's surroundings (derealization). The symptoms you described, such as feeling like you're dreaming while awake, observing yourself from above, and feeling like nothing is real, are common in this disorder.

  • Treatment typically involves psychotherapy, with cognitive behavioral therapy being particularly effective. Medications can also be used, although none are specifically approved for this condition.

• Anxiety disorder: Anxiety can cause a variety of physical and mental symptoms, one of which is a feeling of unreality or detachment from self or surroundings. Given your history of anxiety, it's possible that your symptoms are a manifestation of this condition.

  • Treatment typically involves a combination of psychotherapy, cognitive behavioral therapy, and medication.

• Side effects of medication: Zoloft and melatonin, which you're currently taking, can cause a variety of side effects, including a feeling of detachment or unreality.

  • If you suspect that your symptoms may be related to your medication, it's important to discuss this with your doctor. Do not stop taking your medication without consulting your doctor first.

What you can do

1. Consult a healthcare professional: Given the complexity of your symptoms, it's important to consult a healthcare professional who can provide a formal assessment and recommend appropriate treatment.

2. Monitor your symptoms: Keep a record of when your symptoms occur, how long they last, and any potential triggers. This information can be helpful for your healthcare provider in diagnosing your condition.

3. Practice good sleep hygiene: Since your symptoms often occur when you're tired, ensuring that you're getting enough quality sleep may help. This includes maintaining a consistent sleep schedule, creating a restful environment, and avoiding caffeine and heavy meals before bedtime.

4. Mindfulness and relaxation techniques: These can help manage symptoms of anxiety and may also be beneficial for symptoms of depersonalization and derealization.

What you should look out for

• Worsening of symptoms: If your symptoms become more frequent or severe, seek medical attention promptly.
• New symptoms: If you develop new symptoms such as loss of consciousness, seizures, or hallucinations, seek medical attention immediately.
• Suicidal thoughts: If you ever have thoughts of harming yourself, reach out to a trusted individual immediately and seek professional help.

Remember, while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.