DrYes,
That is the single best description of this I have ever read! That is it precisely! What a way you have with words, my friend.
Several years ago one of my stepsons called me in a dread filled panic. I was at his place in no time flat and he described what was happening to him. It was depersonalization and derealization. I told him I understood and that I had suffered from the same thing. He didn't, couldn't, believe me. I totally understood. It's so hard to believe that anyone else has ever felt that way but it is actually fairly common, as hellish experiences go.
And, like you, it stayed around at a simmer for a long time until it finally went away except for the odd outbreak. Xanax did help him (.5 to 1 mg. when it hit hard - followed by a nice nap ) and time helped him even more.
I think that anxiety increases this symptom somehow but I do believe it is seizure activity - probably temporal lobe. When they started treating people with Xanax for Panic Disorder - after the ME/CFS flu experience, and my decision to cut out dairy (calcium) combined with my stupid exercise bike rehab efforts pushed my symptoms of deper. and dereal. into overdrive - I was prescribed 2 mg. 3x per day. That pretty much ensured 3 major naps so I cut back right away to 1 mg. 3x per day which did the trick but still brought on some napping! But, the horror was gone almost completely almost right away. Soon enough I was cutting back even further but I always, always, had Xanax in my pocket, just in case I tell you this so that you have an idea of how we were treated and what worked for us in case it's helpful in any way.
This is classic. I'm so sorry!
Did you know that a test for panic disorder is to inject the patient with lactic acid? If they have classic panic disorder, they will panic. If they don't, nothing will happen. Lactic acid metabolism is also part of the ME/CFS picture.
I found the same thing with most benzo.s. It's such a shame that Xanax doesn't work for you but I wonder what drugs are used to treat temporal lobe epilepsy. Anti-epileptics tend to be pretty potent drugs - I've taken them for neuropathic pain and had lots of side effects. But, a look into the treatment of TLE may be useful.
I do think that anxiety plays into this. I was not a bit anxious when I had my first attack. It came out of the clear blue. The first several did as did the terrible ones that followed the "flu". But, once I was vulnerable, anxiety could trip me over into it.
I remember that, too. It's as though one gets a look at something that is so traumatic, so existentially shocking, that it leaves one's psyche bruised. This goes away, eventually, and being as unafraid as one can helps it on it's way.
My gut says this is true. That's what it feels like to me.
Thank you for being so concerned about triggering. You are a lovely fella! I hope it reassures you when I tell you that I can contemplate all of this now without fear. None.
In fact, the only time I get an actual hit of the dreaded D&D now is when I have used medical marijuana for ME/CFS symptoms. (It stopped working, unfortunately, so I don't use it any more.) But, when I did, I would experience D&D, intensely, first and could wait it out with much more equanimity (and a little Xanax ) than in the past and no lasting sense of dread. I would be surprised, each and every time, at how horrible a feeling it was, though.
Oh yeah, I do! I remember vividly discovering that it was not my personal hell. It feels like one's personal hell.
Thank you, DrYes, for sharing this because it has brought all kinds of interesting thoughts and ideas into play for all of us! I am astonished at how much we learn from each other when we share what we feel is a private torment and find it is shared!
You're a brave guy, DrYes. You are managing this with guts and grace.
And, no, you are not alone!
Neither are the rest of us!
Thanks for that!
The worst was feeling that when I looked inside myself, instead of finding what I thought of as the inner self or the (usually taken-for-granted) solidity of one's own existence, I felt as if I was (inwardly) looking down into a black void; I could feel the "Nothingness" of it... it was just down to my anchorless thoughts, and that void; nothing else existed and there was no substance to anything.
That is the single best description of this I have ever read! That is it precisely! What a way you have with words, my friend.
Several years ago one of my stepsons called me in a dread filled panic. I was at his place in no time flat and he described what was happening to him. It was depersonalization and derealization. I told him I understood and that I had suffered from the same thing. He didn't, couldn't, believe me. I totally understood. It's so hard to believe that anyone else has ever felt that way but it is actually fairly common, as hellish experiences go.
And, like you, it stayed around at a simmer for a long time until it finally went away except for the odd outbreak. Xanax did help him (.5 to 1 mg. when it hit hard - followed by a nice nap ) and time helped him even more.
