Feeling detached from reality may or may not be a symptom of psychosis. You may be describing a dissociative symptom. Derealization and depersonalization are clinical terms associated with feeling detached from reality. Derealization involves feeling as though the external world is not real. Depersonalization is the feeling of being detached or estranged from oneself. There are a number of reasons why these symptoms may develop, several of which include: severe lack of sleep, substance abuse, side effect of a medication, and significant stress. Whether or not your new symptom is associated with psychosis could only be determined by a thorough psychological evaluation.
It’s possible that you have developed this new symptom in response to the stress associated with caring for your husband. He has been “shutting you out” and he isn’t taking his medication. Those two problems would suggest that he’s not doing well. Undoubtedly, this is affecting you. It may be increasing your stress levels and exacerbating your symptoms.
It’s imperative that you report this new development to your psychiatrist immediately. Attend therapy on a more regular basis. It could help you to stay grounded in reality. Immediate intervention could help you return to a normal level of functioning. Please take care.
Dr. Kristina Randle