[22M] Experiencing depersonalization and mood swings

Patient Description

A 22-year-old male reports experiencing feelings of depersonalization for about a month, characterized by a sensation of being on autopilot and feeling disconnected from his actions. These episodes come and go and are accompanied by mood swings, which are exacerbated by anxiety. The patient also experiences mild frontal headaches, rated 3/10 in pain, with no associated visual changes or coordination issues. The patient has used substances, including Molly twice this month and alcohol occasionally. There are no pre-existing medical conditions, allergies, or current medications reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possibilities:

  1. Depersonalization-Derealization Disorder: This condition involves persistent or recurrent feelings of detachment from your body or thoughts, often described as feeling like you're on autopilot. It can be triggered by stress, anxiety, or substance use, such as Molly (MDMA), which you've mentioned using. Treatment typically involves therapy, such as cognitive-behavioral therapy (CBT), and addressing any underlying anxiety or stress.

  2. Anxiety and Mood Disorders: Your mood swings and anxiety could be contributing to your feelings of depersonalization. Anxiety can cause a range of physical and emotional symptoms, including headaches and mood changes. Treatment often includes therapy, lifestyle changes, and sometimes medication.

  3. Substance-Induced Symptoms: The use of substances like Molly and alcohol can sometimes lead to feelings of depersonalization and mood swings. These effects can vary based on the amount and frequency of use, and they may improve with reduced use or abstinence.

What you can do

Depersonalization and Mood Swings:

  • Consider seeking support from a mental health professional who can help you explore these feelings and develop coping strategies.
  • Practice stress-reduction techniques such as mindfulness, meditation, or yoga to help manage anxiety.
  • Keep a journal of your symptoms using MDandMe to track patterns and triggers, which can be helpful for you and your healthcare provider.

Headaches:

  • Ensure you stay hydrated and maintain a regular sleep schedule, as dehydration and lack of sleep can contribute to headaches.
  • Over-the-counter pain relief, like ibuprofen or acetaminophen, can be used for mild headaches, but avoid overuse.

Substance Use:

  • Consider reducing or abstaining from substances like Molly and alcohol, as they may be contributing to your symptoms.
  • If you need support in reducing substance use, consider reaching out to a healthcare provider or support group.

What you should look out for

While your symptoms are not immediately life-threatening, it's important to monitor for any changes or worsening of symptoms. Seek medical attention if you experience:

  • Severe or persistent headaches
  • Significant changes in mood or behavior
  • Any new or worsening symptoms, such as vision changes or coordination issues

Remember, it's always a good idea to consult with a healthcare professional for a formal diagnosis and personalized treatment plan. They can provide guidance tailored to your specific needs and help you manage your symptoms effectively.

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25 d ago


People Also Ask


What is depersonalization-derealization disorder and how is it treated?

Depersonalization-derealization disorder involves persistent or recurrent feelings of detachment from one's body or thoughts, often described as feeling like being on autopilot. It can be triggered by stress, anxiety, or substance use. Treatment typically involves therapy, such as cognitive-behavioral therapy (CBT), and addressing any underlying anxiety or stress.


Can substance use like Molly and alcohol cause depersonalization and mood swings?

Yes, the use of substances like Molly (MDMA) and alcohol can sometimes lead to feelings of depersonalization and mood swings. These effects can vary based on the amount and frequency of use, and they may improve with reduced use or abstinence.


What are some effective ways to manage anxiety and mood swings?

Effective ways to manage anxiety and mood swings include seeking support from a mental health professional, practicing stress-reduction techniques such as mindfulness, meditation, or yoga, and making lifestyle changes like maintaining a regular sleep schedule and staying hydrated.


How can I alleviate mild frontal headaches without medication?

To alleviate mild frontal headaches without medication, ensure you stay hydrated, maintain a regular sleep schedule, and practice relaxation techniques. Over-the-counter pain relief can be used for mild headaches, but avoid overuse.

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