derealization and macropsia: yes are an alteration in the perception or experience of the external world so that it seems strange or unreal. But they are not stand alone diagnosis. Macro/Micropsia can be a "result" of seizure activity but there are several other symptoms that go with it, It's not a stand alone symptom of a sz. They are a byproduct of sleep deprevation, stress and psychosis.

Have you been getting enough sleep? I see your posts are all over the times, I cant imagine your getting any sort of REGULAR sleep. Did you get your lithium levels checked? I hope you followed up with your pdoc or T by now.