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What should I do if I feel high all the time and need help?
Persistent feelings of being "high" without substance use can be a sign of an underlying medical or mental health condition, such as bipolar disorder, schizophrenia, or a neurological disorder.
Imbalances in neurotransmitters like dopamine, serotonin, and norepinephrine can cause sensations of euphoria, detachment, or altered perceptions that mimic the effects of drug intoxication.
Hormonal fluctuations, particularly during major life transitions like puberty, menopause, or andropause, can trigger temporary feelings of being "high" or "out of body."
Certain medications, both prescription and over-the-counter, can have psychoactive side effects that induce a "high" feeling, even when taken as directed.
Chronic stress and anxiety can lead to hyperventilation, which can cause lightheadedness, dizziness, and a sense of dissociation or detachment from reality.
Sleep deprivation or disruptions to the sleep-wake cycle can trigger episodes of mania, hypomania, or psychotic symptoms that may feel like a persistent "high."
Certain medical conditions like thyroid disorders, multiple sclerosis, or brain tumors can sometimes present with neurological symptoms that mimic drug intoxication.
Trauma, post-traumatic stress disorder (PTSD), and dissociative disorders can induce feelings of detachment, unreality, and altered perceptions that resemble a "high" state.
Some people may experience "waking dreams" or hypnagogic hallucinations, which are vivid sensory experiences that occur during the transition between wakefulness and sleep.
Spiritual or religious experiences, such as mystical states or kundalini awakenings, can produce altered states of consciousness that may feel similar to a drug-induced "high."
Dehydration, electrolyte imbalances, and certain nutritional deficiencies can disrupt brain function and lead to disorientation, dizziness, and a sense of being "disconnected."
Persistent feelings of being "high" can also be a symptom of a serious underlying mental health condition, such as schizophrenia, bipolar disorder, or a psychotic disorder.
The use of certain recreational drugs, even in the past, can cause lasting changes to the brain's chemistry, leading to sporadic episodes of feeling "high" or dissociated from reality.
Chronic cannabis use can sometimes trigger a condition called "depersonalization-derealization disorder," which causes persistent feelings of detachment from oneself and the surrounding environment.
In some cases, persistent feelings of being "high" may be a sign of an emerging psychotic disorder, such as schizophrenia or schizoaffective disorder, which require prompt medical attention.
Certain types of seizures, particularly those originating in the temporal lobe of the brain, can cause sensations of déjà vu, altered perceptions, and a "high" or out-of-body experience.
Individuals with a history of head trauma or neurological injuries may be more susceptible to experiencing persistent feelings of being "high" due to disruptions in brain function.
Seeking immediate support from crisis hotlines, such as the National Suicide Prevention Lifeline (1-800-273-8255) or the Crisis Text Line (text "HOME" to 741741), can provide valuable guidance and resources for managing persistent feelings of being "high" and associated mental health concerns.
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