Am I Sick? Alcohol-Induced Dissociation and Isolation - Psychiatry

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Am I sick?


Experiencing episodes of dissociation or feeling possessed after drinking alcohol? This phenomenon is beyond my control, and I am unaware of my actions during these episodes.
For several days following these occurrences, I isolate myself and have no desire to interact with others or eat; I just sleep, but I don't sleep well and keep waking up.
Today is somewhat better; this episode occurred on Monday.
Am I suffering from a medical condition?

Niming, 30~39 year old female. Ask Date: 2015/12/17

Dr. Ding Shuyan reply Psychiatry


Hello, the information provided in your question is limited, making it difficult to clarify potential issues.
Experiencing unusual behaviors and loss of memory after drinking alcohol may indicate alcohol-related mental disorders, which can vary widely, such as alcohol intoxication or alcohol-induced psychosis.
Broadly speaking, substances (such as alcohol, drugs, etc.) affect individuals differently; some people may use them without issues, while others may develop mental health disorders.
In my practice, I often tell patients that if substance use leads to problems, the best course of action is to stop using it entirely and never touch it again, as our bodies may not be suited for such substances.
If you find it difficult to control your usage or suspect you may be addicted, it is important to seek professional help for addiction treatment.
Wishing you all the best, Dr.
Ding Shuo-Yan.

Reply Date: 2015/12/17

More Info


It sounds like you are experiencing some very distressing symptoms related to alcohol use, including dissociation and isolation. These experiences can be quite alarming and may indicate underlying mental health issues that need to be addressed.
Dissociation is a psychological phenomenon where a person feels disconnected from their thoughts, feelings, or sense of identity. It can occur in response to stress or trauma, and in some cases, it can be exacerbated by substance use, including alcohol. Alcohol is a central nervous system depressant, and while it may initially provide a sense of relaxation or euphoria, it can lead to negative psychological effects, especially when consumed in excess or over a prolonged period.

The fact that you are experiencing these dissociative episodes after drinking suggests that your body and mind may be reacting negatively to alcohol. This could be due to a variety of factors, including the amount of alcohol consumed, your mental health history, and any existing conditions such as anxiety or depression. Additionally, the isolation and lack of appetite you describe are concerning and may indicate a deeper issue that requires professional intervention.

It's important to recognize that these symptoms are not something you should ignore. The combination of alcohol use, dissociation, and isolation can create a vicious cycle that may worsen over time. Alcohol can temporarily mask emotional pain or distress, but it often leads to increased feelings of anxiety, depression, and loneliness in the long run.
Given your history of anxiety and depressive symptoms, as well as your current experiences, it would be wise to seek help from a mental health professional. They can provide you with a proper assessment and help you understand the relationship between your alcohol use and your mental health. Therapy, particularly cognitive-behavioral therapy (CBT), can be effective in addressing the underlying issues contributing to your symptoms and can help you develop healthier coping strategies.

In addition to therapy, it may be beneficial to explore support groups for individuals dealing with alcohol use or mental health challenges. These groups can provide a sense of community and understanding, which may help alleviate feelings of isolation.

If you are concerned about your alcohol consumption, consider reducing or eliminating alcohol from your routine. This may help you gain better control over your mental state and reduce the likelihood of dissociative episodes. Engaging in healthier activities, such as exercise, mindfulness practices, or hobbies that you enjoy, can also help improve your overall well-being.

In summary, while it is difficult to diagnose your condition without a thorough evaluation, the symptoms you describe suggest that you may be struggling with the effects of alcohol on your mental health. Seeking professional help is a crucial step in understanding and addressing these issues. Remember, you are not alone, and there are resources available to support you on your journey to recovery.

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