Medical history
Hello, Dr.
Lee.
In February, I was thinking about something when I suddenly felt dizzy.
This dizziness felt different from regular lightheadedness; it was more like a sensation of being detached.
Afterward, I felt something was off—I sensed that I had lost all feelings towards things, and the experiences I used to have were no longer there.
My consciousness felt unclear, and I noticed that I seemed to forget recent events, as if they had never happened.
It felt like I had intended to do something but hadn't actually done it, even though I truly felt as if I had.
Additionally, after that day, every time I went to sleep, I felt like I hadn’t really slept at all; it was as if I was merely closing my eyes.
Although I had long periods of sleep, it felt shallow, and I would wake up feeling even more uncomfortable.
I have never had any mental health issues before, and I am unsure about what is happening.
I hope you can help me, Dr.
Lee.
Xianxian, 10~19 year old female. Ask Date: 2001/01/13
Dr. Li Junren reply Psychiatry
The situation you described is somewhat vague, and further information may be needed to assess the issue accurately.
Based on what you have described, it may be more closely related to "depersonalization." This condition is more likely to occur during times of fatigue, excitement, or sudden shock.
Most of the time, it does not lead to any long-term consequences and does not require treatment.
However, if your condition has caused you distress, it is advisable to seek assistance from a psychiatrist or clinical psychologist to identify the exact cause and receive appropriate treatment for your situation.
Reply Date: 2001/01/13
More Info
Your experience of unusual dizziness and memory loss is indeed concerning and warrants a thorough evaluation from a psychiatric perspective. The symptoms you describe—dizziness that feels different from typical vertigo, a sense of detachment from reality, and memory lapses—can be indicative of several underlying issues, both psychological and neurological.
Firstly, the sensation of dizziness that you describe as feeling like "opening up" could be related to a dissociative experience. Dissociation is a psychological phenomenon where a person feels disconnected from their thoughts, feelings, or sense of identity. This can occur in response to stress or trauma, and it often manifests as a feeling of unreality or detachment from one's surroundings. In your case, the dizziness might be a physical manifestation of this dissociation, leading to a sense of disconnection from your experiences and memories.
The memory loss you are experiencing—where you feel as though events have not occurred despite a belief that they have—could also be a form of dissociative amnesia. This type of memory loss is often associated with psychological stress or trauma, where the mind blocks out certain memories as a protective mechanism. It is not uncommon for individuals who have experienced significant stress or trauma to have gaps in their memory or to feel as though they are living in a dream-like state.
Moreover, the feeling of having not truly slept, despite spending a long time in bed, suggests that you may be experiencing sleep disturbances. Poor sleep quality can exacerbate feelings of anxiety and depression, leading to cognitive impairments such as memory loss and difficulty concentrating. Sleep disorders, including insomnia and sleep apnea, can significantly impact mental health and cognitive function.
Given that you mentioned you have not previously experienced any mental health issues, it is essential to consider that these symptoms may be a response to recent stressors or changes in your life. Stress can have profound effects on both mental and physical health, and it can manifest in various ways, including anxiety, depression, and cognitive difficulties.
To address these concerns, I recommend the following steps:
1. Consult a Psychiatrist or Psychologist: It is crucial to seek professional help from a mental health provider who can conduct a comprehensive evaluation. They can help determine whether your symptoms are related to anxiety, depression, dissociation, or another mental health condition.
2. Keep a Symptom Diary: Documenting your experiences, including the frequency and nature of your dizziness, memory lapses, and sleep disturbances, can provide valuable information for your healthcare provider. Note any triggers or patterns you observe.
3. Explore Stress Management Techniques: Engaging in relaxation techniques such as mindfulness meditation, deep breathing exercises, or yoga can help reduce anxiety and improve your overall sense of well-being. These practices can also enhance your ability to cope with stress.
4. Prioritize Sleep Hygiene: Establishing a regular sleep routine, creating a comfortable sleep environment, and avoiding stimulants before bedtime can improve sleep quality. If sleep disturbances persist, discussing them with a healthcare provider is essential.
5. Consider a Neurological Evaluation: If your symptoms continue or worsen, it may be beneficial to consult a neurologist to rule out any underlying neurological conditions that could be contributing to your dizziness and memory issues.
In conclusion, your symptoms are significant and deserve careful attention. Seeking professional help is the best course of action to understand the underlying causes of your experiences and to develop an appropriate treatment plan. Remember, you are not alone in this, and there are effective strategies and treatments available to help you regain your sense of well-being.
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