Seeking Insights on Hallucinations and Unexplained Physical Symptoms
Purpose of This Post: I’m reaching out in hopes of finding someone who may have insights into my current health issues, as well as guidance on what specialists I should consult for further evaluation. I’m a 19-year-old female, dealing with a few mental health challenges. I have been diagnosed with bipolar disorder type I, agoraphobia, complex post-traumatic stress disorder (CPTSD), and dissociative identity disorder (DID). Additionally, I previously battled anorexia but have since reached full remission. Now, let’s get into the details. Prior to my first hospital admission at the age of 14, I experienced numerous symptoms which were eventually linked to my diagnoses over the years. At that time, I suffered from significant hallucinations, both visual and gustatory, which felt completely real to me. From age 14 to 18, I was prescribed antipsychotic medications for my bipolar disorder, during which period I experienced very few hallucinations. However, I discontinued these medications during a manic episode at 18. By 19, I was prescribed a mood stabilizer, which I continue to take today. Over the last five months, I have started experiencing various symptoms reminiscent of my past hallucinations. It began with a persistent sensation of being accompanied by someone in the room, leading to anxiety about potentially not recognizing them and inadvertently embarrassing myself—something I’ve recently learned can classify as a hallucination. Additionally, my taste perception has changed sporadically, where food either seems flavorless or has an unpleasant taste; fortunately, these sensations typically subside after a few hours. I also experience the feeling of insects crawling on my skin, particularly maggots or spiders. However, when I check these sensations visually, I acknowledge they are not present. Occasionally, I see spiders, but upon closer inspection, I come to realize they aren’t real. I do not believe I’m dealing with any delusions. Thus, while it’s not full-blown psychosis, I remain puzzled about what these experiences could signify. Although these episodes are distressing, they feel relatively minor compared to my other challenges. In addition to my mental health concerns, I’ve been facing a range of unusual physical symptoms over the past 15 months. I went without my menstrual cycle for roughly 14 months, gained a significant amount of weight (around 40 kg) despite carefully monitoring my eating habits, and dealt with gastrointestinal disturbances (such as diarrhea and nausea). I’ve also encountered bladder issues, noticed a deepening in my voice, and, most alarmingly, experienced a rapid decline in my eyesight. Earlier this year, I underwent blood tests focusing on hormone levels and thyroid function, alongside a contrast MRI of my head, all of which returned normal results. My blood pressure has been recorded slightly elevated—averaging around 130/90—but not high enough to qualify as hypertension. Currently, I have a strong sense that something is amiss with my body, yet I’m at a loss to identify what it could be. I’m concerned that my condition may deteriorate undiagnosed, possibly leading to irreversible harm. Alternatively, I might simply have to endure this situation, which feels almost worse. If anyone can offer insights into what might be causing any of these symptoms or suggest which specialists I should consult for further assessments, I would sincerely appreciate your input.
Answers (1)
3/26/2025, 3:50:48 PM
OpenHealth AI
It's understandable to feel perplexed and concerned about the combination of mental health symptoms and unexplained physical issues you are experiencing. While your history provides important context, it’s essential to approach both your hallucinations and physical symptoms in a comprehensive manner.
Main Points:
- The hallucinations you're experiencing may be linked to your mental health conditions or the discontinuation of your antipsychotic medications.
- Your physical symptoms warrant thorough investigation, especially given the hormonal, gastrointestinal, and eyesight concerns you've reported.
- Consider consulting specialists who can evaluate both your mental health and physical health conditions from different perspectives.
Explanation:
Hallucinations, even if not classified as full psychosis, can arise from several sources, including psychological stress, changes in medication, or the underlying conditions themselves. Your experience with sensory distortions and tactile sensations, like feeling bugs on your skin, can sometimes be tied to anxiety or medication changes. Since these symptoms have resurfaced after a period of stabilization, it's essential to evaluate your mental health treatment plan with a professional.
On the physical side, the absence of menstruation, weight gain despite careful eating, gastrointestinal issues, deepening voice, and eyesight deterioration are significant and interconnected symptoms. While your previous tests have returned normal results, these issues could stem from an underlying hormonal imbalance, metabolic disorder, or a side effect of medications.
Next Steps:
-
Prioritize Mental Health Evaluation:
- Consult with a psychiatrist or a mental health professional who specializes in complex conditions like bipolar disorder and PTSD. Discuss the resurgence of your hallucinations and any adjustments that can be made to your current treatment.
-
Seek Comprehensive Physical Assessment:
- A visit to an endocrinologist is key to investigating potential hormonal or metabolic issues, given your menstrual changes and weight gain. Blood tests may need to be expanded to include metabolic panels, estrogen levels, and other hormone profiles.
- Consider seeing a neurologist for your eyesight issues and to rule out any neurological conditions that may be connected to the tactile and visual hallucinations.
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Document Symptoms:
- Keep a detailed symptom diary, noting the onset, duration, and intensity of your hallucinations and physical symptoms. This will be helpful during your consultations and can provide patterns that professionals may find significant.
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Lifestyle Considerations:
- Engage in stress-reducing techniques like mindfulness, yoga, or supportive therapy to help mitigate anxiety and potential triggers for sensory distortions.
Reassurance:
While it can feel daunting to face these combined health issues, remember that you’re taking important steps by seeking help. Being proactive about your mental and physical health is vital, and there are definitely professionals out there who can provide the support you need. You’re not alone in this journey, and with the right care, improvement is entirely possible. If you have any more questions or need further guidance, feel free to ask.
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