Your Mental State: Exploring Unusual Sensations and Experiences - Psychiatry

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I would like to understand my condition?


Hello Doctor, since I was a child, I have experienced episodes where, while sleeping or daydreaming, I feel as if I become very small and the room around me grows larger, almost like being inside a box from which I cannot escape.
This sensation lasts for a while, but then it goes away.
I don't remember the exact frequency of these occurrences, but they are not very frequent.
Recently, in the past month, I have experienced several strange phenomena.
Even when I am doing something normal, my mind feels very anxious, a sensation that is hard to describe, as if something is constantly urging me.
However, on the surface, my actions remain slow and eventually, the feeling dissipates.
I would like to know if there is a connection between these two experiences and why they occur.
Is it due to exhaustion, or could there be an issue with my mental state? Thank you!

Ding Ya-Hui, 20~29 year old female. Ask Date: 2016/02/26

Dr. Ding Shuyan reply Psychiatry


Hello, regarding the first situation, I'm not sure what it is.
However, in general, the content of dreams is not the main focus; rather, the intense emotions associated with the dream are more significant.
These emotions can serve as clues that connect to stressors or unresolved issues in your daily life.
If these dreams occur repeatedly, it can be helpful in identifying some unresolved problems within ourselves.

As for the second situation, it resembles anxiety to some extent.
However, this is a very subjective feeling, and without further information, I cannot make any assumptions.

Best wishes,
Dr.
Ding Shuo-Yan

Reply Date: 2016/02/26

More Info


Your experiences of feeling small and perceiving your surroundings as larger, along with the recent sensations of urgency while your actions remain slow, are intriguing and can be indicative of various psychological and neurological phenomena. Let's explore these sensations in detail.

The first experience you described, where you feel as if you are shrinking and the room is expanding, is often associated with a phenomenon known as "depersonalization" or "derealization." These terms refer to feelings of detachment from oneself or the environment. Depersonalization can make you feel as though you are observing yourself from outside your body, while derealization can create a sense that the world around you is unreal or distorted. These experiences can occur during periods of stress, anxiety, or fatigue and are often transient. They can also be linked to certain mental health conditions, including anxiety disorders and dissociative disorders.

The second experience, where you feel an internal urgency despite moving slowly, may relate to anxiety or stress responses. This sensation could be a manifestation of your mind racing while your body feels physically sluggish. It’s not uncommon for individuals to experience a disconnect between their mental state and physical actions, especially during periods of heightened stress or anxiety. This can lead to feelings of frustration or confusion, as your mind may be urging you to act quickly while your body does not respond in kind.

Both of these experiences can be interconnected. Stress and anxiety can lead to altered perceptions and sensations, including feelings of urgency and detachment. If you are feeling overwhelmed or fatigued, it could exacerbate these sensations. It’s essential to consider your overall mental health, including any stressors in your life, your sleep quality, and your emotional well-being.

Here are some suggestions for addressing these sensations:
1. Mindfulness and Grounding Techniques: Practicing mindfulness can help you stay present and connected to your body and surroundings. Techniques such as deep breathing, progressive muscle relaxation, or grounding exercises can help you manage feelings of detachment and anxiety.

2. Regular Sleep and Self-Care: Ensure you are getting adequate sleep and engaging in self-care practices. Fatigue can significantly impact your mental state and exacerbate feelings of anxiety or detachment.

3. Journaling: Keeping a journal of your experiences can help you identify patterns or triggers associated with these sensations. Writing down your thoughts and feelings can also provide an outlet for processing your emotions.

4. Professional Support: If these sensations persist or worsen, it may be beneficial to seek support from a mental health professional. A therapist can help you explore these experiences in depth and provide strategies tailored to your needs.

5. Physical Activity: Engaging in regular physical activity can help reduce anxiety and improve your overall mood. Exercise releases endorphins, which can enhance your sense of well-being.

6. Limit Stimulants: Reducing caffeine and other stimulants can help manage anxiety levels, as these substances can sometimes exacerbate feelings of urgency and restlessness.

In conclusion, while your experiences may be unsettling, they are not uncommon and can often be managed with appropriate strategies and support. Understanding the relationship between your mental state and these sensations is crucial, and seeking professional guidance can provide clarity and help you navigate these feelings effectively. Remember, you are not alone in this, and there are resources available to support you.

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