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Suggest Treatment For Depersonalization, Derealization And Obsessive Thoughts
Question: 23 years old.
Male.
I was sitting eating lunch with mom then suddenly I got this very anxious feeling in my stomach, to where I looked at mom and I felt like she became a stranger to me.. Like I was another person sitting there not emotionally recognizing my own mom.. It was scary. I often feel confused with who I am, whether I'm being myself or just faking it or not.. It all started XXXXXXX of this year when in theiddle of the night I felt this weird sensation as if I slipped in the detached state.. Where I didn't feel like myself anymore.. And having soo many emotionally disturbing detached feelings and racing thoughts that won't go away until I go to sleep for bed. At night when settled down for the night I'd when I get the most relief.. I also have unwanted urges and thoughts of harm.. I hate it. I avoid watching stuff that make me feel like I have bad urges.. I'm not.. I'm not that type of person to think those thoughts.. I hate even bringing that up.. I often try to fake it my best, because don't want to be labeled as a guy who needs medicine or mental help.. My aunt XXXXXXX has a history of mental health but she is healed now and living normal. I am a musician and I have an awesome life.. I just feel soo detached from who I was and how I thought before XXXXXXX 2016 where I began this roller Coaster of unstable moods and scary intrusive thoughts from harm to religious unwanted thoughts.. I hate it.. Plus the feeling of loss of my since of peace where I can enjoy friends and family the wonderful way I did at the beginning of the year I miss it.. Things feeling and unstable thoughts and emotions I wish to go away. What's going on with me.
Male.
I was sitting eating lunch with mom then suddenly I got this very anxious feeling in my stomach, to where I looked at mom and I felt like she became a stranger to me.. Like I was another person sitting there not emotionally recognizing my own mom.. It was scary. I often feel confused with who I am, whether I'm being myself or just faking it or not.. It all started XXXXXXX of this year when in theiddle of the night I felt this weird sensation as if I slipped in the detached state.. Where I didn't feel like myself anymore.. And having soo many emotionally disturbing detached feelings and racing thoughts that won't go away until I go to sleep for bed. At night when settled down for the night I'd when I get the most relief.. I also have unwanted urges and thoughts of harm.. I hate it. I avoid watching stuff that make me feel like I have bad urges.. I'm not.. I'm not that type of person to think those thoughts.. I hate even bringing that up.. I often try to fake it my best, because don't want to be labeled as a guy who needs medicine or mental help.. My aunt XXXXXXX has a history of mental health but she is healed now and living normal. I am a musician and I have an awesome life.. I just feel soo detached from who I was and how I thought before XXXXXXX 2016 where I began this roller Coaster of unstable moods and scary intrusive thoughts from harm to religious unwanted thoughts.. I hate it.. Plus the feeling of loss of my since of peace where I can enjoy friends and family the wonderful way I did at the beginning of the year I miss it.. Things feeling and unstable thoughts and emotions I wish to go away. What's going on with me.
Brief Answer:
Consultation
Detailed Answer:
Hello, and thanks for your question.
The symptoms you describe above are depersonalization, derealization, and obsessive thoughts. These are consistent with a potential diagnosis of obsessive compulsive disorder (OCD), or panic disorder. I do believe you can feel better with treatment. Treatment of this condition in your case would consist of a high dose SSRI antidepressant such as Lexapro uptitrated to 20mg daily. This would need to be combined with exposure-responsive-prevention psychotherapy (ERP). This combination treatment of an SSRI with psychotherapy is highly effective for OCD, and I strongly believe your symptoms would be improved by them.
Please remember to rate and close this answer thread when you are finished and satisfied.
In the future, for continuity of care, I encourage you to contact me directly at my private web address below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private web address: tinyurl.com/DrSheppeAnswers
Consultation
Detailed Answer:
Hello, and thanks for your question.
The symptoms you describe above are depersonalization, derealization, and obsessive thoughts. These are consistent with a potential diagnosis of obsessive compulsive disorder (OCD), or panic disorder. I do believe you can feel better with treatment. Treatment of this condition in your case would consist of a high dose SSRI antidepressant such as Lexapro uptitrated to 20mg daily. This would need to be combined with exposure-responsive-prevention psychotherapy (ERP). This combination treatment of an SSRI with psychotherapy is highly effective for OCD, and I strongly believe your symptoms would be improved by them.
Please remember to rate and close this answer thread when you are finished and satisfied.
In the future, for continuity of care, I encourage you to contact me directly at my private web address below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private web address: tinyurl.com/DrSheppeAnswers
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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