[24F] With persistent dizziness and overwhelming fear of dying

What might be happening

Based on the information you have provided, here are some potential explanations for your symptoms:

• Panic Disorder: Given the sudden onset of your symptoms following a panic attack induced by marijuana use, it is possible you are experiencing panic disorder. This condition is characterized by recurrent panic attacks, which can include symptoms like dizziness, shortness of breath, chest pain, palpitations, and a fear of dying.

  • Treatment: Treatment often involves a combination of medication (such as SSRIs like Paxil) and cognitive-behavioral therapy (CBT) to help manage and reduce panic attacks.

• Generalized Anxiety Disorder (GAD): Your persistent feelings of fear, dizziness, and disorientation could also be indicative of generalized anxiety disorder. GAD involves excessive, uncontrollable worry about various aspects of life, often accompanied by physical symptoms like those you are experiencing.

  • Treatment: Treatment typically includes medication (such as SSRIs or buspirone) and therapy, particularly CBT, to help manage anxiety symptoms.

• Depersonalization/Derealization Disorder: The feelings of derealization and disorientation you described may be related to depersonalization/derealization disorder, which involves persistent or recurrent feelings of being detached from one's body or surroundings.

  • Treatment: Treatment often includes psychotherapy, particularly CBT, and sometimes medication to help manage symptoms.

• Medication Side Effects: The dizziness and drowsiness you are experiencing could be side effects of the medications you are currently taking (Paxil and buspirone). Both medications can cause these symptoms, especially when first starting or adjusting dosages.

  • Management: It is important to discuss these side effects with your prescribing doctor, who may adjust your dosage or suggest alternative treatments.

What you can do

1. Consult Your Doctor: It's crucial to discuss your symptoms and concerns with your healthcare provider. They can provide a formal diagnosis and adjust your treatment plan as needed.
2. Therapy: Consider seeking therapy, particularly cognitive-behavioral therapy (CBT), which can be very effective in managing anxiety and panic disorders.
3. Medication Management: Do not stop or adjust your medications without consulting your doctor. They can help you manage any side effects and find the most effective treatment plan.
4. Lifestyle Changes: Engage in regular physical activity, practice relaxation techniques (such as deep breathing exercises or meditation), and maintain a healthy diet to help manage anxiety symptoms.
5. Avoid Triggers: Since marijuana use triggered your initial panic attack, it may be best to avoid using it or any other substances that could exacerbate your symptoms.

What you should look out for

• Worsening Symptoms: If your symptoms worsen or become unmanageable, seek medical attention promptly.
• New Symptoms: If you experience new symptoms such as severe chest pain, difficulty breathing, or loss of consciousness, seek immediate medical attention.
• Medication Side Effects: Monitor for any new or worsening side effects from your medications and report them to your doctor.

Remember, while this information can help guide you, it is essential to seek care from real health professionals to receive a formal diagnosis and appropriate treatment.