Lit.: to become lost. Fig: to become hopelessly confused, disoriented

I'm so confused, I've lost my bearings and I can't find my train of thoughts

Sono così confuso, ho perso la bussola e non riesco nemmeno a seguire i miei pensieri

When I heard the bad news I lost my bearings and I didn't know whether I was coming or going anymore

Quando ho sentito la brutta notizia, ho perso completamente la bussola tanto da non sapere più quello che facevo

Since he fell head over heels in love with Martha, John doesn't know whether he's coming or going

Da quando si è innamorato follemente di Marta, Giovanni ha perso la bussola e non capisce più niente

Here, the term "bearings" is used in its literal meaning of reference points or directions in relation to one's position