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Absolutely, positively, the first thing that must be ruled out is possible medical conditions. Without a competent medical rule-out, you would not be able to get to the bottom of this.

You describe a very complicated set of symptoms, and even when the symptoms are fewer and/or less complex it can be a process to come to the right conclusion. I doubt that there is one single DSM diagnosis that would adequately cover everything you mention. I think there would be a cluster of disorders, from the current categories of the question, that might cover most of them. There could also be some psychotic involvement.

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Q: Is there a legitimate mental condition where the mind seems to spaz and the person tends to have an irregular amount hallucinations and insomnia leading to burnouts and passing out or fatigue?
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