I have been diagnosed with PTSD and acute dissociation, for 4 years i felt fine no meds except for anxiety meds prn. for 8 weeks now my world has been turned upside down i've lost my coping mechanisms due to a new horrific flaskback but this feels different, im feeling nauseous, dizzy and get tunnel vision unlike my other flashbacks that hit me out of nowhere i feel like i have some sort of warning now not sure if im thinking something thats triggering this. I've been fainting before during even after these events, my psychiatrist has told me this is nothing to do with ptsd i have no underlying problem and otherwise perfectly healthy, this new flashback has me trying to pry my attacker off my arm leaving me scared and bruised. even more recent i've been waken up by terrifying nightmares, my attacker standing over me with a knife telling me i warned you not to tell anyone about this and then he puts the blade to my neck and i can feel the blade i wake and in a cold sweat PTSD or NO?
Your current symptoms suggest a neurological deficit more than your PTSD as a cause. The nightmares can, however, be part of the PTSD. You may need to get the tunnel vision, dizziness and fainting episodes evaluated from a Neurologist. It may even be something you can take care of immediately such as hypovolemia or hypoglycemia, but getting a Neurologist's opinion appears important here. As a side note, nausea with tunnel vision and fainting can be seen in Migraine.
As far as the nightmares are concerned, you may consider adding medication for reducing anxiety and for improving sleep quality.
Hope this helps.
Abhijeet Deshmukh, MD
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