23yo with a good ECG/echo. Onset insomnia, persisent (health) anxiety and derealization, weak limbs, daytime sleepiness.

Derealization ? Add EEG to the list of things you need to do. Most seizures occur in sleep. Episodes of derealization are most often due to focal seizures in the temporal lobe. Episodes of anxiety can also be a manifestation of complex partial epilepsy. .