Dissociating from reality

D n A

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Am I fucked?

As of recently, I’ve been cutting down on my drug usage, particularly with ketamine and cocaine. I have been doing ketamine for about a year and a bit now. I was addicted for nearly that entire time period except for a two month frame during the summer where I temporarily quit. Since half the addiction was in the habit for me, I took up cocaine during that break, got addicted, and struggled with it up until a month or two ago.

Now, for the past few months, I’ve been having derealisation episodes that seem to be slowly getting worse. They are most noticeable at the end of the day, when I’m tired, but have also happened at any given time. I’ve experienced these episodes in the past before I started using drugs but it was a rare occurrence. Now it’s every night.

What exactly happens? Well, here’s a few examples. Occasionally, while talking to someone and looking at their face, my perception alters and I feel like I’m viewing them from a different angle, or they appear 2-D. Sometimes it looks like they are farther away than they actually are. If I look away, things go back to normal, but they can shift right back without warning. I’ve also seen hallucinations in my peripheral, such as seeing things displace themselves.

It also happens while I’m looking at my phone. It’s worse when I’m in the dark and can only see the phone screen. Recently I was lying in my bed and looking at something on my phone, and suddenly it seemed like I was looking at a giant screen from far away, like in a theatre. My body felt really light, and I kind of “zoned out” and was lost in the hallucination. I honestly felt like I was under the influence of dissociatives. I could still see the screen, but what was on it didn’t make proper sense. It was hard to read the words, as if they were jumbled up. I moved the screen with my finger and it made no difference. Eventually I tried to focus hard on the screen and was able to pull myself out of the state.

And every night, before I fall asleep, it happens. Even with my eyes closed in utter darkness, the blackness I see beneath my lids seems to shift. From a flat area, to a large open space, different sizes and plains. It’s kind of hard to explain. My body also feels different, like I’m floating on water.

I feel foggy a lot of the time, too. Just utterly out of it. My short term memory is also shot. Lately I’ve been getting distracted easily. I’ll go to do something, get distracted by something else, and completely forget what I was going to do. I sometimes forget where I’m going, where I am, and what I am supposed to be doing. I forget words occasionally, as well as simple phrases. I mix up my words when writing (for example, writing 'view' instead of 'few'). And sometimes when I’m speaking or writing, I wonder if what I’m saying makes sense.

I have been quite stressed and a little depressed for the past month or two and I’m wondering if that’s contributing. I did have a rather horrifying bad trip on mushrooms mid-December that affected me psychologically and I’m wondering if this has something to do with it.

I was also diagnosed with ADD when I was 10 years old and have been taking medication since I was 15 (18 now). I know that perhaps some of this derealisation could be a symptom, but, like I said, it’s a lot worse than I ever remember.

So what’s going on? Why is this happening? Will it go away?

I didn't think that my abuse was that severe compared to that of other people I know. Have I damaged by brain permanently.. is the bad news finally in?
 
It'd help to really know what medication you take.

I have never done ketamine a lot, I understand the drug is one of the only addictive psychedelics commonly used by drug users.

One thing to take in mind is that you use both Ketamine and cocaine. The depression and stress is probably a result of your cocaine use. The derealization is definitely an over use of psychedelics.

I do not believe you've permanently damaged your brain in anyway noticeable in a few weeks/months.

Over the summer I was abusing cocaine and alcohol. I experienced a similar effect to you, except alcohol withdrawals mixed with cocaine withdrawals. I remember trying to sleep in bed and having horrible anxiety. I believed that the baby-eater from Pan's Labyrinth was going to eat me alive.

I constantly felt like I was in a dream state throughout the day and nothing was real. My phone looked as if I were dreaming. My dreams were incredibly vivid. I felt like something bad was going to happen; like reality was going to fall out of place or I was dreaming when I was awake and I would be killed.

Anyway the most important thing to my knowledge was that the fact that this is bothering you is because it is NOT comfortable. In a state of bliss, one is completely okay with any weird situation occurring around them. To be completely frank, quitting cocaine will probably cure most of your issues with your current state of mind.

Quitting ketamine would also be wise as well, however I understand that poly-drug addictions are not something one can easily drop and continue functioning as human being during withdrawal periods.
 
Like Renz said the depression and the stress is probably stemming from the cocaine use. I have also been depressed but was before my drug use and its been a never ending cycle. So the last couple of months or so I've been starting to use more heavily. I've been on a long binge that I have yet to stop. My drug of choice was always opiates (oxycontin, roxicodone all that jazz) but I got sober and decided I didn't want to go back down that path at this point in time. So that's when I started drinking...

The drinking then led me to start using cocaine again and I even smoked crack (what the fuck was I thinking?).... I may not be smoking crack now but I've been doing a lot of cocaine. I picked up more times and I end up blowing whatever I buy in less than a few hours even if its a gram. I can snort that in a night.

