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Anxiety, sexsomnia, hallucination.. a compounded case *TW*

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Anxiety, sexsomnia, hallucination.. a compounded case *TW*

Postby Climacus » Thu Jul 07, 2016 1:11 pm

Hello.
I'm new here, so I'm sorry first if this is not the appropriate section in which to post this topic (but the nature of the topic itself doesn't help either).
I'm not a specialist of course, I have some modest notions in psychology, no more, so sorry if I say some stupid thing.
I would like to present the strange case of a friend of mine who suffers from various problems and who doesn’t find much help. Please read to the end.

First, she suffers from what seems to be panic attacks: she suffocates, feels a difficulty to breathe and a pain in her chest, her heartbeats speed up, until she gets to some kind of climax and faints, to wake up after five seconds or so. It happened really often in class. Sometimes the “causal” relation with external events is clear: exams, relationship problems, problems with her family (once she fainted almost directly after a discussion with her mother in the phone), fear of looking abnormal to others because of these problems. Last year, apparently, she had some really bad crisis, where the attacks didn't stop for a long period of time, and she was transferred to a hospital. She said to me that that was because of her brother, who was under drugs and beat her after some argument.
But sometimes there is just no apparent reason.
She gets into trouble a lot. Arguments, sometimes violent ones, spring at home from trivialities.
She tried to suicide a few times, but I never know if she is really serious.
Her psychologist is of no help. He just gives her antidepressants and the like, while being rude to her during their sessions. We live here in superficially "conservative" society, so whenever she talks about relationships he reprimands her.
She went to see another psychologist in a big city, younger. When he heard her story, he said to her that she need someone to take care of her, love her, and that he would be pleased to take this role himself.. and take her virginity. What a life, isn’t it. Of course she refused to come back again. This event traumatized her for some time.
The point is that she finds no professional to help her now.

She is now about 16. She is not a really a bright girl, in fact naïve in some ways, but she is quite sensitive and really imaginative. She has the tendency to add some phantasmagoric elements to any emotion-laden event or person, like imagining someone who has done her harm as a monster, or a girl she finds pretty and gentle in the form of princess, etc. She is the kind to daydream a lot. When I ask her about her dreams (whether when she is awake or asleep) I notice that they are often really archetypal: snakes approaching her in a hostile manner, dragons trying to swallow her, etc. A dream where the evil mother archetype is really explicit: She is in garden and notice a beautiful woman from which emanates a sweet smell. She tries to approach her, but when she does, the woman turns herself into a dragon, and the smell is now bitter and smoky.
She also spends a considerable amount of time (some hours sometimes) looking at herself in the mirror. When I ask her why, she just says that she finds herself pretty, and that there is something really absorbing in this.
During some sessions of gazing at the glass, she starts to hallucinate. I don’t know if we should consider these hallucinations or pseudohallucinations: she is not really clear about whether she believes at that moment what she sees, but it is sure that retrospectively she clearly considers her visions factitious. What she sees in the mirror are generally people she knows: friends and family, moving and discussing. Sometimes they talk to her directly and they hold a conversation. The scenes are generally mundane, but I suspect that some have an erotic tone and she is not comfortable talking about them.
Recently, the hallucinations “freed themselves” from the mirror frame. The only condition is that she be alone I think. But their nature and content didn’t change.

And now for the third disorder. She told me some months ago that it was more and more frequent that she wakes up totally naked. I didn’t know about sexsomnia, or sleep sex, at the time. Some few searches on the web were enough. She didn’t report any dreams related to these nights, even though independently of this she has frequent erotic dreams like most of teenagers I think. I asked her then to use her phone as a microphone recorder during night and to listen to the footage the day after. There were indeed some moans during the last third of her sleep time.
She is afraid now of sleeping with friends and member of her family in the same room. She doesn’t know what to do.

I tried to lay out her various problems with some details about her personality. What I would like to know is: i) if there is some common root to all this (maybe anxiety?); and ii) how to help her to improve her condition, she really feels abnormal, and this doesn’t help.

Do not hesitate to ask about details.
Thank you in advance.
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Re: Anxiety, sexsomnia, hallucination.. a compounded case *TW*

Postby Una+ » Sat Jul 16, 2016 2:38 pm

It all sounds well within normal limits for a teenager who is miserable. The psychiatrist plainly is the type who prescribes medications, nothing more. Hopefully she will try seeing another psychologist or counselor. Perhaps she would feel safe with a woman? For help with relationships, a licensed social worker or marriage and family therapist would be particularly helpful.

Hearing voices and seeing others in mirrors are fairly common experiences and are not necessarily due to any kind of mental illness. If distress or dysfunction is severe, then there may be a mental illness. The possibilities are many, and include severe anxiety, severe depression, bipolar disorder, borderline personality disorder, schizophrenia, and dissociative identity disorder. I have DID myself. Effective treatment requires a good diagnostic workup. One of the best books about these kinds of experiences is The Stranger in the Mirror by Marlene Steinberg, MD and Maxine Schnall. This book is available in English, Spanish, Chinese, and Italian.
Dx DID older woman married w kids. 0 Una, host + 3, 1, 5. 1 animal. 2 older man. 3 teen girl. 4 girl behind amnesia wall. 5 girl in love. Our thread.
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