far as i know, dissociative symptoms usually come from the experience of considerable shock/trauma of some kind, which could be loss, abuse, a car accident, many different things
to separate out psychotic stuff from dissociative stuff it would be useful to talk to a psychologist who understands psychosis and dissociation. the way you describe, in dissociative terms i'd say it sounds like derealization and a way through that is to ground yourself in the here and now, things around you, smells, your environment, get a baby toy from early learning centre that has crinkly and scrunchy bits and play with that when reality feels far away
if what you experience is due to schizophrenic symptoms then meds should help if you talk to a doctor/psychiatrist
all that said, there's a lot of crossover between schizophrenia and dissociation when it comes to meds, so whatever it is, meds and grounding yourself may be a helpful way forward
i hope this helps and makes sense
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