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A little hope after 10 years of Derealisation?

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#1 esroh



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Posted 05 January 2017 - 06:18 AM

Hello guys,


i think i need your advice on what to do next.

Im 22 and ive had constant 24/7 Derealisation since my early childhood.I think it developed gradually, so i cant tell exactly when it started.

It has at least been a decade tho.

For me its mostly this feeling of being in a dream all the time.Everything seems fragmented, far away etc.

Of course, when im in big open areas or stressed it kind of itensifies.

However, i always had a hard time telling whether i just noticed it more or if it actually got worse.It never really decreased tho.


So i always thought, this is just something i have to accept.And for a long time it didnt bother me at all really.

Then again there were times where i focused more on it and so i suffered more because of it.


Recently ive had a rough time emotionally.I would feel really anxious most of the day, and then in the evening it rapidly subsided and i would feel really calm and relaxed.

A few days ago, i went outside with a friend and felt very relaxed mentally and physically, i felt at peace.

And suddenly everything wasnt as unreal as it usually is.For a few minutes it seemed like my brain had the capacity to integrate all that visual information.

Ive had  a similar experience when i once took some ritalin.Your overactive brain slows down, and you are way more focused, and consequently my derealisation decreased.


So it seems like my condition is not as fixed as i had assumed.

Do you have any advice on what to do next?

Ritalin seemed to have an effect, maybe there are other drugs that might really have an impact?

Ive never been on medication, so i dont know.

I think about getting some physical things checked just to rule that out and maybe do a brain scan.

Im definitely starting a psychotherapy, also for some other issues i have.


So on the one hand i dont want to obsess to much over it, as i have a strong tendency to do so,

but if there might be things that actually work, i definitely want to try them.


Any tipps and advice would be highly appreciated! :)

Also, if you know any possible physical causes that are not as obvious, please let me know! 

#2 semicharmedlife


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Posted 13 January 2017 - 12:35 PM

Have you talked to your doctor about any anti-psychotics?

#3 tfiio


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Posted 13 January 2017 - 01:52 PM

antipsychotics are frequently advocated for on this forum, although ritalin is a stimulant, and those two classes don't really do the same thing at all, so if a stimulant helped you there's not exactly any evidence either way as to whether or not an antipsychotic will do anything for you. but, a lot of others have had success, so it may be worth considering. but considering you haven't really received psychiatric care, they'll likely want to start you out on an SSRI, considering you list anxiety as one of your most disruptive symptoms.


I don't remember when it started for me either. I don't know what your life was like, but the way I was treated by others at such a formative age was certainly a substantial component of why I developed these symptoms, though I suspect it was a direct cause. if that is the case for you as well, therapy will be a flippin pain (I hate it), but it will probably also do the most good for you in the long run. (assuming your therapist is actually useful, of course.)


the most common physical cause I've seen talked about here is temporal lobe epilepsy. here is the wikipedia, which lists common symptoms and how doctors check for it within the first couple paragraphs. https://en.wikipedia...l_lobe_epilepsy (easier than copy/pasting the relevant portions, to me)


I hope you find something that works for you, or at least get to a place where you're happy.

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