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Feeling like bugs are crawling on or under your skin is a condition known as "formication." It can be a distressing and uncomfortable sensation. There are various possible causes for this sensation, and it's essential to consult with a healthcare professional for a proper evaluation and diagnosis. While I can provide some general information, it's important to remember that I am not a doctor, and this is not medical advice.

Formication can be related to both physical and psychological factors, and some potential causes include:

  1. Drug withdrawal: As you mentioned being 8 months clean off drugs and alcohol, it's possible that the sensation is related to drug withdrawal. Certain substances can cause sensory disturbances during withdrawal.

  2. Nerve issues: Nerve-related conditions such as peripheral neuropathy or damage to nerves can lead to abnormal sensations like tingling, burning, or crawling.

  3. Stress and anxiety: High levels of stress or anxiety can sometimes manifest in physical symptoms, including unusual skin sensations.

  4. Side effects of medications: Some medications can cause skin sensations or tingling as a side effect.

  5. Skin conditions: Certain skin conditions or allergies can cause itching or crawling sensations.

  6. Neurological conditions: In some cases, neurological conditions may be linked to these sensations.

To determine the underlying cause of your symptoms, it's crucial to seek advice from a healthcare professional, such as a doctor or a dermatologist. They can conduct a thorough evaluation, review your medical history, and perform any necessary tests to identify the cause and recommend appropriate treatment.

In the meantime, avoid scratching or picking at the skin to prevent potential damage or infection. Also, try to manage stress through relaxation techniques or activities that help you feel calm and centered.

Remember, your health is essential, and seeking professional medical advice will provide you with the best course of action and support for your specific situation. Congratulations on your eight months of sobriety, and I wish you all the best in your recovery journey.

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