A Long Struggle with Numbness and Isolation: Seeking Answers
Hello, I’ve felt out of sorts for as long as I can remember, but since 2015, my situation has progressively deteriorated. For the past six years, I have spent the majority of my days confined to my bed, engaging in little beyond a spiral of thoughts and internal dialogues. Life feels devoid of sensation; I derive no pleasure from experiences like intimacy, and I am constantly weighed down by a foggy mind and a lack of motivation. A persistent pressure seems to press against my head. Despite my efforts to enact positive changes—such as enrolling in educational programs and seeking employment—these pursuits invariably fall short, hindered by my cognitive haze and diminished energy levels. I have consulted various psychiatrists since 2016, trying a myriad of mental health medications, yet the results have been disappointing. I’ve been diagnosed with schizoaffective disorder and obsessive-compulsive disorder. Additionally, I’ve sought help from a neurologist to address my persistent headaches, undergoing MRIs for both my brain and spine, all of which returned normal results. Conditions like Crohn’s disease and lupus have been ruled out as well. I feel utterly lost in my quest for improvement, and the overwhelming uncertainty is challenging. I wonder if there might be alternative explanations for my symptoms or other conditions to consider. Unfortunately, it seems my doctors have largely given up on finding solutions for me.
Answers (1)

6/22/2025, 1:20:38 AM
OpenHealth AI
I'm really sorry to hear how challenging your situation has been. It sounds incredibly difficult to navigate such persistent feelings of numbness and isolation. While I can't change your experiences, I can offer some insights and specific next steps that may help you find clarity and potential avenues for relief.
Main Points:
Your symptoms suggest a complex interplay of mental health and possibly neurological factors. Given that you have been diagnosed with schizoaffective disorder and OCD, the pressure you feel in your head, cognitive fog, and lack of pleasure could be related to these conditions. However, your ongoing struggles despite treatment warrant a careful reevaluation.
Explanation:
The experiences you're describing—persistent feelings of numbness, pressure in the head, lack of motivation, and cognitive difficulties—can be influenced by both physiological and psychological factors. While typical causes like schizoaffective disorder or OCD explain part of your symptoms, there might be other underlying issues that haven't been explored yet. Some potential areas to consider include:
- Chronic Fatigue Syndrome (CFS): This condition is characterized by extreme fatigue that doesn't improve with rest and can include cognitive difficulties.
- Depersonalization/Derealization Disorder: This can manifest as a sense of detachment from thoughts or surroundings, which may explain the feeling of numbness.
- Vitamin Deficiencies: Low levels of nutrients such as Vitamin B12, Vitamin D, or magnesium can lead to cognitive impairments and fatigue.
- Autoimmune Disorders: Even if initial tests were normal, some conditions like Hashimoto’s thyroiditis or others may require a thorough examination.
Next Steps:
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Document Your Symptoms: Keep a detailed log of your symptoms, their frequency, and what seems to exacerbate them. This information can be useful during future medical visits.
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Reassess with Specialists: Consider seeking a consultation with:
- A neuropsychiatrist who integrates neurology and psychiatry, as they can provide a comprehensive assessment suited to your complex symptoms.
- A functional medicine specialist who might evaluate areas like nutritional deficiencies or autoimmune considerations that may not have been previously addressed.
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Physical Wellness: Incorporate light physical activity or gentle stretching if possible, as physical movement can sometimes help alleviate symptoms of fatigue.
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Mindfulness and Grounding Techniques: Engage in mindfulness practices that can help manage feelings of anxiety and emotional numbness. Techniques like deep breathing, meditation, or even light yoga may be beneficial.
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Seek Support Groups: Connecting with others who experience similar challenges can provide emotional support and additional insights into coping strategies.
By taking these steps, you may uncover additional avenues for understanding and possibly improving your situation. Remember, you don't have to do this alone—reaching out for support when needed is an important part of the healing process. If you have further questions or would like to explore any of these suggestions in more detail, feel free to ask!
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