Guide from erstmalreden.de

Reality feels different or I cannot calm down

If you hear voices, perceive things others do not, feel persecuted, hardly sleep for days, or feel extremely driven, real professional help is important.

Concerned man making a phone call

Strain, crisis & safety

In short

What this page is about
Careful orientation when perception, sleep, drive, or reality change in unusual ways.
This may fit if
you are looking into this topic: Reality feels different or I cannot calm down
If you do just one thing
Involve a real person.

Do not clarify this alone in chat

These experiences can become very distressing or risky. An AI chat cannot assess this safely. It is better to involve a real person, medical help, or crisis service.

Take warning signs seriously

Very little sleep for several days, strong agitation, persecution fear, voices, loss of control, or not feeling safe are reasons for fast real help.

What you can say

You can say briefly: "I hardly sleep and my perception feels changed. I urgently need a medical assessment."

If it is acute

If you or others are not safe, call 112. If you cannot stay alone, ask a trusted person to stay with you.

Updated: July 4, 2026 · Sources checked: July 4, 2026

Sources and notes

What you can do now

If you only wanted information

This guide may fit as a next step: What is a crisis?

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If you want to try first contact

Use the sentence helper or copy one short sentence. First contact does not have to be perfect.

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If it has become urgent

Then reading more is not the priority. Open urgent help or call 112 in Germany if there is immediate danger.

Open urgent help
  1. Involve a real person.
  2. Seek medical assessment.
  3. Call 112 in acute danger.

This page offers orientation and words for first contact. If you need counseling, therapy, or emergency help, real contact points matter.