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Should I Be Concerned?

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Well I used to have a lot of anxiety, panic attacks, worries in the past but lately I have not been that much anxious. 2 months ago I had a full black out (not faint) everything didn’t seem real but it was really scary! Ever since I experienced it I have it all day BUT not that much. Sometimes is fewer and other is a little bit more. I know the world is real but it’s like it has no meaning to me. I feel like I’m not normal any more and thinking of it makes it even worse. I know it may be a derealization disorder but I’m afraid it may be something else. I want to go to a therapist but it needs money and I cannot provide them at the moment. Does it goes away with time?

Should I Be Concerned?

Answered by on -


You are assuming that your blackouts may be caused by a derealization disorder or psychological problems, but that might not be the case. Blackouts happen to people for various reasons, some of which could be medical. It’s important that you have a medical evaluation to rule out any physical causes.

Once medical problems are ruled out, then it is appropriate to consider psychological causes. This must be done with the assistance of a trained mental health professional. Ask your primary care physician for a referral to a mental health professional in your community.

You said that money is an issue for you, but you might be able to see a mental health professional for free or at a low cost. Check with your health insurance provider to determine how much co-pays would be. If you don’t have health insurance, make an appointment with your local community mental health center. If your income falls under a certain level, therapy sessions might be free.

Don’t ignore this problem or hope it will simply go away on its own. It is concerning and you should find a way to get help. Please take care.

Dr. Kristina Randle

Should I Be Concerned?

Kristina Randle, Ph.D., LCSW

Kristina Randle, Ph.D., LCSW is a licensed psychotherapist and Assistant Professor of Social Work and Forensics with extensive experience in the field of mental health. She works in private practice with adults, adolescents and families. Kristina has worked in a large array of settings including community mental health, college counseling and university research centers.

APA Reference
Randle, K. (2018). Should I Be Concerned?. Psych Central. Retrieved on May 21, 2019, from
Scientifically Reviewed
Last updated: 8 May 2018
Last reviewed: By a member of our scientific advisory board on 8 May 2018
Published on Psych All rights reserved.