What medication are you on? Many SSRI's can cause this, I would however be concerned as to whether this is a mildly schizophrenic symptom... My only thoughts on help with the confusion and distinguishing is try to focus on the out of place things in dreams.... Sorry I can be of no fiurther help.
I hope this gets better for you but if you really are finding it hard I would see the doctor, better to be mentally stable and tell your work than to have an episode at work?? *Hugs*
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