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Disorientated & Confused/Muddled Thoughts?



New member
Dec 11, 2017
I have suffered with GAD and Social Anxiety since 2012/2013 and have suffered on and off with symptoms.

Recently my symptoms have been a lot worse and I'm wondering if it could be linked to starting driving lessons.

I am very nervous and anxious when it comes to driving and always feel on edge and feel as if I'm going to crash and always think the worse.

I have been on Citalopram & Sertraline on and off for the past couple of years, earlier this year I went onto Sertraline and after about 6 weeks I decided to come off as I couldn't cope with the side effects.

About 3 months ago I went back to my doctors and he suggested giving it another go so he started me on 50mg which went up to 100mg and I've been taking 100mg once in the morning since then.

I felt great at first and then up until recently I've felt really weird. It's hard to describe, but it feels as if I'm in a dream state all the time and I have really vivid dreams at night and wake up the next day and throughout the whole day I'll be thinking about the dream.

I don't sleep very well at night and tend to wake up a couple of times in the night needing to go to the toilet and I find it difficult getting back to sleep.

I'm also getting these muddled thoughts as if my brain isn't working properly and I can't figure out if it's my anxiety or if it could be linked to the driving lessons.

My anxiety also seems to be a lot worse during the morning and I frequently get headaches, eye twitching/sore eyelids (could be cold weather).

I don't drink alcohol or take drugs and take multivitamins every day.

I have been referred to a therapist and I'm on the waiting list to begin level 3 CBT.

Can anyone please give me suggestions? Should I change the medication/stop driving lessons?


Well-known member
Aug 17, 2012
The West Country
Sounds like what you're experiencing is having quite a big effect on your life at the moment.

Medication is a double edged sword because it can help, but it seems with all medication there's a 'trade' of sorts where one thing gets better but at a cost - the weird side effects.
I suppose you have to try and evaluate whether or not any positive effects the medication is having outweighs the negatives.
I do think that the effectiveness of medication depends on the length of time you've taken it and at what dose (among many other things).
It really is your decision what you do - I can't really tell you what to do because only you know what's best.

That 'dream state' sounds like derealisation to me. It's something i've dealt with for a long time and it can be really horrible and at times frightening. Unfortunately it's one of those things that gets worse the more anxious you are, and there's no treatment for it other than to be less anxious. :shrug:

As for the driving lessons, is the anxiety about driving itself, or more of a social anxiety related to being in a car with an instructor?
I found driving lessons hard due to social anxiety and not wanting to be in a confined space like a car with a stranger.
Do you practice with someone you know in the car with you at all?

I think you have to do these things when the time is right for you. If you give it a rest for a while until things improve, don't be too hard on yourself about it.
On the other hand, you don't want the anxiety to win and stop you from achieving something - even if it is scary, you can be successful.
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