Acute psychosis and depersonalization symptoms

Hello guys I'm new in the forum and i'm looking for someone that can help me. One year and half ago I had a acute psychosis event after I smoked weed one time now I'm pretty good but I have simpton that is very bad. The simpton is that I feel the world unreal and fake is a sensation like a depersonalization but I don't know if is that. Now I take only latuda 40mg is a new generation antipsichotic med that help me with psicothic sintoms. There is something that can I do for this sintom? Maybe change the therapy I don't know? Maybe there is a antipsychotic that work better for this simptom?

(((Jokko))) This sounds more like disassociation to me. How long have you been on the Latuda? It takes about 4 to 6 weeks to see the full therapeutic effect and if you find it's not helping the doctor can take you as high as 160mg per day if he deems it necessary. I think you posted earlier or was it later today that the Dr. told you it was just anxiety. Well I've had anxiety and what you've described here is not. Keep communicating with you Dr. I hope you get stabilized soon and start feeling better!!!

your statement of not knowing whether your symptoms are depersonalization...Im sorry we can not answer to that. only your own treatment providers (ie who ever is prescribing your meds for example) can tell you whether what you are feeling is depersonalization disorder or not...

what i can tell you is that in my location depersonalization does have those symptoms ...but... the diagnostics for it states the problem can not be because of drugs/ alcohol or better explained by other mental disorders...

to find out what the standards/diagnostics are in your location (your profile says swiss as your location) you will need to talk with your treatment providers.

I can also tell you that when I had these same symptoms because of weed my treatment providers did not call it depersonalization in me. they called it a ....side effect....which is not a mental disorder. its a reaction to the weed. kind of like sneezing is a reaction to pollen or a rash/hives is a reaction to medications or allergies. or headaches can be a reaction t weed/medications...

my suggestion if this continues to bother you talk with your treatment providers. they can help you discover why you are still having this problem because of the drugs. (here weed /Marijuana is called a drug)

Depersonalization is the feeling that you don't exist, or any other distorsions in your self's perception. Derealization is the feeling that your surroundings don't exist, or a distortion in their perception. Keep in mind this kind of distortion is not like psychosis.
Based on your anamnesis, I guess you're suffering derealization symptoms. Both depersonalization and derealization are common during and afterwards weed use, but not to the point of a depersonalization/derealization disorder. However, the post-weed effects are more of an "afterglow," hence they wouldn't last for more than a few days.
I suggest you tell your doctor about this, as dissociative disorders must be treated differently than psychotic disorders. Antipsychotics generally worsen dissociative symptoms, although aripiprazole (Abilify®) is debatably helpeful for depersonalization/derealization disorder. Other drugs that can help are SSRIs (e.g. fluoxetine, Prozac®), benzodiazepines (I especifically read about clonazepam, Klonopin®, being helpful) and lamotrigine (Lamictal®, an anticonvulsant). I also read some reports on opiate antagonists like naloxone and naltrexone being significantly effective short-term. Modafinil is also useful in a specific subgroup of DPD patients (source).
Definitely tell your doctor about this.
Tom

I can't smoke weed for the same reasons here. I hate it. I haven't in 25 years. I often wondered how it affected others because it always seems different to other people. I can be sitting in my vehicle and then it feels like I stepped back into a bubble and am watching an imaginary world, depersonalization and derealization. I'm so used to it now, that it just seems normal. It doesn't last long, but any long is too long IMHO.

I noticed someone mentioned the drug Abilify. I was prescribed this drug 10mg a day. I know everyone reacts differently, but my reaction to the drug Abilify was HORRIBLE!! It felt like a lobotomy in pill form. It made me feel like a zombie, and like the world was fake. It also kept me up all night with muscle spasms. I won't ever take those pills again no matter what!! They may work for some people, but NOT for me.

Yes omg. Abilify made me passout for 20 minutes on any dose with brain zaps. I was seeing lightning in my mind, Nvr again. Matter of fact, I can't do any antipsychotic, except Respirdal in small amounts every now and then.

Hello guys thank you for your responses. I think is that dissociation simptom like a derealization and not a depersonalization disorder aniway I talked with my doctor but he says that is only anxiety but I don't have anxiety. I don't know now now i take latuda 80mg since 2 days before I took 40 mg only weeks maybe it works I don't know. I want wait 3 or 4 weeks for say something...

Yes I think is disassociation and derealization now is one year and half that I suffer of this problem its not very severe but enought to desturbate me. Now I'm on latuda since 2 weeks and since 2 days i take 80 mg latuda I feel better but the derealization is still here. I will wait 4 to 6 weeks to see if there is an improvement with this medicament (latuda)

Yes I think it's a derealization simptom. But i don't know if is related to a truama that i had or not. Also normaly the antipsychotics worsen the derealization? Also i'm ****ed why I take antipsichotics?

Also I take antipsichotics I'm ****ed with derealization simptom?

Also if I take antypsichotics I'm ****ed with some simptoms of derealization like a visual effect of the word is strange.

I have hallucinations, so the world looks strange. My entire vision wiggles, walls move, and I see floating symmetrical geometric shapes with a kaleidoscopic rainbow of colors dancing and changing, so I'm used to it! Lol

It is really bad when I get manic, so I take an AP. It's a low dose because all AP causes pain to me.

It's when my head believes that the world is unreal, now that messes with me.

I want absolutly try naloxone maybe this effect will disappear with this drug...but i don't know if my doc will prescribe naloxone for this. I think he will try an antidepressant(ssri) associated with an antipsychotic for my case.

I have also floaters in the visual camp. Also derealizzed visual+ floaters is very ******...

I spoke with my professional about this sense of shock/derealization has said that is better if I take a dose of antidepressant with the antypsychotic meds what do you think about that an antidepressant can improve my actual state? I noticed that when i look at the floor after ten second it begins to sway what is this simptom?

I cant say what this is with in you, only your treatment providers can say that. in me this is called vertigo and happens any time I start a new medication. my treatment providers call it a medication side effect in me and it does stop in me after about 3-4 weeks on the new medication.

I'm not a doctor and I have no idea other than that you might be less depressed?

When I look at the floor, it doesn't sway, I see patterns that ripple because I'm a pretty sick puppy! Lol.

I'm not depressed but maybe an antidepressant can help me with this visual effect of dissociation. If is dissociation...

just a bit of information....if the reason behind the dissociation is something like anxiety, depression, or the dissociation is part of the diagnosis of depression (here in america depression now includes the symptom of dissociation) then antidepressants can work.

how antidepressants work is they slow down the brains activities/chemical production and rate of absorbing those chemicals. think of it like standing on a river bank. the two sides of the river are the neurons/receptors and in the middle is fluid. one side releases neurotransmitters and the other side gathers them up. with antidepressants the sides release and gather at a slower rate. this allows a person to have more time to think and react appropriately to things going on in their life, rather than getting overwhelmed and reacting in the wrong ways to whats going on in their life.

example

if depression is the trigger for dissociating, because the medication is keeping that person on track with the rate of release and uptake of their brains chemicals they no longer feel depressed which means they no longer have their dissociation symptoms.

if anxiety is the reason for the dissociation symptoms. the medications keep the person from feeling anxious so they dont have their dissociation symptoms any more.

My gp has prescribed me paxil (paroxetina) to alleviate this visual effect of derealization dissociation. Has some one tried it?