Other subreddits are just auto-removing this, so thought I would try here. I'm not sure if it's a drug issue, but you guys might be able to identify with the problem is, could be some kind of serotonin or dopamine imbalance.

Hello, this year I've been having these strange and very unpleasant episodes when trying to sleep sometimes. I would really appreciate any help on diagnosing this. It has happened <10times this year and never before that. I will describe them the best I can:

I'm exhausted, ready to go to sleep, but then when I close my eyes, these bizarre mini-dreams/scenarios keep playing out in my head, rapidly one after another, like short, nonsensical movies that I'm semi-controlling. I am definitely fully awake during these events. This continues the rest of the night, and I am unable to sleep, despite being exhausted. I'll end up being awake for 20, or 30 hours even (think that only happened a couple of times, the first time it happened I was awake for 37 straight hours). My mind just keeps racing from one bizarre scenario to the next. I cannot calm it down to stop it. I try to meditate, or count slowly, or focus on my breathing, but these mini-movies keep playing out, one after the next, in rapid succession. They could take place in a TV world, a cartoon world, or a video game. Not unlike "tripping" on LSD or magic mushrooms. My heart is thumping loudly during these events, even though my heart rate is normal (I have a smart watch on). My body temperature rises. My body is very restless and I feel the need to keep moving my legs and changing sleep positions.

It most recently just happened last night. The only medication I'm currently taking is adderall IR, 10mg, once in the morning, but I have been on adderall for 5 years. When this event first happened, I was taking Auvelity, and I figured that was the sole cause of this psychosis or mania or whatever it may be, but that was back in January, so I've been off of that for almost a year.

It's really quite scary and exhausting, and my day-to-day mood/depression has been bad already, so this certainly doesn't help. I wonder if it's related to serotonin or dopamine levels? I do have major depressive disorder. Sometimes it's not as bad as others. I don't have typical bipolar symptoms, other than the long depressive episodes. I want to figure out what the cause is so I can possibly treat it, and hopefully prevent it from happening in the future, as it keep happening from time to time. I have brought it up to my doctors and therapists, and there have been no theories provided yet.

Thank you for reading