Hello doctor, I am suffering from a strange problem. I have played an imaginary game. In the imagination, I had created a parallel universe. I was the head of my country and made the rules. I added the experiences of real life in that game. When I was alone, I played the role of different people like sometimes I assumed myself as a teacher of some school of my country and played as if I am teaching the students. Whenever I got time, I played the game. One of my real friends was also a member of my imaginary world. Sometimes I played with him and sometimes alone. I have also created some festival of my world and celebrate it. I had created many institutions in my world. My universe was not fully detailed or written, but it just exists in my mind. But, I left this game three years ago, and now I am 18 years. But I do not find myself comfortable in the real world. My two personality is now creating conflict in the real world. My academic performance is being degraded. I often have a headache. I look very normal. I understand my responsibilities as well. I do not look abnormal from any angle. My friend and family do not know that I am suffering from. But, I am suffering from an inner conflict of my identity. My fantasy game has affected my sense of perception. So my question is when I know very well that my world was my imagination and nothing else, then why am I still suffering? Will the problem be solved without treatment when I grow up?
Hi. Most probably you are suffering because in your imaginary world, you enjoy the things and in the real world you have to adjust yourself according to the situation. This is causing anxiety symptoms and headache leading to poor academic performance. Secondly, the situation may resolve spontaneously but chances are less that it will remit without proper counseling or psychotherapy. So, I recommend that you consult a psychiatrist in person for evaluation and management. Along with psychotherapy, SSRI (selective serotonin reuptake inhibitor) class of drug may help you such as Fluoxetine. These are prescription only drugs. For more information consult a psychiatrist online -->