[25M] Experiencing visual hallucinations and light body sensation
Patient Description
A 25-year-old male reports experiencing visual hallucinations daily for the past month, with episodes occurring every 10 minutes while awake. The hallucinations have worsened over time. The patient also describes a mild sensation of lightness in the body, with no specific triggers identified. Additionally, there is a history of sleepwalking for extended periods. Medical history includes Disruptive Mood Dysregulation Disorder (DMDD), Borderline Personality Disorder (BPD), and asthma, diagnosed a couple of years ago. Current medications include Abilify and Prozac, taken daily, though the patient is unsure of the dosages. There are no known allergies or adverse reactions to medications, and the patient is not taking any over-the-counter medications or supplements. A family history of psychiatric conditions is noted, specifically in an aunt.
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Arora's Assessment
What might be happening
Based on your symptoms and history, here are some possibilities:
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Psychosis: This can involve hallucinations and delusions. It may be related to your history of BPD (Borderline Personality Disorder) or could be a separate issue. Psychosis can be triggered by stress, medication changes, or substance use.
- Treatment: Typically involves antipsychotic medications and therapy. It's important to work closely with a mental health professional.
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Medication Side Effects: Both Abilify and Prozac can cause side effects, including hallucinations or changes in perception.
- Treatment: Your doctor may adjust your medication or dosage.
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Sleep Disorders: Sleepwalking and hallucinations can be related to sleep disturbances.
- Treatment: Sleep studies and behavioral strategies may be recommended.
What you can do
- Consult Your Doctor: It's crucial to discuss these symptoms with your healthcare provider. They can assess whether your medications need adjustment or if further evaluation is needed.
- Track Symptoms: Use MDandMe to journal your symptoms, track any changes, and share this information with your provider.
- Maintain Routine: Try to keep a regular sleep schedule and avoid substances that might affect your mental state.
What you should look out for
- Seek Immediate Help: If you experience severe hallucinations, thoughts of self-harm, or any dangerous behavior, seek emergency medical attention.
- Monitor Changes: Keep an eye on any new or worsening symptoms and report them to your doctor.
Remember, it's important to work with a healthcare professional to get a proper diagnosis and treatment plan.
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2 mo ago