[52M] Experiencing Intense Anger and Dissociative Episodes

Patient Description

A 52-year-old male reports experiencing intense anger towards his neighbor, to the point of imagining harmful scenarios. Additionally, he describes having episodes of feeling outside or above his body, occurring 2-3 times a week, usually after imagining scenarios involving his neighbor. These dissociative episodes last about 5-10 minutes each and have been a part of his life for the past 6 years. He describes these experiences as a feeling of lightness and prefers them over being in his physical body. The patient has a history of a tic disorder in childhood, which resolved. He reports an allergy to pollen but is not currently on any medications and has never been prescribed any in his life. The patient expresses a continued strong dislike for his neighbor but has not taken any steps towards acting on these thoughts.

Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your experiences:

Intense Anger and Violent Thoughts: These feelings towards your neighbour could be a sign of a mental health condition such as Intermittent Explosive Disorder (IED), which is characterized by sudden episodes of unwarranted anger. However, it's important to note that this is just one possibility and a professional assessment is needed to confirm.
- Treatment for IED typically includes cognitive behavioral therapy (CBT) and medication.
Out-of-Body Experiences: The sensation of floating outside your body is known as an out-of-body experience (OBE). OBEs can occur in a variety of contexts, including high stress or anxiety, and certain mental health conditions.
- Treatment often involves addressing the underlying cause, such as managing stress or treating the mental health condition.
Auditory Hallucinations: Speaking to your deceased aunt could be a form of auditory hallucination, which can be associated with a number of mental health conditions, including schizophrenia and severe depression.
- Treatment typically involves medication and psychotherapy.

Please remember that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional who can provide a formal assessment.

What you can do

Seek professional help: It's important to consult with a healthcare professional about your feelings of intense anger and violent thoughts towards your neighbour. They can provide a formal assessment and recommend appropriate treatment.
Practice stress management techniques: Techniques such as deep breathing, meditation, and yoga can help manage stress and anxiety, which might help reduce the frequency of your out-of-body experiences.
Stay connected with others: Try to maintain connections with supportive friends or family members. They can provide emotional support and help you navigate through this challenging time.

What you should look out for

If your feelings of anger escalate or you feel you're at risk of acting on your violent thoughts, it's important to seek help immediately. You can call a local crisis line or go to the nearest emergency department.
If your out-of-body experiences increase in frequency or intensity, or if they start to interfere with your daily life, it's important to seek professional help.
If your auditory hallucinations become more frequent or intense, or if they start to interfere with your daily life, it's important to seek professional help.

Remember, I'm an AI and this advice is based on the information you've provided. It's important to consult with a healthcare professional for a formal diagnosis and treatment.

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9 mo ago

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