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Re: Derealization/feeling wierd » rjlockhart04-08

Posted by yxibow on December 2, 2008, at 23:39:50

In reply to Derealization/feeling wierd, posted by rjlockhart04-08 on December 2, 2008, at 11:08:28

> Hi...
>
> I just have to post this, lately i dont know what's going on but, i feel i'm going to fall apart. Not enough oxygen getting to the brain maybe, but it's becoming bothersom during the day, actaully everymorning.
>
> Stress? Xanax right now i take 1mg, and it "lowers" this feeling of awkwardness, and....Alprazolam only lasts 2 hour, i dont know what i should talk to my doctor, but he doesnt really matience any of the meds, Seroquel is awful, you talk about feeling like....you in another world (150-200mg) awful.


I'm not sure really that its not enough oxygen getting to the brain, unless you have an underlying sleep disorder. Do you ever wake up refreshed? Do you sleep in multiple wakeups? Have other people heard you audibly snore a lot or also speak in your sleep? These aren't necessarily a sign of pathology, but one can get a sleep study if it is affordable.


I'm considering one myself so this may be projection.


Seroquel itself can also make one feel faint with blood pressure changes, at least in the morning.


I wouldn't be surprised if Xanax lowered awkwardness, although in the long run it may run out its usefulness if it is taken constantly.


There is always relaxation therapy if you can work through a situation without the Xanax -- not to say that you don't have a right to have medical tools when you need it.

You have to be open to it. Guided imagery exercises as you lie down and listen to tapes or read up on the concept, imagining yourself in a place you like, etc, and listening to your breathing and a whole set of possible concepts.


matience -- I assume you mean maintain... this doesn't really sound like a good scenario if he is not keeping up with your medication dosing.

In general, in my situation, medication lists are monitored every so often to remind my doctor where we are at. How this is done I suppose varies by your relationship with your psychiatrist.

With malpractice and the authorities breathing down on people, more and more psychiatrists are learning that they have to be conservative with medication.

More, a lot more, is not necessarily better. At least that I have learned myself, because I'm sensitive to certain medications.


For what is the Seroquel for ?. APs all have the potential for blunting, which can be interpreted as derealization if it feels like its hammering.

>
> Do i need to get an MRI? because i dont know what's happening, if there's been some kinda stroke, because i just feel myself. Alot of it's self-trama from blowing up and myself and then having other get furious, then.....i just inflict this trama on myself.

Perhaps you are realizing some of the psychological factors affecting you -- what purpose does it serve to beat up and blame yourself? Is it going to get treatment forward?

I mean, I'm sure your situation is completely different but I know I can be very hard on myself internally.

An MRI will show nothing psychiatric barring perhaps changes in adolescent onset schizophrenia and unclear small studies in bipolar. But these are physical changes -- though physical, organic, biochemical can merge together.

But in general, no, an MRI would not show anything psychiatric unless you had an organic disorder and there would be other things that could be detected on a simple neurological exam even before that.

It is a excellent diagnostic tool for organic disorders but it is still not down to the neuron firing level.

For that, well, fMRIs or SPECT/PET scanning might show something but those are primarily research tools for patient studies for future research on psychiatric disorders.

And people are generally enrolled in a test, I mean, it would probably cost over $10k to have such testing done and one may not necessarily be pleased with the results. We're not at that stage yet.


But to get back to the center of things with your doctor -- yes, it should be a two way relationship -- you've already mentioned one complaint, why don't you make an exercise to write down what you feel isn't what you want or isn't the right direction, and also more importantly, and this is very hard, I know, write down something that you can feel good about yourself, your character, your abilities -- sort of a diary of sorts, and bring it in to your doctor and discuss it. That way you remember what to talk about.


I know derealization and disconnectedness can feel very strange, just projecting from my disorder which has taken on multiple forms of "information processing overload" to coin a phrase, not feeling on par with "normal society", whatever that may mean, which is in the eye of the beholder, since there is no such concept, but a feeling -- and at the same time having too much input visually and auditory, from an unknown place.

But that's about me -- not necessarily what you're experiencing or what others may call derealization or depersonalization (which is somewhat different).


Hang in there, I know its trite to say its tough, but could it hurt to not paint a darker situation which just leads to lower self-esteem?

-- best wishes

Jay

 

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