The weird thing that happened that never has happened before is the weird spelling problems/thinking I'm saying one thing but then I look at it after and its all wrong. I don't even know why that happened... The good thing is this only lasted for a week. It has never happened before. So I guess it isn't such a big issue to worry about because it does happen sometimes... Yet, the fact your prolonged use of ketamine doesn't help either. This is what's causing the dissociative feeling that doesn't seem to end (which I'm sure you know). I use to get that when I was using ketamine too much and I would usually buy a lot because it was buy it now or wait another couple weeks until someone got more... It left me in a daze for a time period and I wasn't even using for that much of an extended time period. So I see how crazy you must be feeling right now. Its just the stuff can be so addictive and you end up railing another line of it.... the fact the high doesn't last for such a long period is also a downer and you keep trying to snort more at times but then again it never seemed to make me higher. I also recently had a bad trip on synthetic cannabis (yeah the shit wasn't anything I expected it would be) on new years and it left me feeling odd for a few days after... Usually if you have a bad trip it can leave you with this feeling you do not want for some time. Just as it can leave you with an afterglow on life (too bad it can't be that way all the time). Just realize this is not forever.....you'll feel better soon. Try to think positively about the situation for now and the feeling will diminish.

All I can say is its not permanent. Don't worry, I have experienced similar situations (not as intense with the dissociative feeling...really intense with the depression/stress and anxiety though). All I can say is take that much needed break. Nothing will get better unless you stop now rather than when its too late. This kid I know is a psychonaut and used for a year only...did so much lsd, shrooms, ketamine ect and now he isn't there. He can be pretty detached from the real world and then sometimes he's here but most of the time he's not... The problem with him is he didn't stop and is still the same way. I just hope you don't end up like him which I'm pretty sure you won't but it can be possible.

I also would stop with the cocaine use. Its not worth it at all.... I know I'm sounding hypocritical right now but I think its not the best thing to do especially if its becoming a problem. The high isn't worth the feeling it leaves you with. I wish I could heed to my own advise about coke. I think I can though because its shitty but then ill just replace it with another drug. That's what I believe you did... Replaced ketamine with cocaine and the fact you rail both doesn't help... Just reminds you about the other.
 
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Well seeing as you've stopped using the drugs I would assume it's the withdrawals/ your mind trying to reset itself. After doing some binging myself I experienced similar symptoms. Always felt as though I was in a dream, felt anxious, afraid, withdrew from the public, perception changes. The majority of these side ffects lasted about a month and slowly dissipated as time went on and I stopped paying attention to them. But whenever I am tired/hungry even now (6 months later) I feel like im in a derealized state. I get confused, everything looks dream like and I get terribly irritated. I also had a horrible short term memory but that was probably due to cannabis.

I seriously doubt that you have permanent brain damage, brains are very powerful things that have the ability to recuperate. You just need patience and to abstain from drug use. You cannot expect to do drugs without some kind of repercussions. Try to take your mind off of these changes in perception. A lot of it could be caused because the drugs let you see things differently. Psyches allow you to expand your perception of things.
 
Cocaine is said to cause some long-term dopamine down regulation in extreme addicts, but I doubt it's anything notable like that of methamphetamine.
 
Cocaine is said to cause some long-term dopamine down regulation in extreme addicts, but I doubt it's anything notable like that of methamphetamine.

Yeah, I also agree... I mean the comedown of coke is shit but the one night I took a couple hits of meth made me think holy hell... Just one night of it made me feel horrible after the high wore away, hell on earth. I mean oxycontin withdrawal ect is pretty horrible too but getting off of that I just felt extremely sick but with a meth comedown I felt like I wasn't there or me anymore.
 
Yeah, I also agree... I mean the comedown of coke is shit but the one night I took a couple hits of meth made me think holy hell... Just one night of it made me feel horrible after the high wore away, hell on earth. I mean oxycontin withdrawal ect is pretty horrible too but getting off of that I just felt extremely sick but with a meth comedown I felt like I wasn't there or me anymore.

QFT. I recently had my first few meth experiences. I felt like I regretted every decision I had ever made in my life and the person that was once me was dead.

Coke comedown is not even as bad as dextroamphetamine in my opinion. I feel hungry, tired and unsociable. Cocaine honestly reminds me of an evolved version of caffeine.
 
I don't want be rude. But coke w/d'$ ain't half bad or long like opiates. On reading phone when screen close eyes to long that happens. With close eyes always float and see different textures black. Don't every drug under sun you may be OK and hyping yourself up causing hyprochrondic hallucinations aka imagining them making appear. Just my 2©
 
So... back to the topic at hand-- derealization upon quitting cocaine and ketamine.

