Intense Experiences of Déjà Vu
Age: 19, Weight: 126 lbs, Height: 5'11", Smoker. I am coping with several health conditions, including depression, ADHD, cholinergic urticaria, and potentially postural orthostatic tachycardia syndrome (POTS). It's unclear if these disorders are interrelated. Throughout today, and occasionally 1-2 times for about a week every few months, I have been experiencing intense déjà vu. The sensation can be so overwhelming that I begin to feel nauseated, sweat excessively, and become lightheaded. It’s as if I am observing my life through a strange lens, foreseeing the events that follow. Due to its severity, I often find it necessary to either sit down or pull over while driving to regain my composure. These episodes typically last between 1 to 3 minutes, and on days when they occur (which is generally once or twice a week over a period of 4 to 6 months), I may encounter multiple episodes in a single day. I've noticed only minor fluctuations in my sleep patterns or stress levels, neither of which seem unusual. Should I arrange a visit with my primary care physician in August or consider heading to the emergency department?
Answers (1)

7/11/2025, 2:40:36 AM
OpenHealth AI
Given your experiences of intense déjà vu accompanied by symptoms like nausea, sweating, and lightheadedness, it's understandable that you're feeling concerned. These episodes could be indicative of a neurological or psychological phenomenon, especially considering your existing health conditions.
Explanation: Déjà vu is often associated with anxiety or stress but can also be linked to seizure activity or other neurological issues. Since your symptoms cause significant distress and interfere with your daily activities (like driving), it’s important to take them seriously. Your current health conditions, particularly ADHD and POTS, may also influence how your body processes stimuli and stress.
Next Steps:
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Monitor Symptoms: Keep a detailed diary of your episodes, noting the frequency, duration, associated symptoms (like lightheadedness), triggers, and any changes in your mental or physical state leading up to the events. This can provide valuable information for your healthcare provider.
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Prioritize Safety: If your episodes make you feel lightheaded, be cautious, especially while driving. It may be wise to avoid driving until you have more clarity regarding these symptoms to ensure your safety and that of others.
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Schedule a Visit Promptly: While it's great that you've planned to see your primary care physician in August, due to the nature of your symptoms and their impact on your life, consider making an earlier appointment. Inform them about the frequency and severity of these episodes.
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Consider Stress Management: Since you've noticed minor fluctuations in your stress levels, incorporating relaxation techniques such as deep breathing, mindfulness, or gentle exercise may help manage your overall symptoms.
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Emergency Care: If you ever experience these episodes with severe symptoms like prolonged confusion, loss of consciousness, or if you feel exceptionally unwell, do not hesitate to seek emergency care.
Your wellbeing is important, and addressing these episodes with a healthcare provider can help clarify the underlying cause and lead to appropriate management. If you need any further information or support, feel free to ask.
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