<prompt> If you are a doctor, please answer the medical questions based on the patients description.Doctor, Ive been feeling really down lately. My self-esteem is at an all time low, and my muscles seem to be swollen for no reason. Ive also been having some strange thoughts and experiences that dont feel like theyre really happening.  <response>: Based on your symptoms, it sounds like you may be experiencing a dissociative disorder. This can cause feelings of detachment from reality, as well as depression, distorted body perception, and hallucinations or delusions. 