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Is this derelization?

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GayJay

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My brother thinks I'm highly dissociative, but constantly or sudden bursts of it but still constant. I'm worried that I have a condition but doctors won't even listen let alone diagnose, or at least think of what could be wrong with me for anything at all because I am too young to know what is wrong with me. (You'd think they wouldn't ask in in the first place then) Regardless, I want understand what could be wrong with me. Derealization, or what I understand of it, is very real for me in the sense that my life can't be real. Every time I look at people I know, they're just pictures like movies and shapes of another fictional story. And there's a gap between my eyes and me from the back of my head. Feels like there's someone behind the body, and that's me watching the film play out.
What do you think, though?
 
Hi Gayjay,
Dissociation can be an symptom of a many different things. It can come along for the ride with depression or anxiety conditions. Like GAD or MD for example. It is also a symptom associated with PTSD so many here experience it. Derealisation can also happen as a result of drugs, lack of sleep and other mental health disorders. For example Borderline Personality disorder sufferers have a high incident of these experiences. It is also possible for someone to have Depersonalisation/derealisation disorder as a disorder in its own right. If it is having a pervasive effect on the persons functioning in life and relationships. I read that some people have that fueled by being distressed about the experiences which then raises anxiety and raised anxiety results in derealisation. A loop. Do you have any of these diagnosed or have you seen a psychiatrist for a proper diagnoses?

Dissociation is a bit like a simple trip switch when anxiety is too high for us. It numbs something out.

Do you mind telling us how old you are?
 
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Hi Gayjay,
Dissociation can be an symptom of a many different things. It can come along for the ride w...
Thank you for responding
No, none of those sort diagnosed. I do have depression, which wasn't really diagnosed but really obvious. Anxiety is diagnosed, but it doesn't affect my life too much but I am affected. I'm 16, but I had to grow up to be the adult of my family. So being diagnosed for other mental illnesses is unlikely because of my age, but I won't be helped for the symptoms either until I'm older. Unfortunately, doctors aren't very cooperative with me. I've been abused by some of their doctors and was reported as aggressive. Psychiatrists won't be the happiest to see me.
 
@GayJay, is ptsd something you suspect you might have in addition to the dissociative...
PTSD, not so much. C-PTSD, I have almost all the symptoms if not all to some degree of intensity, but still matching.
It's really concerning, but there isn't much I can do with the doctors.
Thank you for responding, it really means a lot that people are listening
 
My brother thinks I'm highly dissociative,
Can you explain a little bit more about this? Does your brother have experience in this area? Is he older than you and possibly someone who could help you access professional help? If he's witnessing dissociative behaviour in you, it might help to have him along at an appointment for example.

As @Abstract has said, dissociation can be a symptom of a number of different things, and, as frustrating as I get it must be, hesitancy in diagnosing isn't necessarily a bad thing in itself, especially given your age.

We generally recommend people don't go down the self diagnosis route here and would encourage you to seek out professional help with this.
Psychiatrists won't be the happiest to see me
Have you seen a psychiatrist before?

Would you mind sharing which country you are in? It can help with getting more accurate advice with suggestions of where you might be able to find resources to help you with this.
 
I can see how confusing it must all be for you and you are still very young.

Its really best not to try to diagnose PTSD yourself as it is complex and needs a dr to do it, Symptoms overlap a lot with different conditions so its not like one can match it up that way. PTSD requires rape, witnessing or experience severe physical harm, sudden life threatening health experiences, war etc or being around these types of things on a day to day basis as a starting point. Complex trauma is when that happens on a bigger and more long term scale. Long term physical abuse, sexual abuse, etc. If you have had any of these types of things happen it is important to tell the dr if you are able as they cannot think of PTSD if there isn't any of this that has happened. Different countries are better or worse at giving help like this too.

Its quiet possible for what you are describing to just be part of the anxiety you have been diagnosed with, Depression and anxiety usually go hand in hand to some extent or other. It doesn't at all mean you have to have anything more. Sometimes medications for those conditions can cause the feelings of lack of reality. It might help you to look up about grounding where we help our brains to connect to what is around us. It will probably also help to not be frighened of it if you can manage that. It can't hurt you and if you get more anxious these things get worse. If you can learn to bring down your anxiety in that moment it should help the derealiation too.
 
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Can you explain a little bit more about this? Does your brother have experience in this area? Is he olde...
No no, of course. I never want to self diagnose, it's crazy what my (used to be) friends said they had. I just want to understand the symptoms and take care of them alone, I don't need a diagnose to take care of that at least. No, my brother is not experienced in the field. He is older though, and as an 18 year old he could access better professional support without my dad knowing. My dad is another case on it's own.

I agree, I understand dissociation could be caused by a number of things. It's not necessarily hesitancy but more that a diagnosis could do more harm than good, as much as I would be relieved to know what this is all caused by. But I definitely agree hesitancy is good for teens.

I have seen psychiatrists before, some were unprofessional and harmful so I do generalize them as not the best people I'm afraid to say. Even when I met a good psychiatrist, I loss my patience with her.

No, I don't mind. I live in America, would be helpful to share which I live in? Or is that all you need? Thank you so much for offering your help

I can see how confusing it must all be for you and you are still very young.

Its really best not to tr...
It's alright Abstract, I understand where you're coming from. Again, I'm not like most teens my age. You can treat me like an adult if you want, it might be easier. I'm not scared of dissociation, if what I'm describing is dissociation, than I've had it years now. It's more numb, like depression, than scared of dissociation. Grounding myself is great advice, I should do that more. I do take a lot of medication so that could be part it as well, you're right. I do want to say though that I have been emotionally abused by my dad (and mom slightly), I don't like talking about it but I can't ignore it either to say c-ptsd is completely out of the question, but dissociation could still be caused by the depression regardless. I think they're two different cases at this point.
 
