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Treatment and alternate medicine for difficulty in sleeping - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Mental Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2527 Questions
Doctor :   Hi
Doctor :  
How can I help you?
User :   hello
User :   i am 22 years old from patna
Doctor :   Ok

User :   i am having difficulty in sleeping
User :   and i am thinking too much when i am idle
Doctor :   Ok

Doctor :  
May I know your occupation?
User :   student
Doctor :  
Ok
User :   doing bsc from correspondence
User :   and looking after my family business
Doctor :  
What are the thoughts that are troubling you while going to sleep?
User :   actually anything that has happened during the day comes to my mind
Doctor :   Ok

User :   i am unable to concentrate in my studies also
Doctor :  
Since when are you having this problem?
User :   more thn 2 years
Doctor :   Ok
Doctor :  
Have you consulted any doctor before?
User :   yes
Doctor :   Ok

User :   so what do you say about it?
Doctor :  
What were you advised?
Doctor :   by the previous doctors
User :   they told me to relax and stop worrying
Doctor :  
Ok
User :   they told me to do excercise
Doctor :   Ok

Doctor :  
Thats right
Doctor :  
Have you done anything in that direction?
User :   i have engaged myself by doing any work which can kill my time
Doctor :   Ok

User :   and also eliminated oily food
User :   most of the oily food
User :   i was used to drink 2-3 cococola every day i have stopped drinking that also
User :   also stopped taking caffiene
Doctor :  
Ok
User :   means coffee
Doctor :  
Good steps
User :   thanks
Doctor :  
Have you seen any improvement after these changes?
User :   for the excercise part i have engaged myself playing cricket in the morning
User :   yes a lot
User :   but still i am not feeling well
Doctor :   Ok
Doctor :  
You have started improving
Doctor :  
I congrajulate you for that
User :   i am absent minded at times
Doctor :  
and now, yes playing a sport is really very good idea
Doctor :  
and it does help you
Doctor :  
continue it wihout interruptions
User :   ohk
Doctor :  
And coming to the other part
Doctor :  
if you are having continuous thoughts
Doctor :  
it suggest bit of obsession
Doctor :  
and should be treated medically
Doctor :  
with the help of certain medications, that is tablets
User :   ohk
Doctor :  
which will have to be taken on prescription by a Psychiatrist
Doctor :  
So I advise you to consult a Psychiatrist in person for that
User :   so what is it actually called
Doctor :   It is called as OCD, it is a likely possibility in your case
Doctor :  
which is in its milder forms
Doctor :  
that is thoughts mainly
Doctor :  
which are uncontrolled
User :   hmm
User :   actually i wanted to share something else
Doctor :  
Sure
User :   i was on medication 3 years before
Doctor :  
Proceed with it
Doctor :  
Ok
User :   like from 2004 to 2007 i was on medication
User :   related with depression anxiety and insomnia
Doctor :   Ok

User :   doctor said its related to heredditary
User :   hereditary
Doctor :   Ok
User :   in 2007 i decided to leave taking these medications
Doctor :  
ok
User :   because it was having adverse effects on me as a person and on my nature and on my weight also
User :   i*
Doctor :  

What was that medication's name?
User :   the problem was very severe then its 10% now if it was 100% then
Doctor :   Ok
User :   one was lithium
Doctor :   Then I can infer that you were benefitted from medications
User :   one was related to sleep
Doctor :  
ok
User :   and one was related to depression and anxiety
Doctor :  
Fine, I got it
User :   actually there was a big problem in my family
User :   in 2004 which started all this
Doctor :  
Ok
Doctor :  
Do you wish to tell about that?
User :   my mom and dad got seperated
Doctor :  
Ok
User :   but they are back again
Doctor :   Great
User :   3 months were a nightmate
User :   and it had a long lasting effect it took almost 4 years to recover
Doctor :   What was the reason for that?
Doctor :  
seperation
User :   my uncle and aunts were taking money from my dad which my mom dint like
Doctor :   Ok

User :   so they used to fight for this
Doctor :  
But thats fine now
User :   yea
Doctor :  
You should forget all those incidents
Doctor :  
and should move on
User :   yea i have forget those incidents
Doctor :  
Good news is that they are together again
User :   yea i know
User :   my study was also interuptted badly
Doctor :  
Yes, I can understand
User :   i was unable to give my matric that time
Doctor :  
Ok
User :   but i have forgot everything and learnt to be happy and make ppl happy
User :   but still i cant control my mind
Doctor :  
Good
Doctor :  
Mind cannot be controlled by most of the people, let us accept that fact first
User :   ok
User :   i tried ayurvedic medication
User :   homeopathy
User :   and natural sleep medicines
Doctor :   But if it is going out of the way, then you should hit the doors of a Psychiatrist, which is time tested

Doctor :  
rather than other streams of medicine which you mentioned, as they do not have good amount of studies
User :   i dont have any problems visiting a psychiatrist
Doctor :   Yes, that is the right attitude

User :   the problem is that the medication they give
Doctor :   I am aware that the medicines have side effects

User :   they are full of side effects and i dont think here there are good doctors here they are just generating money
Doctor :  
but that can be minimized to a very good extent by giving the right medicine, in the right dosage to the right person
User :   yes thats the thing
Doctor :   How about Central Institute of Psychiatry

