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temporal lobe epilepsy treated by a psych doc?

Okay so my complaints have long surrounded feeling derealization from mild to severe 24/7 all the time.....it's hard to describe but it more or less feels like I'm going around **literally** like I'm breathing nitrous oxide gas from the dentist 24/7.     I have other symptoms that usually show up when my symptoms are at their worse,  such as a peculiar numb-ish sensation in my nose/mouth area,  heavy "jello" arms and legs, as well as urinating over and over and over followed by a relief of the severest symptoms.    

So my psychiatrist that I've been seeing a year or so says I'm an "unusual specimen" and I guess I am but he says to me I think you could have TLE temporal lobe epilepsy and is giving me Tegretol,  which I'm not tolerating well at 200 mg.    The odd thing is, I had an EEG done and brain MRI done a couple years ago and it showed up as normal even though I was experiencing my chronic symptoms during the EEG.    Could this still be TLE even though it's a 24/7 thing?    Your thoughts otherwise about what is wrong with me ??  Thanks.  I'm a 32 yr old male.
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1308134 tn?1295187619
MEDICAL PROFESSIONAL
It sounds to me as though you are hyperventilating. There are many possible reasons for this, including anxiety.

Does this sound about right?

Chemical changes can happen with overbreathing. Hyperventilation causes the carbon dioxide level in the blood to decrease. This lower level of carbon dioxide reduces blood flow to the brain, which may result in the following nervous system and emotional complaints:
Weakness

Fainting

Dizziness

Confusion

Agitation

A feeling of being outside yourself

Seeing images that aren't there

Feeling as if you can't breathe
Overbreathing can also cause the calcium levels to drop in your blood, which may result in the following nervous system complaints:
Numbness and tingling (usually in both arms or around the mouth)

Spasms or cramps of the hands and feet

Muscle twitching
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Avatar universal
I trust the doctor will provide some good feedback.  I was just wondering if you wanted to check out the neurology expert forum too.  You may find some info in the archived posts there.

The symptoms sound similar to those of anxiety.  I couldn't guess the origin though.  There may be some info in the old posts on the mental health expert forum too.

Good luck.
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