Overview

Alice in Wonderland Syndrome A Clinical Overview of Altered Size, Space, and Time Perception Alice in Wonderland Syndrome is a rare neurological condition in which perception itself becomes distorted. Objects may appear smaller or larger than they are. Distances may stretch or collapse. Time may feel slowed or compressed. The body may feel unfamiliar in size or proportion. Throughout these experiences, awareness and reasoning remain intact. Despite how unsettling these symptoms can be, the condition is widely misunderstood. It is often mistaken for anxiety, dissociation, or psychosis, or dismissed entirely due to normal test results. This book exists to close that gap between experience and understanding. Written in a clear, clinical, and grounded tone, this book explains Alice in Wonderland Syndrome without dramatization, anecdotes, or fictional examples. It focuses on how the brain constructs perception, what happens when that process temporarily misaligns, and why the experience feels so intense while remaining neurologically distinct from mental illness. The book examines the condition across its full scope, including neurological mechanisms, common triggers such as migraine and epilepsy, age-related presentation, diagnostic challenges, medical testing, treatment approaches, and long-term outlook. Equal attention is given to the secondary effects of fear, anxiety, and hypervigilance, which often cause more disruption than the perceptual distortion itself. This is not a memoir and not a self-help manual. It is a structured, informative guide intended to provide clarity, reduce unnecessary fear, and place the condition within an accurate medical and human context. This book is for readers who want a clear understanding of: What Alice in Wonderland Syndrome is and what it is not How and why perception of size, space, time, and the body becomes distorted Why insight and reality awareness remain intact Common neurological associations and triggers Why diagnosis is often missed and tests are frequently normal Treatment options, symptom management, and realistic expectations Long-term prognosis and living well with the condition

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