This page explains how anxiety can cause depersonalisation and derealisation, including feeling detached, unreal or unable to connect with family. It also covers what to do during an episode, when to seek medical help, and treatment options in Pakistan.
What you describe fits the experiences called depersonalisation and derealisation. During anxiety, the brain can switch into a detached, over-alert state, so you may feel unreal, cut off, or as if family and home are fake. It is frightening, but it does not mean you are going mad, and it often reduces when the anxiety settles.
Try not to argue with the unreal feeling. Bring attention back to physical facts: the floor, the wall, your clothes, the sound of a fan. Repeating this for a few minutes is more useful than asking yourself whether the feeling is “real.”
The distance from family can become another source of anxiety, especially if you feel you must hide it or act normal. You could tell one trusted person, “My anxiety is making things feel unreal. I do not need you to fix it; could you sit with me and talk about something ordinary for ten minutes?”
If your family may dismiss it, start with one safer relative or friend rather than explaining it to everyone.
If this is new, happening often, or affecting sleep, study, work, or family life, speak with a psychologist, psychiatrist, or doctor. They can assess anxiety and rule out other causes. If you ever feel unable to stay safe, get another person physically with you and seek urgent local help.
Names and cities shown here are examples. Every question is published anonymously — we never ask for, store or show the name, city or contact details of the person who wrote it.
You don't have to work this out from an article. We're free, private, and here right now — in English, Urdu or Roman Urdu. No signup, no waiting, no judgement.
Other questions people asked about the same thing, answered the same way.