@bpcyclist @BethRags: Thank you both, your responses make me more certain that this is med-related. I do experience derealization a lot, but that has never impacted my ability to think clearly so I don't think that's to blame in this case. I've spoken to my Pdoc today and we're going to change meds (which I already wanted to do anyway for other reasons) and try to get rid of the Seroquel. I've already been holding back on the benzos as well. I try to use them only when I really need them because I don't want to get addicted. Hopefully the med change will help!