It’s possible that your disorientation and confusion are caused by a number of factors including your mental health symptoms, medications, and sleep disturbances. Each one of these individually could be causing the problem or it may be a combination of all them.
You are in treatment with a psychiatrist, but what about a therapist? Most psychiatrists don’t provide talk therapy. You mentioned being “treatment-resistant” and I am taking that to mean that you’ve been to counseling before. If so, try again. Some people prefer a medication-only approach to treatment, but I think that would be too limiting for you. Counseling is an effective treatment for all of the symptoms you have described.
Report these problems to your psychiatrist and ask about adjusting your medications. Also, consider counseling. Even if you’ve tried it and didn’t find it useful, try it again. Therapists vary in their abilities.
Overcoming mental health problems is often a function of finding the right help. I recommend that you contact at least five therapists and interview them over the phone. Choose the one with whom you feel the strongest connection and then meet with them in person. The right treatment could make all the difference. Please take care.
Dr. Kristina Randle