I actually don't have much to add to the discussion only to repeat what others have said: no, this is not permanent. Give it a bit more time and it will pass. Eat well, exercise, drink lots of water and get lots of sleep-- your brain is an organ, and needs to be physically healthy too. It'll get better sooner if you're taking care of yourself in as many other aspects of life as possible as well.
 
It'd help to really know what medication you take.

I have never done ketamine a lot, I understand the drug is one of the only addictive psychedelics commonly used by drug users.

One thing to take in mind is that you use both Ketamine and cocaine. The depression and stress is probably a result of your cocaine use. The derealization is definitely an over use of psychedelics.

I do not believe you've permanently damaged your brain in anyway noticeable in a few weeks/months.
I am scripted Adderall XR 40mg but do not take it every day, usually just on school days (Mon-Thurs).

I don't use coke or ketamine anymore. The last time I did cocaine was on New Years and also 2 months before that. As for ketamine, I quit a little over a month ago.

The depression and stress may be related to the cocaine use, but also there have been many traumatizing and stressful events that have occurred in my life within the past month or two. As for overusing psychedelics, I don't really see that as a factor because they're not something I use frequently. In fact, the bad trip I talked about only happened because I was given double the requested dosage without my knowledge. That was not intentional.

I'm sure that the derealization will go away with time, but right now it's really concerning me and I'm wondering how much it's going to effect me in the long run.. after all of these symptoms dissipate, am I going to find out exactly how much damage I've done to myself?

For the next long while I'll be trying to avoid all drugs and keeping alcohol consumption to a minimum.


I don't want be rude. But coke w/d'$ ain't half bad or long like opiates. On reading phone when screen close eyes to long that happens. With close eyes always float and see different textures black. Don't every drug under sun you may be OK and hyping yourself up causing hyprochrondic hallucinations aka imagining them making appear. Just my 2©
Yes, I'm aware of this. Obviously staring at an object for long periods of time is going to mess with your vision and perception. But this is a completely different experience. I am not 'hyping' myself up, I've been trying to ignore it for the past while but now it's starting to concern me.
 
There's no way that we could tell how long it takes. If you're completely clean, then I'd guess on the order of weeks; but it could well be months too. You're young, and the brain is very resilient. Keep your mind active, your body healthy, and try not to focus on the symptoms-- they'll fade in time.
 
I know lots of other people said it, but I wanted to reiterate that this is very, very unlikely to be permanent. My previous boyfriend used a lot of ketamine, and he experienced symptoms similar to what you describe, but when he quit the drug completely they gradually faded completely :)

You mentioned that you've been feeling stressed lately - stress and anxiety can cause (or exacerbate) derealisation and depersonalisation.. and as the symptoms are worrying you, this will be making your stress and anxiety worse, which may in turn make the symptoms worse. This doesn't mean it is doing permanent damage, but you might find that if you tackle this area of your life the symptoms subside more quickly. Is there anything practical you can do to help ease the stress, or perhaps some counselling (or having some good chats with friends, depending on the situation) might help if you have been through some traumatic events recently?

Exercise is really good for anxiety (it's good for everything really!) and there are various relaxation exercises and breathing techniques you can learn too, but I'm not an expert in this area..

Stress can also play havok with your memory and attention so again I am sure this is not permanent, it is just a reflection of your current mental state.

As Dave said, take good care of yourself, and I would definitely consider tackling your anxiety/depression. It's hard to give specific advice without knowing more about this part, but the anxiety and depression megathreads in the TDS directory (in my sig) are a good place to start :)

I think you are going to be fine <3 if the symptoms seem to be worsening, or are not improving with time, you could see a doctor to get it checked out - but this is more for your peace of mind really and to make sure you've explored every avenue.

Good luck! :)
 
DNA: de nada. :) I have depersonalization/derealization episodes from my anxiety, and have from a very young age, so I'm used to them; I'd imagine that having them come up relatively suddenly like that would be pretty frightening. Makes you question how real our perception of reality actually is.
 
Lol I question it all the time..I've seen too many strange things in my life
 
than are dreamt of in your philosophy.

after all of these symptoms dissipate, am I going to find out exactly how much damage I've done to myself?

Think of it this way, if all the symptoms are gone then i doubt it'll concern you further. You can wonder, but i think it would only serve to create unnecessary anxiety. It will pass with time as long as you abstain from anything that might catalyze it. :)
 
I would strongly encourage you to be evaluated by a physician. Your symptoms are also consistent with a seizure disorder. A doctor is not going to turn you into the police because you have a history of substance abuse.
 
From what I have seen in clinical practice, it may take up to two years to subside. However. I have personally observed a period of 3-6 months as the norm. These are personal observations and do not a study make. So keep that in mind. However,

I'd suggest you see a Physician, or at least a C.psyh.
 
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