I think that anxiety increases this symptom somehow but I do believe it is seizure activity - probably temporal lobe. When they started treating people with Xanax for Panic Disorder - after the ME/CFS flu experience, and my decision to cut out dairy (calcium) combined with my stupid exercise bike rehab efforts pushed my symptoms of deper. and dereal. into overdrive - I was prescribed 2 mg. 3x per day. That pretty much ensured 3 major naps so I cut back right away to 1 mg. 3x per day which did the trick but still brought on some napping! But, the horror was gone almost completely almost right away. Soon enough I was cutting back even further but I always, always, had Xanax in my pocket, just in case I tell you this so that you have an idea of how we were treated and what worked for us in case it's helpful in any way.
I did anything I could to combat this 'feeling', but in the end I think it just went away on it's own after about an hour. Nothing like that happened again from that point until about three years later, though I remained haunted by the experience.
This is classic. I'm so sorry!
In '95 it started after I was hospitalized for 10 days while my crazy Infectious Disease doc had everybody on staff run tests on me (I had developed a weird respiratory problem); I got virtually no sleep for those ten days and caught a terrible flu and was being treated with IV antibiotics for Lyme (though my tests were negative). It also turned out at the same time that I had an acute HHV6 infection, as tested by Ablashi at the NIH. Somehow the combination set off the first anxiety attacks I had ever experienced.
Did you know that a test for panic disorder is to inject the patient with lactic acid? If they have classic panic disorder, they will panic. If they don't, nothing will happen. Lactic acid metabolism is also part of the ME/CFS picture.
Also, for me, the benzo doesn't stop the symptom so much as it "anaesthetizes" me to its effects, allowing me not to care about it
I found the same thing with most benzo.s. It's such a shame that Xanax doesn't work for you but I wonder what drugs are used to treat temporal lobe epilepsy. Anti-epileptics tend to be pretty potent drugs - I've taken them for neuropathic pain and had lots of side effects. But, a look into the treatment of TLE may be useful.
Eventually over the years (not through any medicines) the anxiety got much, much less and the 'derealization' or whatever became more manageable for whatever reasons, as I mentioned in a previous post.
I do think that anxiety plays into this. I was not a bit anxious when I had my first attack. It came out of the clear blue. The first several did as did the terrible ones that followed the "flu". But, once I was vulnerable, anxiety could trip me over into it.
An intense "episode" hasn't happened in a long time.. though it never feels too far away. But I still feel "disconnected from myself" at a deep level (over the years i've also described different flavors of it as feeling "dislocated", "superficial", or "paper-thin").
I remember that, too. It's as though one gets a look at something that is so traumatic, so existentially shocking, that it leaves one's psyche bruised. This goes away, eventually, and being as unafraid as one can helps it on it's way.
I guess my greatest fear now is that my normal functioning, my feeling of having "depth", will never return due to some sort of neurological damage by a virus or whatever. The idea is chilling, even difficult to write down (and I hope in so doing I don't scare anyone else!), but I do know how amazingly plastic the brain is and how capable it is of re-routing its pathways, and all evidence and my intuition suggest that it's not physical damage but rather a system malfunction.
My gut says this is true. That's what it feels like to me.
Thank you for being so concerned about triggering. You are a lovely fella! I hope it reassures you when I tell you that I can contemplate all of this now without fear. None.
In fact, the only time I get an actual hit of the dreaded D&D now is when I have used medical marijuana for ME/CFS symptoms. (It stopped working, unfortunately, so I don't use it any more.) But, when I did, I would experience D&D, intensely, first and could wait it out with much more equanimity (and a little Xanax ) than in the past and no lasting sense of dread. I would be surprised, each and every time, at how horrible a feeling it was, though.
You have no idea what that means to me, Koan!
Oh yeah, I do! I remember vividly discovering that it was not my personal hell. It feels like one's personal hell.
Thank you, DrYes, for sharing this because it has brought all kinds of interesting thoughts and ideas into play for all of us! I am astonished at how much we learn from each other when we share what we feel is a private torment and find it is shared!
You're a brave guy, DrYes. You are managing this with guts and grace.
And, no, you are not alone!
Neither are the rest of us!
Thanks for that!