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Hi I am new here. I am 27 years old, and for the past 2 months have been experiencing the following symptoms. I have been to several psychiatrists and psychologists, who have told me that I am not experiencing anything remotely close to psychosis. A few have told me that my symptoms are the result of chronic sleep deprivation (I have had a poor sleep pattern for the past 7 months).


1)  Extreme detachment from people and my surroundings- I feel very detached from my surroundings and people, almost as if they are not real, or as if I am far away. Everything feels "strange" and a bit "off". I know this is some kind of a dissociation I am experiencing, but it causes me a lot of worry.

2) Extreme detachment from my own actions- I almost feel like an automaton, and as if I am on autopilot. I do things essentially unthinkingly. 

3) Fear of random noises and objects- I can get scared by any noise or any object, partly because of my detachment from my surroundings, and then I get scared thinking it might be a delusion. 

4) Having random thoughts come into my mind at all days- these aren't really voices but simply random words or streams of thoughts that come in my mind- and I wonder why I am thinking them- when I realise that I am thinking them i stop them. It's hard to explain. It's almost as if my mind is distracted and bringing up random things. This happens during the day, but most prominently during sleep, and both before and after falling asleep. For some reason, I feel confident that I am thinking these things (out of control as they are) because they are exactly the sort of things I'd think, and I can stop them at will. When I think these things during my sleep- they sound like nonsensical gibberish. The kind of things are mundane things or thoughts. 

5) Lack of motivation to do anything

6) A conviction that I am going insane- that I am losing control of my mind


Now here is a list of things that make me think it might NOT be psychosis-

Things  that make me think I might not have schizophrenia

1) My worry about schizophrenia preceded the onset of these symptoms- I obsessively googled and starting relating symptoms
2) No genetic history in family
3) My worry about these symptoms is far greater than symptoms itself
4) Everyday I seem to be worried or fearful of new things- Nothing really sticks
5) The doctors and psychiatrists I have met seem certain that it's not schizophrenia
6) I carry my activities as well as I used to earlier
7) I talk to people, and unlike schizophrenia I actually yearn for social interaction
8) I have been a hypochondriac all my life and in the past obsessed about diseases that didn't exist
9) There were a lot of stress factors in my life prior to this- breakup, worry about exams, worry about being ill etc
10)I seem to be in touch with reality, and more upset about these symptoms, rather than going through these symptoms unknowingly. It's almost as if I dissect these symptoms.
11) I have been suffering from sleep problems for the past 5 months- I basically wake up after few hours. Psych things this is the cause of these symptoms.

12) When I talk to someone or am involved in an activity- every symptom or worry about it, disappears. The worry really leads to more symptoms.

What do you think?








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4th time I had to write this:

Idk the answer to your question except to say that chronic sleep deprivation can cause some of what you wrote about in your post. Probably not all of what you wrote, but some of the symptoms you write about sound like when I get sleep-deprived over a few days.  NOT saying they are definitely from chronic sleep deprivation, just from my personal experience.  YMMV.

I'm sorry if I missed this, but are you on any medication? and do you currently have a psychiatrist (pdoc)?

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No that doesn't sound psychosis like in my opinion. It sounds like sleep deprivation and anxiety is causing some hyper vigilantism.

This does remind me of myself a year ago. I had terrible sleep, my mind was racing, constanting thinking that I had psychosis. For some reason I felt more at ease with the idea that I was developing schizophrenia than not because it put a name to the experience. I was constantly thinking about the thoughts going on in my head, each thing that came into my head almost randomly, the conversations I regularly have with my myself, asking the same questions over and over again.

But what separates us is that I started hearing voices as it was coming up to bedtime. I'd hear footsteps outside my bedroom and rattling at the door during the night. I'd get visual distortions. However even that doesn't necessarily mean psychosis. This has been a point of conversation for the last year whether or not this is psychosis or something else like sleep deprivation, Asperger's, severe depression or just withdrawing from a brief time with a bad reaction to medication. 

Try to calm yourself down, distract yourself when ever you can. You might find your doctor prescribing medication like an antipsychotic regardless and in my experience it really does help calm yourself down and get back to normality. 

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I've had both severe anxiety/panic and psychosis and it doesn't sound like psychosis at all. W/psychosis I am detached from reality and don't realize it (this part is important), and must go to inpatient hospitalization to stabilize. There's no anxiety over whether or not I am psychotic - any anxiety I feel is from the psychotic delusions themselves.

Similar to what Southern Discomfort said, my advice is try to do whatever you can to ease your anxiety, even if it means going on medication - it can truly improve your quality of life. Obsessing over everything is paralyzing. Good luck to you.

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When I'm psychotic I don't question it. It's real, it's happening. It may not be reality but it's my "reality." Voices are screaming in my ears, people are stealing my thoughts and putting different thoughts into my head including that I have to hurt myself, mind control experiments are being done on me, I have intense paranoia where I will run away screaming because I think some stranger is about to hurt me or I yell at people in public because I think they're plotting to hurt me.

What you have doesn't sound like psychosis at all.

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On June 29, 2016 at 3:47 AM, Aniket said:


1)  Extreme detachment from people and my surroundings- I feel very detached from my surroundings and people, almost as if they are not real, or as if I am far away. Everything feels "strange" and a bit "off". I know this is some kind of a dissociation I am experiencing, but it causes me a lot of worry.

2) Extreme detachment from my own actions- I almost feel like an automaton, and as if I am on autopilot. I do things essentially unthinkingly. 


This sounds exactly like the dissociation symptoms I used to get. Why not read up about depersonalization and derealization and see if anything else sounds like you. I used to get them and I know how distressing they can be. Good luck.


Edited by Hester
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13 hours ago, Hester said:


This sounds exactly like the dissociation symptoms I used to get. Why not read up about depersonalization and derealization and see if anything else sounds like you. I used to get them and I know how distressing they can be. Good luck.


Hester were these the main symptoms in your diagnosis, if you were diagnosed for psychosis?

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13 minutes ago, Aniket said:

Hester were these the main symptoms in your diagnosis, if you were diagnosed for psychosis?

@Aniket I have a psychotic disorder, but I also have depersonalization disorder. What you describe ( detachment) sounds like some form of dissociation. For me it is worse when I am anxious. There are grounding techniques and for me anything that reduces anxiety or stress helps.

there is a movie called Numb about Dp. It has a sappy ending but it has some good parts.  The character is anti med, but I take lexapro, which helps me with anxiety.

i have had psychotic symptoms: delusions, hallucinations, paranoia and you aren't describing that, which is good.



Edited by confused
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5 hours ago, confused said:

@Aniket They dx me at the time with borderline personality disorder, and severe anxiety, which can both include dissociative symptoms. I know longer apply to that dx due to showing too few traits, but this was 15 years ago.

Hope that helps.

@confused has it down.


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