I've been experiencing depersonalization frequently recently but I don't understand why. I probably don't fit the criteria of depersonalization disorder so the only other reason I could experience is if I used a psychedelic substance, which I do not. I've been wondering if depression is the cause of the depersonalization as it often, but not always, happens during MDD episodes. Could this be correct?
Deleted post and closed due to lack of response.
Latuda is off the table for now due to the weird reaction. We were considering Depakote, but psych doc just called and nixed that idea due to my NAFLD and chronic hyperammonia issues. So, he wants me to start back on Zyprexa tonight and to call him tomorrow to see how I am doing. He has been calling me daily over the past two weeks. Several neighbors are suggesting assisted living, but my psych doc is saying no way, I'm not at that stage yet. However, my mother started dementia at my age, but his position in this is that when on Zyprexa, it cures the confusion and other debilitating symptoms at least for awhile. He says that if I had early dementia, I would not respond to the Zyprexa as well as I do.
My neighbors are now concerned due to my inability to think straight and confusion which they are picking up on. I have known this for sometime and have expressed my concern many times over my brain feeling like it is falling apart and unable to function in the real world. Finally my psych doc is taking me seriously.
Dissociation is with me all day long, extreme anxiety and fear/panic/dread all day long, confusion is there all day long, just feeling unwell with these chronic migraines is keeping me in bed 3 days out of 5 days. This is not a functioning life for me. I am afraid to leave my apartment, I am afraid to hear from my neighbors that I am confused and not functioning well. These daily reports are just overwhelming me. I now turn off my phone, close my blinds and live in a shroud of secrecy.
I will be seeing my headache/neurologist/seizure doc this week and will bring this up to him as well. I hope I can make the appointment.
Just sitting here after taking .5 mg of Klonopin to take the edge off. Will start the Zyprexa this evening or sooner.
Just a few points about my environment. Two neighbor threatened my life here (verbally), neighbors that I get close to pass away suddenly (one right in front of me) (I live in an independent living facility and I am the youngest here - most have varying degrees of psychosis/dementia - hard to live with). I went to a party last week and I sat alone at my table while others crowded around with each other excluding me. I left and came home very depressed. I am an easy target where I live, bullies come after me. I have no trust with anyone who lives here anymore. Have been here a year and can't connect with anyone, very depressing, so I stay alone in my apartment. I do not drive and with my agoraphobia, leaving my home and venturing out alone is very very scary to me.
Just not a life that I want to keep living. I have to get on something to help calm down my brain so I can function in the world. I have been on most medications now and nothing works or the side effects are too harsh. It's just becoming too hard now to function in this world.
Well, thanks for reading *smiles*
So I saw my psych doc today and he feels the best reactions I have had to control most all my symptoms are in this class of medications. Where I do not like this "named" class, I will give this one drug one more try. I have been on them all but this one. All the others I can take for short bursts of time. We are trying to find something I can take long-term.
Starting tonight with 20 mg of Latuda. I also asked for Cogentin to help with the horrible muscle spasms and rigid muscles. Mail order will eventually get me the Trasadone to help with sleep and Cogentin for muscle issues. I asked for Xanax and he wouldn't allow that since it's too short acting. I tried to convince him I need something for emergency purposes and he still said no.
It's been 6 months since I have seen my psych doc and in 40 minutes he went thru all my back history, last 30 years to try to find something to help me. He also wrote to my landlord stating that my new kitten is my therapy cat and can therefore not charge me any pet deposits nor fees. I love him for doing that for me !!!
So, after 35 years of treating me I asked... am I BiPolar or what am I? He said basically I suffer under the umbrella of chronic PTSD, tramatic brain injury and childhood abuse. The symptoms I continue to have will not go away, but need to be treated, great, huh? At least he was truthful. Settling in for the long-haul or what's left of my life. Somehow I was magically under the illusion I would be cured, lol.
This is what I go thru every day from the moment I wake up: anxiety throughout the day, uncontrollable anxiety and panic only when I leave my home, dissociation in times of high stress and high anxiety and panic, insomnia every night, daily depression, scary cycling mood swings.
My psych doc called me on a Saturday afternoon (now this doc is semi-retired and only works 3 days a week now). I was shocked when I saw his name come up on caller ID. He was calling to suggest I go into the hospital until I become stabilized. Stabilized in one week, no way I say. It's gonna take time for that to happen. He said with the dissociation and everything else I am going thru on a daily basis he is worried I might self harm. I assured him I am not at that point and he knows that I call him when I need to go back in, plus I have a new kitten and don't want anyone in my home anyway. I think I can manage all this at home. I will be seeing him on Tuesday. That was soo out of character for him to call me like that, kinda got my attention and am I worse off then I realize. I have known him for 30+ years and he knows me well, so I have to trust his direction. His concern is that I am in the middle of a perfect storm and anything can happen and he worries that if anything triggers me I might not be able to control what happens to me.
Then several neighbors stopped by to see if I was okay as they have not seen me last week, curtains have remained closed, not answering phones nor texts. I know I have been avoiding alot of neighbors now as I am selectively avoiding those that trigger me and those that knocked on my door I call them "the axis of terror" for what they have been known to do to other people here. So, I had their phones on block. I have been protecting myself while I work on medication and mood and it's nobody's business.
Had a game of RummyKub set up for this evening and really looked forward to this all week, and everyone just canceled, really bummed about that.
I have had no interest in bath, washing my hair, eating. I can't focus on TV, can't read, nor listen to my book tapes. No interest in anything, I am soo flooded with anxiety/panic.
My HMO has restricted how many benzos I take, I have been on Klonopin for 30 years and that takes the edge off, but have to stock pile them due to the restrictions and delays in getting the medication to me, so had to cut back and that makes my anxiety worse.
So, back to my psych doc. The plan is to keep me on Seroquel (1/2 of a 25 mg) at night for sleep and for mood control for now during the day until I see him next week. It just sedates me too much if I take more than 1/2 of 25 mg in a 24 hour period. But the Seroquel puts the breaks on mood cycling, I just can't tolerate the side effects, they never go away, just increase.
So, I am going to suggest to him for sleep (I want to get off Seroquel due to over sedation and muscle rigidity), Ambien or Trazodone. I read up that Trazodone helps with insomnia, panic, migraine. Then I need a mood stabilizer/seizure medication so may go back on Depakote and Xanax for rescue from intense anxiety/panic. I don't want to go back on Lithium.
Goal for the day, making my bed and taking a bath, maybe washing my hair.