[24M] Experiencing detachment and anxiety symptoms

Patient Description

A 24-year-old male reports feeling detached from himself and others, with altered perception of time and memory issues for the past month. The symptoms began after a single use of cannabis and a stressful event involving a big test. The patient experiences anxiety and nocturnal panic attacks, affecting sleep, with physical symptoms like a fast heart rate and dizziness. He has not used cannabis since and has no history of anxiety disorder diagnosis or medication use. Therapy has been attempted. No pre-existing conditions or chronic illnesses reported.

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Arora's Assessment

What might be happening

Based on your symptoms, you might be experiencing:

  • Depersonalization-Derealization Disorder: This condition involves persistent feelings of detachment from your body or surroundings. It can be triggered by stress, anxiety, or substance use, like cannabis.

    • Treatment: Often involves therapy, such as cognitive-behavioral therapy (CBT), to help manage symptoms. Medication may be considered if anxiety is significant.

  • Anxiety or Panic Disorder: Anxiety can cause feelings of unreality, memory issues, and panic attacks.

    • Treatment: Therapy and sometimes medication can help manage anxiety symptoms.

What you can do

  1. Continue Therapy: Keep working with your therapist to explore these feelings and develop coping strategies.
  2. Practice Grounding Techniques: Techniques like deep breathing, mindfulness, or focusing on your senses can help you feel more connected.
  3. Avoid Triggers: Since cannabis worsened your symptoms, it's best to avoid it and other potential triggers.
  4. Track Symptoms: Use MDandMe to journal your symptoms, track progress, and share insights with your therapist.

What you should look out for

  • Seek Help: If your symptoms worsen or you feel overwhelmed, reach out to a healthcare provider.
  • Emergency Signs: If you experience severe panic attacks or thoughts of self-harm, seek immediate medical attention.

Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

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2 mo ago

People Also Ask

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

Depersonalization-derealization disorder is a mental health condition where a person feels detached from their body or surroundings. It can be treated with therapy, such as cognitive-behavioral therapy (CBT), and sometimes medication if anxiety is significant.

Can cannabis use trigger anxiety or panic disorders?

Yes, cannabis use can trigger anxiety or panic disorders, especially in individuals who are predisposed to anxiety or have experienced a stressful event. It's important to avoid cannabis if it worsens symptoms.

What are some effective grounding techniques for managing anxiety?

Effective grounding techniques for managing anxiety include deep breathing exercises, mindfulness practices, and focusing on the five senses to help bring attention back to the present moment.

When should someone seek medical help for anxiety or panic attacks?

Medical help should be sought if anxiety or panic attacks become severe, frequent, or interfere with daily life. Immediate medical attention is necessary if there are thoughts of self-harm or if panic attacks are overwhelming.

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