It’s difficult to know with certainty why you feel different. Generally speaking, illegal drugs alter brain chemistry. That’s, in part, why drugs are so dangerous. Many people underestimate the risks of drug abuse. Teenagers especially see it as harmless experimentation or even a rite of passage. People who use drugs and who don’t suffer negative consequences are fortunate and rare.
Anecdotally, I receive many letters from people like you, who have used marijuana and who have developed similar symptoms. Recent reports indicate that one of the most common reasons someone goes to the emergency room, for anxiety symptoms, is due to marijuana use. Some people have a bad reaction to the drug and it scares them.
You may want to reconsider the medication you were prescribed. It might help. You only gave it two days. Typically, antidepressant medications take approximately 1 to 3 weeks to work. You didn’t give it enough time to do its job. It may have helped you, but you didn’t give it a chance. You should discuss this with your prescribing physician.
You might also consider counseling to address what might be derealization symptoms. It’s possible that anxiety and derealization are related and psychological treatment could help eliminate both of these symptoms.
It’s also important to proactively prevent another anxiety attack. You’ve described your anxiety attacks as coming out of “nowhere,” but most commonly they are triggered by something. If you identify the trigger, you might prevent them. Therapy could be beneficial to you at this time. Please take care.
Dr. Kristina Randle