"Medium" was a let down.
I'm still trying to find a way to reply, and I also don't understand why my URLs don't work
That thread was about SoulBrotha getting a scan or something, and... oh I wish we could all sit down and have a conference. The only way to figure this out.
I recall reading an article, somewhere... Pubmed maybe. A schizophrenic individual was being treated (for say hallucinations and hearing voices) with some medication. An anti-psychotic I believe -- makes sense :?
OK, it relieved some of his symptoms, but he began to experience DP/DR -- he described the sensations in such a manner that the doctor recognized the symptoms as DP/DR. The schizophrenic individual wanted off the meds. He preferred hearing voices to feeling DP/DR which indeed went away when the medication was removed. The schizophrenic individual found the symptoms of DP/DR so unbearable. He preferred keeping the voices and going off that particular med.
I'll find that article somewhere again. Where I don't know.
I agree there are subtle differences in how people express how they're feeling, but I truly believe, or rather I think I have the following grasp on this:
DP/DR is a very specific perceptual shift, just like deja-vu is a perceptual shift. It can be fleeting, cyclic, or chronic. It can cause more or less disability, depending on each case.
This perceptual shift, yes, is on the same pathway in the brain, no doubt ... whenever any person experiences it ... the same "areas of the brain light up", or a certain "galvanic skin response is detected" or however we want to measure this. (And we aren't at a stage where we can measure DP/DR very accurately as I undertand it.)
However, if I, Dreamer with GAD, depression, and some borderline traits also experiences DP/DR. That's it. I really don't have cognitive impairment re: reality/insight/thought processing that is the hallmark of psychosis.
I'm no expert. This is my POV. At any rate, I think I used this analogy before:
One can sneeze. There must be a sneeze center in the brain.
1. If a neurosurgeon poked your "sneeze center" you'd sneeze
2. If you had a cold you might sneeze
3. If you had an allergy you might sneeze
4. If you smelled too much perfume you might sneeze
All of these pathways are the same, but the starting point, the precipitating factor is different.
When someone has schizophrenia, or a psychotic episode that includes DP/DR. I suppose I might consider DP/DR to be a sneeze as a part of the whole cold. Schizoprhenia is the cold, DP/DR a sneeze, hearing voices a cough.
Oh boy, I'm running out of analogies and metaphors.
We may be talking about the same thing, or not, LOL.
At any rate, you're correct, DP/DR is not psychosis, but I also don't see it on a spectrum, or your river analogy.
Finally. We know that medications that treat one illness are found to treat many illnesses. I.E. Neurontin is effective in treating some people on the board here (I know one personally) for DP/DR -- it's gone. He no longer experiences it. Neurontin is also used as an anti-convulsant. I believe it is also used as a mood stabilizer. It also has a new use -- it helps women having severe menopausal symptoms.
So then a drug, can work on different areas of the brain, and cause various effects, some good, some bad. Some treat symptoms, some cause side effects.
OK, I've dug myself a FINE large hole.
And, I am not an expert. This is how I see my disorder.
And as usual, I could be full of hogwash. 8)
Peace Unigirl, I wish I were back in uni. Really the best years of my life. I want to be a student forever.