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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Anxiety Attacks Along With Insomnia And Depression?

To whom it may concern (hopefully someone who can give me reassurance in my dire time of fright and need.) My name is Daniel. From early September 2015 to early January I was recreationally drinking Robitussin DM. I d have to say it was Between 300-400 mL on a daily basis. Once I stopped I realized that my stress tolerance was shot. I had constant anxiety. Also, I was never excited and my thinking pattern was a little paranoid and nonsensical at times. In late April, I left to go to basic training (I know it was a bad idea.) I felt a sizzling feeling on top of my head when I was stressed and I had this boxed in feeling. I remember at that point having the sensation of just seeing and hearing and there was almost no ability to have a thought process. It was as if my brain shutdown. This was all happening the first week. After the first week it was like it all turned off. No stress, no thought process. After a month, it had gotten worse everyday. I couldn t sleep right and when I woke up I felt fuzzier in the head until I felt nothing. I eventually got put in a ward in late May. I felt like my mind had literally shut down. The dr. Said it was depression and prescribed me Prozac. Later it was augmented with abilify. I use lunesta for insomnia. Expect my insomnia is more like I shut my eyes and I lay there and have a dream and open my eyes at around midnight. I feel dry and absent minded all the time. I don t have thoughts going on all the time it s more like I have to cling onto a train of thought and once it s done it goes back to nothingness kinda as if there s no brain at all. I have theory that all the white matter in my brain has degenerated and I m left with no neurons because of the chemical imabalance, quality of sleep on top of stress for a month and half before getting help which I feel like was too long to fix something like this. Is there any hope at all to ever be smart again? Because right now I kinda sit there not feeling anything and not thinking anything. Also my eyesight is no longer clear and vibrant, it s dull and staticky. I think it all has to do with brain activity. I m losing hope everyday because I feel like it s a brain function thing and there s no fixing that. Once it s gone, it s gone right?
Fri, 30 Aug 2019
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Addiction Medicine Specialist 's  Response
Hello,

Cannot say in your particular case, but this is a fairly common condition with depression, anxiety and panic attacks often coming together. the usual antidepressants work well on all. Counseling probably is also somewhat helpful if added to medication.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Matt Wachsman, Addiction Medicine Specialist

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What Causes Anxiety Attacks Along With Insomnia And Depression?

Hello, Cannot say in your particular case, but this is a fairly common condition with depression, anxiety and panic attacks often coming together. the usual antidepressants work well on all. Counseling probably is also somewhat helpful if added to medication. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Matt Wachsman, Addiction Medicine Specialist