Brief Answer:
Yes, these feelings can disappear

Detailed Answer:
Hello XXXXXXX

Thanks for writing to us.

I can understand your feelings of detachment.

I read your another query also answered by another doctor. You have consulted psychiatrist and also undergone CT scan. You did not mention the result.

From available history, I think you are suffering from some type of dissociative disorder.I have considered your neurological check up is normal.

Your history suggests you have 'Depersonalization disorder" which is marked by a feeling of detachment or distance from one's own experience, body, or self.

I am narrating its detail for your information:
These feelings of depersonalization are recurrent. Of the dissociative disorders, depersonalization is the one most easily identified with by the general public; one can easily relate to feeling as they in a dream, or being "spaced out." An individual with depersonalization disorder has this experience so frequently and so severely that it interrupts his or her functioning and experience. A person's experience with depersonalization can be so severe that he or she believes the external world is unreal or distorted.

If you feel you are in the same situation ,discuss with your psychiatrist. It can be treated for sure and you can come out from this problem completely.

Treatment:
Mostly dissociative disorders are triggered as a response to trauma or abuse.
Treatment for individuals with such a disorder is psychotherapy mostly, however a combination of psychopharmacological and psychosocial treatments is often used.
Many of the symptoms of dissociative disorders occur with other disorders, such as anxiety and depression, and can be controlled by the same drugs used to treat those disorders.
You might benefit from antidepressants or antianxiety medication.

Hope I have answered your query, I will be happy to answer more queries if there.

Regards,
Dr.Chintan Solanki.

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Brief Answer:
Your possible diagnosis is panic disorder with agoraphobia

Detailed Answer:
Hello XXXXXXX

Thanks for information and detail symptoms.

It seem that you have frequent episode of panic attacks.
In between panic episodes your mind is apprehensive about the situation in which you are alone. For you being alone means no one is there to help you if something bad happens to you. These rumination of thoughts causing major disturbance in your routine life.

You also try to avoid the situation where you are in crowd or with unknown persons.It is agoraphobia. This avoidance behaviour is restricting your activity and keeping you more at the home.

These all symptoms are suggestive of panic disorder with agoraphobia. It is a type of anxiety disorder. For confirmation of diagnosis, detail history, physical-neurological examination and mental status examination are required by a psychiatrist.

Treatment of this is also available in form of pharmacotherapy and psychotherapy.
In medicines, SSRI group of medicine specifically paroxetine is helpful and anti anxiety benzodiazepine is given for initial symptomatic relief.
In psychotherapy psychodynamic psychotherapy and cognitive behavior therapy(CBT) are useful.
Both pharmacotherapy and psychotherapy can be started together depending upon choice of patient.
Depending upon severity of symptoms , effects of medicines and motivation of the patient in psychotherapy, one can be normal in 3- 6 months from panic disorder. After being completely normal, treatment can be stopped gradually in next 3-6 months as per doctor's advice.

One differential diagnosis possibility is psychotic type of disorder in which fear is the dominant feature. Patient feels being harassed, watched, controlled or tortured by someone/unknown though in reality it is not like that. It is called delusion. Because of this fear person avoids to go out of the home.In your case it is a rare possibility.

For detail evaluation personal interview with psychiatrist is essential.please consult doctor and start the treatment.

Hope I have answered your query, I will be happy to help further if needed.

Regards,
Dr.Chintan Solanki.

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Brief Answer:
Yes it is due to anxiety likely, need treatment like ssri

Detailed Answer:
Hello,

Thanks for follow up.

Dear XXXXXXX all of your symptoms suggest anxiety problems. You can be recovered from the same for sure.
Psychiatrist does the basic physical and neurological examination to rule out any physical cause. If he/she finds something, patient is referred to concern doctor. If examination comes normal, psychiatrist will do the treatment.

I think vitamins supplement will not help you for solving your problem.
You need to take SSRI and benzodiazepine after consulting doctor. You can take vitamins with that. Do not stress more yourself about your illness and recovery. You will be normal as I mentioned in last answer with proper regular treatment.

Hope I have answered your query. If still any query there, I will be happy to answer. If not, you can close the discussion and if feasible give your feedback so I can improve service. In future you can contact me directly if you wish with this link: http://bit.ly/drchintansolanki

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