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Suggest Remedy For Sleeplessness And Disorientation?

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Posted on Tue, 30 Sep 2014
Question: Hi doctor, last night I couldn't get any sleep for the whole night and I went to panic attack thinking why am I unable to sleep. I had to get up next day to go for a trip and for this I tried to force myself to sleep but I couldn't . The following morning I was like in a hangover state; the trip which takes usually 3 hours by car but I felt like it took just 30 mins and feels very unrealistic and not very sure if I had slept in the car... This thought is driving me crazy.. Does sleeplessness causes such disorientation or hangover ? Also whenever I try to sleep I reach a point when my heart starts to beat fast and unable to sleep... Iam afraid if I won't be able to sleep today as well .. I have healthy anxiety to very high extend... Iam unable to sleep now
doctor
Answered by Dr. Vipul Prajapati (13 minutes later)
Brief Answer:
Detail required

Detailed Answer:
Hi dear,

Yesterday only such complain happen to you or before that also such kind of problem you have faced?
Sometimes also sleeplessness triggers panic attacks so not to worry about it.
What I am thinking from your history is that whenever you have any important work or going for any trip, many thoughts come in your mind and so your sleep is disturbed.
And of course sleeplessness cause disorientation and hangover like symptoms.
Not to worry about today's sleep.
Maintain sleep hygiene like avoid any stimulants before going to sleep like tobacco, alcohol, smoking, tea etc also avoid watching Television and if possible hear light music and also read book.

If such complain reoccur for many times consult local psychiatrist for detail history and mental status examination and treatment if necessary.

Awaiting your response.
Thank you.
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Vipul Prajapati (39 minutes later)
I have not faced like this earlier regarding sleeplessness. Iam most of the time pre occupied with health issues basically hypochondriac .. And sometimes i get panic attack.. The problem is my heart beats fast when u try to sleep... Iam now concerned as to how will i be able to sleep tonight with this issue.
doctor
Answered by Dr. Vipul Prajapati (11 minutes later)
Brief Answer:
Be relaxed

Detailed Answer:
HI dear,

As you know you are preoccupied with health issue, is this your nature affects your work, interpersonal relationship, social relation ?
If yes then you must consult psychiatrist.
For sleep we should not try let sleep comes own his own.
If you worried regarding sleep then it makes your mind active and so sleep not comes. And this vicious cycle goes and goes.
If your thoughts not able to control by you take medication which help you.
Medication like SSRI (selective serotonin re-uptake inhibitor), SNRI (serotonin and nor epinephrine re-uptake inhibitor), NASA (Nor epinephrine and serotonin antagonist)etc help you.
Maintain sleep hygiene.
Panic is due to excessive thoughts and secondarily physically symptoms.

Thank you.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Vipul Prajapati (23 minutes later)
Thanks doc..while at work i dont get these thoughts .. But yes it effects interpersonal and social since i always ask for assurance of not having medical illness...does cbt help on these cases?
doctor
Answered by Dr. Vipul Prajapati (29 minutes later)
Brief Answer:
CBT works best

Detailed Answer:
Hi dear,

As you noticed it affects your interpersonal and social life so once consult psychiatrist and then go for Cognitive behavior therapy.

CBT works excellent in such cases.
not worry much.
Thank you.
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Vipul Prajapati (2 days later)
Hi... I have met a doc and have been suggested escitalopram and citalopram.. I also have headache and fever, can i also have paracetamol like Dolo 650 at night along with escitalopram and citalopram ?
doctor
Answered by Dr. Vipul Prajapati (33 minutes later)
Brief Answer:
You can take

Detailed Answer:
Hi dear,

You can take paracetamol, Dolo 650mg with any drug.

No need to worry.

Headache and fever since when?

Take care.

Awaiting your response.

Thank you.

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Vipul Prajapati

Psychiatrist

Practicing since :2009

Answered : 849 Questions

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Suggest Remedy For Sleeplessness And Disorientation?

Brief Answer: Detail required Detailed Answer: Hi dear, Yesterday only such complain happen to you or before that also such kind of problem you have faced? Sometimes also sleeplessness triggers panic attacks so not to worry about it. What I am thinking from your history is that whenever you have any important work or going for any trip, many thoughts come in your mind and so your sleep is disturbed. And of course sleeplessness cause disorientation and hangover like symptoms. Not to worry about today's sleep. Maintain sleep hygiene like avoid any stimulants before going to sleep like tobacco, alcohol, smoking, tea etc also avoid watching Television and if possible hear light music and also read book. If such complain reoccur for many times consult local psychiatrist for detail history and mental status examination and treatment if necessary. Awaiting your response. Thank you.