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Unable to sleep due to anxiety and depression. Feel very tired. Cure?

Hello doctor ..My name kamal I m 21 years / male .......l sufrred from a depression I m afraid when I m go to bed and couldn t sleep then everyday I thinking how I can sleep today then this illness is effect on my education then my health then cause no thing make me happy still nw I forget this feeling . When I have any work nextday I couldn t sleep and I m thinking what happen nextday then if I couldn t sleep How I do anything nextday then I m feeling disturbance I m very afrid to travel with my ?friend becuse this feeling .actully I m very tired I m feling I m extoic guy what can I do
Asked On : Fri, 22 Feb 2013
Answers:  5 Views:  40
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Psychiatrist 's  Response
Hello and welcome to Healthcare Magic. Thanks for your query.

From the description of your problems, it appears that you may be having both anxiety and depressive symptoms. Since, these problems seem to be causing you a lot of distress and sysfunction, you need to seek professional help to come out of this phase.

There are effective treatment options for this, in the form of medication or counselling / psychotherapy which will help you overcome your problems. So, I would advise you consult a psychiatrist for a detailed psychological assessment and further treatment.

Wish you all the best.

Dr. Jonas Sundarakumar
Consultant Psychiatrist
Answered: Fri, 22 Feb 2013
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Psychiatrist Dr. Srikanth Reddy's  Response
Thanks for choosing health care magic for posting your query.
From the description of your problem it appears that you are having a a depressive episode with anxiety symptoms. You have problems with the way you think about yourself and have a strong negative self image. Both the illness are treatable with proper pharmacotherapy and psychotheraoy and you should see a psychiatrist for the same. Meanwhile exercise, meditation and yoga will also go a long way in helping you.
I am sure you will get well soon. Wish you good health.
Answered: Thu, 28 Feb 2013
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Psychiatrist Dr. Seikhoo Bishnoi's  Response
Dec 2014
Hello Kamal
Welcome to HCM
You have mentioned that when you have some work to do next day especially then you are not able to sleep on that night. You are not getting enough sleep and this is affecting your education, work and health. You are getting in low mood day by day.
Dear friend first of all you are not in Depression, the root of problem is your insomnia. Cause of insomnia is usually Anticipatory Anxiety in you. So managing anxiety will improve your insomnia and consequent improvement in your mood will occur.
- Best way to manage anxiety is by behavioral methods; deep breathing exercises, progressive muslce relaxation techniques, yoga or light exercise in evening will help you a lot.
- If its not improving with behavioral methods then medicine can be taken for anxiety for short term or on SOS basis like low dose Clonazepam will not only relieve anxiety but will also induce sedation and will help in sleeping. But take medicine under advise of psychiatrist only.
- In your case drug like Zolpidem or Zopiclone can also be used as these are comparatively of lower abuse potential and are used in inducing sleep and there is no rebound side effects.
- Improving sleep hygiene is also must like fix your time to go to sleep, don't take tea/coffee in evening, avoid aerated beverages, don't make bedroom your workplace, don't use computer on bed, changing the position of bed in room is also a good idea etc.
So try to improve your schedule and you will find improvement.
Hope I cleared your doubt.
thanks take care.
Answered: Fri, 22 Feb 2013
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Psychiatrist Dr. Payman Hajiazim's  Response
Hi there, thanks for asking. You mentioned "I suffered from depression", so I am not sure if you are also currently suffering from a low mood. The problem to fall asleep at night when you have something to do in the next day shows that you also have anxiety issues. When depression and anxiety become chronic, they affect your sleep in a way which is described as chronic insomnia. Management of chronic insomnia is mostly without medication (it is an advantage) and it can lead to improvement of your mood and anxiety as well. It has three main parts: sleep hygiene (you can search it and find the important points about it, like no nap during the day), behavioral technics (relaxation methods, bed restriction and stimulus control) and cognitive therapy for sleep. You may ask your doctor to introduce you to a psychotherapist who works on your sleep issues and the related things. I wish you the best health.
Answered: Fri, 22 Feb 2013
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Psychiatrist Dr. Sundar Gnanavel's  Response
Thanks for your query. You would require a thorough psychiatric evaluation for depression anxiety disorders as well as insomnia. Appropriate antidepressants anxiolytics as well as sedatives at a suitable dose if required can be prescribed. Cognitive behavioural therapy can be attempted with respect to your preoccupation with poor sleep. Hope you found the information useful.
Dr Sundar
Answered: Wed, 27 Feb 2013
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