u/Aromatic-View2494

Constant 24/7 derealization for 4 years, what actually helped you?

I’m 19 and I’ve had derealization non-stop for 4 years. Every waking second, like I’m behind glass, not really present in the room or my own body, watching life instead of living it just staring, impossible to focus. Feels like I don’t even know what’s going on. It never lifts, not even for a moment. It’s the symptom I’d give anything to get rid of. And it gets so much worse when watching tv or in public areas with much people or just me walking alone in the forest. Every movement makes it worse.
And for example when watching tv I doesn’t even know what’s going on. It’s like my brain doesn’t pick anything up at all, I can watch a whole movie without barely understanding what it is about.

Some context: it comes alongside constant mild dizziness/brain fog (likely PPPD and/or vestibular migraine barely any spinning, no headaches). I thinks this all started after and because of my brain surgery (everything went well and all mri scans look good bloods test is normal. I’m currently on venlafaxine 150g but not far enough in to know if it’ll help yet (1month on 150g)

If you’ve had constant derealization like this, I really want to hear:

**1.**	Did it ever actually go away or get significantly better for you?  
**2.**	What helped a specific medication? Which one?  
**3.**	How long did it take before you noticed a change?  
**4.**	If it was tied to a vestibular/migraine issue, did treating that help the derealization too?

Any tips or anything would be appreciated!
(Sorry for bad English not my native language)

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u/Aromatic-View2494 — 3 days ago