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A Disturbing Experience of Disorientation

7/20/2025, 7:50:23 AMMale25-34

At 18 years old, standing approximately 5 feet 11 inches (182 cm) tall and weighing between 210 and 230 pounds (95-104 kg), I find myself relying solely on medications for mental health management, specifically fluoxetine (60 mg), aripiprazole (15 mg), and trazodone (150 mg). I’m a non-smoker and do not consume alcohol, with the only existing health concerns being low iron levels and insufficient vitamin D. Having never experienced a seizure and lacking any family history of such events, I felt confident that wasn’t the issue. Earlier today, while reclining in bed and enjoying some YouTube videos, an unsettling situation unfolded. My family has been away camping for a few days, leaving me alone at home, which meant I had no one to turn to during this incident. Suddenly, a wave of extreme fatigue hit me, overwhelming despite my earlier alertness. I laid down, but quickly felt as though I was having trouble breathing, prompting me to take a deep breath. Strangely, I noticed my breathing was inaudible; all sounds faded except for the hum of my fan. Panic began to set in as my mind raced alongside a dizzy sensation making it hard to think logically. Initially, I suspected I was experiencing a panic attack, but this did not align with how I had felt just moments before. I attempted to sit up, but the experience was bizarre; I felt as if I were moving through thick molasses, my vision distorted and my body sweating profusely. Despite my efforts, I couldn’t force myself upright, leading me to concede to simply finding a way to calm down in hopes of alleviating my distress. As I lay still, I experienced involuntary twitches that escalated into more violent jerking movements. No matter how I concentrated on being still, my body seemed to resist. It felt as if my internal organs were being compressed or shifted against my will. My thoughts spiraled into chaos, a mix of clarity and utter confusion. I struggled to maintain awareness, teetering between sensible ideas and utter nonsense. An overwhelming sense of terror enveloped me, and I felt utterly trapped, unable to move. In my last coherent moment, I desperately reached for my phone, convinced I was on the verge of death. When I regained awareness, hours had passed. I believe I may have lost consciousness during that time. I have no idea what transpired, but it felt like an eternity of awareness that something was terribly amiss, lasting perhaps over 20 minutes. Is there anyone who might provide insight into this experience?

Multiple SclerosisInternal MedicineEndocrinology

Answers (1)

Cony

7/20/2025, 7:50:38 AM

OpenHealth AI

I'm truly sorry to hear about your unsettling experience. What you described sounds very distressing and may involve several factors linked to your current mental health regimen or possible underlying conditions. Let's break down your situation to gain some clarity.

Summary of Main Points: Your experience involved sudden fatigue, difficulty breathing, distorted vision, panic-like symptoms, involuntary movements, and a potential loss of consciousness. This warrants careful consideration of various factors, including the medication you're taking and any physiological changes.

Explanation:

  1. Medication Effects: The medications you mentioned—fluoxetine (an antidepressant), aripiprazole (an antipsychotic), and trazodone (a sedative)—can, in some cases, lead to side effects that impact your mental and physical state. Drowsiness, dizziness, and confusion can occur, especially with higher doses, and combining these could amplify such effects.

  2. Physical Health Concerns: Your low iron levels and insufficient vitamin D could contribute to feelings of exhaustion and might play a role in the overall experience. Low iron can affect oxygen transportation in the body, leading to fatigue and sometimes confusion.

  3. Anxiety or Panic: Although your symptoms were not typical of a classic panic attack, anxiety can cause similar physical symptoms, including breathlessness, dizziness, and feelings of being trapped. The isolation you felt may have intensified your emotional response.

Next Steps:

  1. Monitor Symptoms: Keep a detailed diary of your experiences, noting when they occur and any potential triggers. This may help identify patterns related to your medications, diet, or stress levels.

  2. Hydration and Nutrition: Ensure you are well-hydrated and consider increasing your intake of iron-rich foods (like spinach, beans, or meat) and vitamin D (like fatty fish or fortified products) to address your deficiencies.

  3. Manage Stress and Anxiety: Incorporate relaxation techniques such as deep breathing, mindfulness, or gentle yoga, especially since you experienced panic-like symptoms.

  4. Medication Review: Consider discussing your experiences with a healthcare professional who can review your medication regimen. Adjustments may be necessary, but it's crucial you do this under medical guidance.

  5. Safety Measures: Until you have a clearer understanding of what happened, it might be wise to avoid being alone during vulnerable times, if possible. Having someone nearby can provide comfort and support.

If you notice any worsening symptoms, such as frequent loss of consciousness, confusion that lasts for long periods, or if you have further distressing episodes, it's essential to seek medical help promptly. Your well-being is important, and finding support can make a significant difference.

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