Is this normal or worrying
My symptoms are not something I normally experience all the time. The most intense episode happened when I was taking antidepressants. I had a few days where I slept around 3 hours but still felt fully awake, like I didn’t need sleep. I felt extremely restless, jittery, and internally overstimulated. I had to constantly move and ended up walking for hours (sometimes 10–13k steps at night) just to feel calmer even though I’m on an extreme diet which should tire me. I also felt like I was going to “explode” internally if I stayed still.
This only happened during the time I was on antidepressants, and it stopped after I finished them. I did not normally have this state before medication.
Separately from that, I also get paranoia episodes, but these are triggered by specific situations not medication. For example, after arguments or emotionally intense situations, I can start believing that someone might be outside my house, watching me, following me, or trying to get me. I might misinterpret normal sounds like knocking or cars outside as being connected to me or a threat.
I also feel strong uncertainty about reality, especially when I get intense bodily sensations like feeling something similar to an earthquake, and I struggle to tell what is real in the moment. I’ve been having those “earthquake” sensations for months now, probably almost a year.
These episodes don’t happen often but when they do my anxiety gets really bad.
My psychiatrist gave me a psychoeducational formulation after two sessions. It said I have borderline personality traits and autistic spectrum traits, and that this is not a fixed label but more a way of understanding my nervous system. I may not have explained certain symptoms of these episodes properly in my sessions. He only mentioned that after two weeks of taking antidepressants , the “restless” symptoms were normal.
I know this may sound stupid but I feel like he doesn’t like me and I’m scared to annoy him again. This is why I’m reaching out here, if other people think it’s serious maybe it’ll give me the courage to text him again and see if we can get another proper session.