u/Harlem_Globetrotter

I am writing to provide a detailed clinical history of a complex neuropsychological condition I am suffering. All began following an acute episode on February 11, 2026. On that date, while taking a hot shower and smoking a couple of sigarettes. I started then to masturbate and I felt like I wasn't able to finish. I insisted for about 15 to 20 minutes while experiencing extreme pallor and ipo ventilations with pauses. After I stopped I experienced a sudden and severe crisis characterized by intense dizziness, extreme pallor, and diffuse tingling throughout my head and face. During this episode, which lasted as I said approximately twenty minutes, I suffered from a profound fear of being broken and what appeared to be a respiratory and circulatory dysregulation, possibly involving a cycle of hyperventilation and hypoventilation as the doctor said.

I decided to rule out structural damage doing an MRI. Although the results were entirely negative, showing no ischemic lesions or organic alterations, I have remained in a state of severe and persistent "functional shutdown" for over two months. This condition is marked by a profound sense of depersonalization and derealization; I no longer recognize myself in the mirror and I feel as though I have regressed to a vulnerable, childhood-like state. My perception of reality is distorted, making the world around me seem incomprehensible and distant.

Cognitively, I feel completely "burnt out." I am currently unable to maintain a coherent line of thought, and my working memory feels non-existent, as if my mind is unable to "hold" any information. This is accompanied by a distressing sense of strange feeling specifically localized to the right side of my brain and eye, it's really subtle and not constant. Physically, I suffer from a persistent feeling of cold and a total lack of "grounding", feeling as though I have no solid floor beneath my feet.

Regarding my current treatment, I have been taking 20 mg of Paroxetine (Eutimil) for 24 days and 50 mg of Pregabalin (Lyrica) twice daily for about 15 days and 1 mg of Risperidone. Despite this pharmacological intervention, the dissociative symptoms and the feeling of being "another person" remain unchanged. I am seeking a medical advice to address this persistent "freeze" I feel and to determine how to restore my cognitive and identity situation.

I still live in the fear that I suffered brain damage and that the situation is not reversible.

I am writing to provide a detailed clinical history of a complex neuropsychological condition I am suffering. All began following an acute episode on February 11, 2026. On that date, while taking a hot shower and smoking a couple of sigarettes. I started then to masturbate and I felt like I wasn't able to finish. I insisted for about 15 to 20 minutes while experiencing extreme pallor and ipo ventilations with pauses. After I stopped I experienced a sudden and severe crisis characterized by intense dizziness, extreme pallor, and diffuse tingling throughout my head and face. During this episode, which lasted as I said approximately twenty minutes, I suffered from a profound fear of being broken and what appeared to be a respiratory and circulatory dysregulation, possibly involving a cycle of hyperventilation and hypoventilation as the doctor said.

I decided to rule out structural damage doing an MRI. Although the results were entirely negative, showing no ischemic lesions or organic alterations, I have remained in a state of severe and persistent "functional shutdown" for over two months. This condition is marked by a profound sense of depersonalization and derealization; I no longer recognize myself in the mirror and I feel as though I have regressed to a vulnerable, childhood-like state. My perception of reality is distorted, making the world around me seem incomprehensible and distant.

Cognitively, I feel completely "burnt out." I am currently unable to maintain a coherent line of thought, and my working memory feels non-existent, as if my mind is unable to "hold" any information. This is accompanied by a distressing sense of strange feeling specifically localized to the right side of my brain and eye, it's really subtle and not constant. Physically, I suffer from a persistent feeling of cold and a total lack of "grounding", feeling as though I have no solid floor beneath my feet.

Regarding my current treatment, I have been taking 20 mg of Paroxetine (Eutimil) for 24 days and 50 mg of Pregabalin (Lyrica) twice daily for about 15 days and 1 mg of Risperidone. Despite this pharmacological intervention, the dissociative symptoms and the feeling of being "another person" remain unchanged. I am seeking a medical advice to address this persistent "freeze" I feel and to determine how to restore my cognitive and identity situation.

I still live in the fear that I suffered brain damage and that the situation is not reversible.