Feeling Dizzy and Unreal: Depersonalization and Its Effects

Q: Feeling Dizzy and Unreal: Depersonalization and Its Effects

Hello： Based on your description, you are likely experiencing depressive-related psychiatric symptoms. <br>This condition typically shows significant improvement within one to two weeks after starting antidepressant medication. <br>It is recommended to incorporate moderate and re

Dizziness, feeling unreal, as if just waking up at any moment?

Hello, doctor.
I was working normally until May 11th, and my mental state was fine.
After I stopped working on the 11th, I started preparing for college entrance exams in early July.
I have been studying at home every day, watching TV, and rarely going out, which has changed my routine.
I am not sure if this is the reason, but I started experiencing dizziness, a sense of unreality, a heavy feeling, blurred vision, and mental fog.
It feels like being intoxicated or drunk, and I can't concentrate my attention or focus my vision.
The main issue is this overwhelming sense of unreality, as if everything is a dream.
I don't want to do anything; I just want to sit or lie down without moving.
It feels like I'm dreaming all the time, and I have memory lapses and a loss of willpower.
I don't know what I'm doing, and when I finish one task, it feels like waking up from a dream.
I keep telling myself to wake up, but slapping my face or pinching myself doesn't help.
Soon after, I start feeling dazed again, with a sense of disconnection between my body and mind.
I can't focus on reading, but I can get absorbed in watching TV or using my phone.

Previously, I had a very light diet and was very health-conscious, but now I eat everything: cookies, snacks, sweets, ice cream, meat, and fried foods.
I have started to neglect my health and no longer care about how others perceive me or my body.
I feel indifferent, as if it wouldn't matter if I didn't take the exams or even if I died.
My daily routine has become just eating and sleeping.
Regarding sleep, I dream as soon as I fall asleep, whether it's a short nap or overnight, and the dreams feel incredibly real, as if I'm living in a dream.
I searched online and found that others have similar experiences.
I believe my condition is closer to autonomic nervous system dysfunction or depression.
I visited a psychiatrist today, and he mentioned that I show signs of mild depression, but my main issue is not feeling sad; it's this sense of unreality, as if I'm dreaming.
He prescribed me a medication called Yuankang Sustained Release Capsules, but I don't feel it has helped, and I still feel like I'm living in a dream.
Please advise me on what to do.
Thank you very much.

Dawn, 10~19 year old female. Ask Date: 2014/05/26

Dr. Huang Weiqin reply Psychiatry

Hello: Based on your description, you are likely experiencing depressive-related psychiatric symptoms.
This condition typically shows significant improvement within one to two weeks after starting antidepressant medication.
It is recommended to incorporate moderate and regular gentle exercise, which will help accelerate the recovery of health and vitality.
If you have any questions regarding the effects or side effects of the medication, you can directly consult your treating physician.
Patients have the right to be informed, and physicians have the obligation to provide information.
Thank you for your inquiry.

Reply Date: 2014/05/26

More Info

It sounds like you are experiencing a challenging and distressing situation characterized by feelings of dizziness, depersonalization, and a sense of unreality. These symptoms can be quite overwhelming and may be linked to various underlying issues, including anxiety, depression, or even a response to significant life changes, such as the transition from work to studying for exams.

Understanding Depersonalization:
Depersonalization is a dissociative symptom where individuals feel detached from their thoughts, feelings, or sense of self. It can create a sensation of being an outside observer of one's own life, leading to feelings of unreality. This can be triggered by stress, anxiety, or significant life changes, such as the one you are currently experiencing. The symptoms you describe, such as feeling like you are in a dream, having difficulty concentrating, and experiencing memory issues, align with depersonalization and can also be associated with anxiety disorders.

Potential Causes:
1. Stress and Anxiety: The transition from a structured work environment to studying at home can lead to increased stress and anxiety. This change in routine may disrupt your normal coping mechanisms, leading to feelings of disconnection and unreality.

2. Depression: You mentioned that a psychiatrist noted some depressive symptoms. Depression can manifest in various ways, including changes in appetite, sleep disturbances, and a lack of interest in activities that once brought joy. The feelings of not caring about health or exams can also be indicative of depressive states.

3. Lifestyle Changes: Your shift in diet and activity level may also contribute to your symptoms. A diet high in sugar and processed foods can affect mood and energy levels, while reduced physical activity can exacerbate feelings of lethargy and disconnection.

Recommendations:
1. Consult with a Mental Health Professional: Since you have already seen a psychiatrist, it may be beneficial to follow up with them regarding your current medication. If you feel that the medication prescribed (such as the one you mentioned, 悅康持續藥效膠囊) is not effective, discuss this with your doctor. They may consider adjusting the dosage or trying a different medication that may better address your symptoms.

2. Cognitive Behavioral Therapy (CBT): This form of therapy can be particularly effective for anxiety and depression. It helps individuals identify and change negative thought patterns and behaviors, which can alleviate feelings of depersonalization and improve overall mental health.

3. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, yoga, or deep-breathing exercises can help ground you in the present moment and reduce feelings of unreality. These techniques can also help manage anxiety and improve your overall emotional well-being.

4. Regular Physical Activity: Engaging in regular exercise can significantly improve mood and reduce anxiety. Even simple activities like walking or stretching can help you feel more connected to your body and surroundings.

5. Healthy Eating Habits: Gradually reintroducing a balanced diet rich in fruits, vegetables, whole grains, and lean proteins can positively impact your mood and energy levels. Consider consulting a nutritionist for personalized advice.

6. Social Support: Connecting with friends or family members can provide emotional support and help combat feelings of isolation. Even if you feel disinterested, maintaining social connections can be beneficial.

7. Sleep Hygiene: Since you mentioned vivid dreams and sleep disturbances, establishing a regular sleep routine can help improve sleep quality. Aim for a consistent bedtime, create a relaxing bedtime ritual, and limit screen time before bed.

In summary, your symptoms of dizziness and feelings of unreality may be linked to stress, anxiety, and possible depressive states. It is crucial to continue working with your mental health provider to find the most effective treatment plan for you. Incorporating lifestyle changes, therapy, and social support can also significantly improve your overall well-being. Remember, recovery is a process, and seeking help is a vital step in that journey.

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