[UpDownAround]

I have a head fog that is persistent and things always seem a little surreal. Sometimes it gets worse and it is foggy and very surreal to the point that it feels like what is going on isn't real. I have had some intense episodes while driving, which really spooks me. It is definitely driving while impaired. If a cop could see what the highway looked like to me I would get pulled over, no question. And there are the "what if" scenarios in the back of my mind. I really need to get this under control if possible. Is it? I have talked to my t about the head fog. That's when I learned that it was derealization. I did not say that some episodes are safety concerns. I am afraid to tell anyone. Are there any good treatment options?

[possum220]

Do things that will ground yourself. Focus hard on the road and every car and things that are happening in the real world - outside your mind. It may be preferable to have another person drive you or get public transport.

Ask your T what may be helpful to get your mind in the present. Sometimes we need to make the smart decisions in order to be safe.

[UpDownAround]

A follow up...
Is ther any harm in letting it happen when I am home, lounging out on the deck or whatever? The sensations I get when it happens are not unpleasant; it's a nice little mental escape when it's safe. But if I increase the chances it will happen when it shouldn't I need to resist it then also.