Doctor :  
Have you been there?
User :   no
Doctor :  
It is in Ranchi
User :   ohk
Doctor :  
Is it bit closer to your place?
User :   yes a bit
Doctor :  
Ok
User :   i have also consulted psychiatrist in chennai
User :   ma
Doctor :  
There you shall get very good Psychiatrists
User :   ohk
Doctor :  
including some professors
Doctor :  
in Ranchi I mean
User :   whats the difference between a neuro psychiatrist and psychiatrist
Doctor :  
along with Psychiatrists, you shall also be benefittedby Clinical Psychologist
Doctor :  
Neuropsychiatrist, is a person who has specialised in psychiatric problems with a cause in the brain
Doctor :  
If you know, brain and mind are different
User :   k
User :   so i should consult a psychiatrist
Doctor :  
For your case, I advise an exclusive Psychiatrist
User :   not a neuro psychiatrist
Doctor :  
Right
User :   ohk
User :   who
User :   ?
Doctor :  
The name you are asking
Doctor :  
the name of the doctor?
User :   yes
Doctor :  
Ok
Doctor :  
I am based in Bangalore, and I really do not know them personally
User :   k
Doctor :  
But the Central Institute has very good panel
Doctor :  
I have heard about it
User :   one more thing i would like to share
Doctor :  
Sure
User :   for releasing the tension i am used to masturbate in 7 days
User :   otherwise i will go mad
User :   the amount of thought which creeps inside me
Doctor :  
Ok
Doctor :  
It is not a problem
Doctor :  
and is a good stress buster
User :   i used to masturbate a lot before
Doctor :  
you can continue the same
User :   it makes me feel weak
User :   ohk
Doctor :  
dont get addicted to it
Doctor :  
it is like an exercise
Doctor :  
if you overdo it
Doctor :  
you feel weak
Doctor :  
no other side effects
Doctor :  
once you relax, the weakness goes
User :   and i was on melatonin for insomnia
User :   am*
Doctor :  
Ok
Doctor :  
It is safer of the drugs
Doctor :  
as it is a natural hormone
User :   i have seen when ever i have slept 8 hours continuosly i feel normal
User :   but melatonin is also not working any more
Doctor :   Melatonin is natural

Doctor :  
but not that powerful
User :   i am using gnc melatonin 3 mg timed release
Doctor :  
and is helpful only if you are having defecient levels
Doctor :  
taking in excess does not help
Doctor :  
there are better hypnotics available
Doctor :  
which can help you
User :   can you suggest some
Doctor :  
They shall not be given without a prescription
User :   but still if they are natural
Doctor :  
and I am not supposed to advise it without a Personal consultation
Doctor :   they are not natural
Doctor :  
they are general drugs
User :   ohk
Doctor :   only melatonin is natural, I said
User :   k
User :   i used valerian indian name tagara from himalaya when i was on ayurvedic
Doctor :   Ok

User :   it used to relax me but doesnt help me sleep
Doctor :  
Ok
Doctor :  
Dont go for all such drugs
Doctor :  
as they are not medically authenticated
User :   ohk
Doctor :  
Take only the prescribed medicines
Doctor :  
and if you dont feel better, report back to the doctor
Doctor :  
it shall be changed
User :   i think i have told you everything which i could possibly tell in this chat
User :   there is a column of specialised consultation
Doctor :   Yes, you have given a good history
User :   and a honest one too
Doctor :  
Yes, the specialist opinion is available
Doctor :  
and you can talk to our Psychiatrist over phone
Doctor :  
or can get a reply by mail
User :   will they prescribe me medication if i show them this chat history
Doctor :   No

Doctor :  
You should get a Prescription
User :   then?
Doctor :  
It is not ethical for me to prescribe on this platform
Doctor :  
Hope you get it
User :   no i am not asking
User :   from you
User :   pls check the it again
User :   will they prescribe me medication if i show them this chat history ...............i meant the specialized doctor
User :   meant the specialized doctor
Doctor :  
This chat has no relevance for getting medicines
User :   k
Doctor :  
You can show this to the doctor whom you consult
Doctor :  
if he allows that
User :   you arent getting me
Doctor :  
and even our Specialist on phone shall not prescribe medicines
User :   ohk
User :   then how can he help
Doctor :  
He can guide you with the treatment options
Doctor :  
and tell you the course of this illness
Doctor :  
like how long shall it take to completely be cured
Doctor :  
and till when you should take medications
Doctor :  
the side effects of medicines
Doctor :  
and if he knows a personal doctor there
User :   i thought i will have to take medications for whole of my life
Doctor :  
he can give his/her contact
Doctor :  
but no prescriptions
User :   k
User :   i got your point
Doctor :   Is there any thing else I can help you with?
User :   so whats the conclusion
User :   is it a ocd
Doctor :   It is a likely possibility
Doctor :  
and what I can tell you is that it is a Differential Diagnosis
Doctor :  
and not the confirmatory one
Doctor :  
The confirmation you can get it from your Psychiatric consultation
User :   ohk
Doctor :  
and one more advise from my side
User :   k
Doctor :  
whatever the problem you are diagnosed
Doctor :  
and also about the medications
Doctor :  
do not google it
User :   hmm
Doctor :  
You shall be more disturbed with the info
Doctor :  
rather than relief
User :   how did you knew that i google it
Doctor :  
If you are having doubts ask your Psychiatrist
Doctor :  
and also our doctors online
Doctor :  
it is a negative trend that is seen in many people nowadays
User :   ohk
Doctor :  
they google all the illnesses and the drugs
Doctor :  
and get panicked unnecessarily
User :   ohk thanks
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.

User :   k sure
User :   its a great service
User :   like online psychologist
User :   bye
Doctor :   Thank you and bye
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