Trouble with Reality

By Kristina Randle, Ph.D., LCSW

Hello. I am having some issues trying to differentiate between reality and dreams. I have become increasingly suspicious, especially of my boyfriend, when he leaves the house pretty much accusing him of doing something wrong. I have had severe depression. I am oversleeping the majority of the time, but go through bouts of insomnia which makes me feel crazed even further. I find myself forgetting where I am going while driving, and end up somewhere I dont know. I’ve been hostile lately as well but will cry at the drop of a dime. All this has been occuring over the past month or so. More recently (last week or two) I have started having internal conversations with myself and talking out loud during these conversations while I work alone at nights and singing. Trying to find out what could be wrong with me. Any insight would be helpful. Thanks!

A. You have described a pattern of emotional and psychological instability. Your irregular sleep patterns may be contributing to many of your symptoms but to what extent is unclear. It is common for individuals who are sleep-deprived to have difficulty managing their mood. A lack of consistent sleep may not be the root cause of your problems but it’s likely contributing to your current emotional instability.

Severe depression is also an issue but without having many more details about your current symptoms and your psychosocial history, it is difficult to know what may be wrong. Your symptoms are concerning and are degrading the quality of your life. I would recommend being evaluated by a mental health professional.

Medication can improve your sleeping patterns. Medication and psychotherapy can also help to help stabilize your mood. Do not ignore your symptoms or assume that they will simply go away on their own. Typically, untreated mental health symptoms become worse over time. I hope that you will consider my suggestion of seeking professional help. Please take care.

Dr. Kristina Randle

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Last reviewed: By John M. Grohol, Psy.D. on 29 Oct 2012

APA Reference
Randle, K. (2012). Trouble with Reality. Psych Central. Retrieved on December 21, 2014, from http://psychcentral.com/ask-the-therapist/2012/10/29/trouble-with-reality/