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Hi again Gayjay. Emotional abuse can have huge impacts on us and especially when we are growing up. Especially from a parent. I think the most common effect of experiences like that is depression and anxiety. And depersonalisation actually. It can effect how we feel about ourselves and other people and the world and effect our ability to manage our emotions and look after ourselves. The most important thing about diagnoses is that they should give us the best guidance on how to get better. Try to speak about the meds with your drs and see if they think this could be affecting the dissociation. It does sound a lot like you are experiencing derealisation.

Yes, sadly not all pdocs are very helpful or good listeners. Unfortunately.
 
Hi again Gayjay. Emotional abuse can have huge impacts on us and especially when we are growing up. Esp...
I can't get a diagnosis, and I just wish I didn't need to have one for doctors to understand I need help. I don't want to change medicines again, I'm very sensitive to medicine in general. Side effects are bad yes, but if this is all it is as a side effect, I don't mind to deal with it than move onto a new medication and get really sick. I don't want you to feel like you're helping me only to feel that I'm putting your words down. I really do appreciate what you're saying, but the doctors here are not an option for me to turn to anymore after what has happened.
 
No worries at all. I have my own issues with drs. If you would rather deal with the derealisation that is perfectly understandable to me. From the sounds of things it isn't PTSD as there isn't criterion a. I would therefore say that the best help you can get would be related to the anxiety and the derealisation symptoms. That would mean learning coping and self care skills. DBT is an excellent option usually. I am assuming you have tried therapy. If not then that would definitely be the way to go. Therapists are the ones to go to for the real help. Not usually the dr's forte, . There is a book specifically for depersonalisation etc called something like feeling unreal. Mindfulness classes are very helpful too. You say it isn't causing a lot of disruption in your life but you can still do things to help it and that can make you feel a lot better.
 
Hi @GayJay - some thoughts, they might help. I've bolded the extra-relevant bits.
I'm 16, but I had to grow up to be the adult of my family. So being diagnosed for other mental illnesses is unlikely because of my age, but I won't be helped for the symptoms either until I'm older.
Actually, you're right in the age range where many mental illnesses present themselves. And, you're in the middle (still) of the big hormonal surge and accompanying neurological development that happens in the post-puberty period. This can create a bit of a diagnostic 'perfect storm'. In other words - the things you are experiencing could be attributed to psychiatric disorder, or to common human development.

This is why it's good to be careful about two things: one, trying to draw too detailed of a conclusion; and two, the philosophy of the mental health practitioner(s) you interact with.
I just want to understand the symptoms and take care of them alone
A good place to start - and very doable - would be mindfulness-based stress reduction (MBSR). Jon Kabat-Zinn is the author you'd be looking for. MBSR is an evidence based approach to improving the overall mental health of the individual, irregardless of what their diagnosis is.

You can also just start incorporating some of the basics of good mental hygiene. It all sounds very simple, and many (most?) people will want to wave this away with a 'yeah, yeah, yeah, but my symptoms...', but this is the stuff that just sets the brain up for improvement, and there's no shortcutting it. Regular daily exercise. Good sleep habits. Work/school/life balance. Interpersonal connection. Socialization. If you find any of these challenging, that's OK - there are strategies for how to build these things up in your life.

I'm not like most teens my age. You can treat me like an adult if you want, it might be easier. I'm not scared of dissociation, if what I'm describing is dissociation, than I've had it years now. It's more numb, like depression, than scared of dissociation
Just want to remind you - that even though it sounds like you have life experiences that can make you feel more like an adult than a teen, you also still have teen-brain. That's nothing that you need to feel badly about - it's actually something that I hope you can find reassuring. Reading up on neurodevelopment for your age and gender will probably help. And even if you think you know what it is...do some reading anyway. Scientific understanding of the brain is a moving target, it changes frequently. When you can, try and follow through to the actual studies that are the source of the information.

The second bit I bolded - you mentioned being diagnosed with anxiety and depression. I would not dismiss the possibility that a great deal of what you describe is attributable to a measurable, and addressable, amount of depression. One of the more slippery forms of depression is called Dysthymia. People who are dysthymic tend to minimize the depression they experience as being 'just how they are', or who they are. Feeling disconnected, like everything is happening at a remove and is somehow unreal - that can be part of the dysthymic experience.
I can't get a diagnosis, and I just wish I didn't need to have one for doctors to understand I need help. I don't want to change medicines again, I'm very sensitive to medicine in general.
You don't need a diagnosis for a therapist to understand you need help, and to be able to help you. I'm not a doctor - so this is just advise from a random internet person - but given what you've written, I would strongly suggest getting into some regular work with a good therapist that you feel good about talking with.

Meds are first and foremost only a stepping stone, for people who cannot even begin to do the necessary cognitive work on their own. And, the younger you are, the more true this is. Meds are a necessity for people dealing with disorders that cannot be conquered through cognitive therapies. Right now, it sounds like you are cogent and functional. Your functioning may not be pleasant or optimal, but you are managing the basics. That's a good thing, and doesn't diminish what you are going through. Life can be more than just managing the basics.

My point is - a large part of getting to a better place is just work done on altering thought and behavior patterns. This work takes time, but it's doable, it does make things better, and can be done without completely solving why you're experiencing it, or even, what to call it.

Would love to hear your thoughts.
 
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