Should I rediscuss my derealization with my psychiatrist?
So I've already been diagnosed with derealization from a very brief conversation where I was informed the main difference between mine and schizophrenia is I know mine aren't real, and therefore I only feel crazy instead of being crazy. I'm on medication that prevents the really bad spirals, but I'm wondering if I should bring it up again?
I've read online that derealization is caused by anxiety, but mine seems to be the other way around. My derealization causes anxiety and paranoia. I still can't watch those "the world is a simulation" videos without going into an episode. I can't even watch inception. Hell, watching clouds makes me feel like the world isn't real. The episodes aren't nearly as bad as they used to be and I don't go through multiple days in a row feeling like someone is watching me and constantly checking clocks and doing dream tests, but I will still be on edge all day.
I'm just wondering if it needs to be talked about that it causes anxiety instead of being caused by anxiety or if I should just decide that I've been diagnosed already and it won't really change everything.
I'm going to bring it up with my therapist regardless, but I'm just wondering if my psychiatrist should know