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The most common causes include sudden low blood pressure, inner ear disorders, or anxiety disorders. Sudden low blood pressure (orthostatic or postural hypotension) A sudden drop in blood pressure when you stand up is called orthostatic hypotension. This kind of low blood pressure causes lightheadedness within three minutes of standing. It lasts from a few seconds to several minutes. Along with the feeling of faintness, you may feel nauseated and have pale or clammy skin.
This reversal usually brings an end to feeling like you are about to go crazy or lose your mind. Another cause of feeling like you are about to lose your mind is persistently elevated stress. Persistently elevated stress also causes stress response changes, including those that affect how the brain functions.