Can even just one drink induce psychosis? The last two nights I had ONE glass of wine or ONE beer and within an hour or so I started experiencing the most intense level of paranoia and delusion I've ever had. I was convinced I was in a dream and nothing around me was real, even though objectively I knew this was my brain fucking around. The whole world seemed off, like I was in a simulation and I had to fight the urge to find a way to "wake up" via hurting myself or worse. I've felt dream like before but never to the point where it felt dangerous. Has anyone else had this happen?

I adjusted my meds (Lamictal) about a week ago from 150mg to 100mg so I know that might also be a factor, and I also had caffeine early both mornings. I'd been in a depressive episode for the last 6 weeks and caffeine and alcohol haven't seemed to affect me much for the last two months so I didn't think much of it (actual alcohol has never screwed with my head like this before).