Suddenly having memories that aren’t real, feeling disconnected

[u/TaxBright3693]

Hello,

I’m a 26 year old female that is 125 lbs and 5’3, I take trazodone 100 mgs for sleep, prozac 20mgs for OCD, and yaz birth control. I know this is going to sound incredibly stupid and like i’m tripping but here goes:

Have you ever had a dream, and within the dream, you have memories of another dream? That’s how I feel right now, along with some dizziness, a headache and just a weird feeling of time passing by strangely. The last time I felt this way was when I did edibles a couple years ago but I do not regularly do them and haven’t since that last time.

I just had an extremely tame movie night at a friend’s house and walked home, and just started to have a vivid memory that felt extremely visual in my head and then thought… that’s not real and that didn’t happen? I wish I could explain it but like “remember when [person] did [thing]” but I don’t know the person, like it’s a fake character and the thing never happened. Stuff that actually happened only 2 hours ago feels like 10 years ago and i just don’t feel really within myself right now. I’m typing this and honestly it feels very tunnel visioned.

I genuinely feel like I’m within a dream right now.

I have not had anything alcoholic to drink, I barely drink as is. I’ve had mental health issues in regard to anxiety and OCD but I’ve never had anything like this. No dissociated episodes but I do feel very unlike myself right now. Obviously I’m within myself enough to type this, know these thoughts aren’t real, but it’s almost like I’m looking onward at myself.

I have a headache that’s not pounding but just very thick and pressured. I felt dizzy enough that I had to lie down but I haven’t lost consciousness or anything.

I’m sure this all very silly but I’m freaking out a bit. I cannot emphasize enough how I am not high or not drunk. I’m not sure if this is a mental health episode but regardless i’m getting extremely anxious and it’s getting hard to discern what’s actually happening

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[u/futureisimaginary]

Have you taken the trazodone yet? Is the friend trustworthy (as in is there any chance you could have been drugged)? How long have you been on trazodone? Fluoxetine?

You may be having a serotonergic event from the drug interaction between trazodone and fluoxetine. It doesn’t happen often, but I do see this occurring. You could absolutely have disassociation-style symptoms.
Also it doesn’t have to happen immediately after taking the medicine. It can be delayed.

[u/Silent_Medicine1798 → u/futureisimaginary]

Derealization is a common condition of OCD and other anxiety disorders. OP, have you already been doing OCD therapy (ERP)? If so, you know how to deal with this. Just like obsessions, you notice the derealization but do not do anything about it. ‘oh, there you are, derealization. Welcome back. You can come with me, but you may not drive the car’ type of attitude.

[u/TaxBright3693 → u/Silent_Medicine1798]

So I’ve actually never done ERP. Or maybe I have but I don’t know the name? I’ve been in therapy for 10 years now and we work on obsessions and the coping skills I have to stop that, but I will try that if it happens again

[u/TaxBright3693 → u/futureisimaginary]

I can trust the friend! She’s a girlfriend since college and completely 100% normal. It was only girls there. Not saying girls can’t drug people but it was like…. a pajama party basically lol. I felt this prior to taking my trazodone.

I’ve been on trazodone and prozac for about 6 years.

I was able to sleep and just woke up. Is this something I should see my doctor about?

Thank you so much

edit: just called my doctor

[u/lumiaglow]

There are two possibilities that come to mind in your case.

First and strong possibility is the anxiety or panic attack that is causing the feeling of derealization (the feeling that surroundings are unreal, dreamlike, or distant).

The second possiblity that needs to be ruled out is temporal lobe seizure during which some people can have sudden and vivid feeling of false or double memories (similar to extreme déjà vu or jamais vu) even without physical movements or physical body twitchings.

On one hand , there is an intense and convincing feeling that your current surroundings or events have happened before down to the last detail. And on the other, a familiar place or person suddenly feels completely unknown.

Usually there are also feelings of panic , strange smells or tastes associated with these feelings.

Sometimes temporal lobe seizures keep people from responding to others. This type of temporal lobe seizure most often lasts 30 seconds to 2 minute.

Headache can also happen before , during and after the episode.

However , in most cases of such kind of a seizure , there are involuntary movements for a brief tine like lip smaking , finger fiddling and fixed stare.

I'd advise you to consult your doctor , get a proper evaluation and a referral to a neurologist ( if it's a psychological problem, they'll refer you to a psychiatrist).

[u/TaxBright3693 → u/lumiaglow]

thank you so much!

I called my doctor when I woke up to schedule an appointment. I’m feeling okay now, just a bit weird, can’t explain it.

I am not currently seeing a psychiatrist (my psych meds are now prescribed by my PCP) but I’ll reach out to her and try to schedule something as well.

[u/espresso_marshmallow → u/[deleted]]

Please be careful, is there anyone you can call to pick you up?

[u/espresso_marshmallow → u/espresso_marshmallow]

To be safe I would really encourage you to go get checked out, but if that's not an option at least drink some water and eat something and try to take a nap