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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Episodes Of Depression After Waking Up From An Afternoon Nap?

Hi, I am writing about my mother. She is 78 and has been taking medication for depression for the last few years. She lives in Asia and is on paroxetene 30 mg daily. She has been improving a lot but always wakes up from an afternoon nap very depressed and desolate. Her doctor's answer is that she shouldn't sleep, but she does need a nap because of not sleeping too well at night. I was wondering if this may be a low blood sugar issue which can be addressed by a hot sweet drink as soon as she wakes up. Thank you for reading this!
Fri, 19 Dec 2014
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Psychiatrist,  's  Response
Hi

I had gone through your query.

It is necessary to sleep whole night or upto 7 hours in old age.
Depression is common after wake up and it is called malencholic features. Avoid nap to avoid depression in afternoon.
Meanwhile avoiding afternoon nap to achieve sound sleep at night.

Shifting dose of peroxetine to night is useful for sleep.

Avoid any medicine at afternoon to prevent nap.

Add on low doses of benzodiazapine like lorazepam in night for maintenance of sound sleep.
Psychological councelling will help her for depression.
Take advise from your treating doctor before taking any medicine.
Glad to hear from you.
Thank you.

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What Causes Episodes Of Depression After Waking Up From An Afternoon Nap?

Hi I had gone through your query. It is necessary to sleep whole night or upto 7 hours in old age. Depression is common after wake up and it is called malencholic features. Avoid nap to avoid depression in afternoon. Meanwhile avoiding afternoon nap to achieve sound sleep at night. Shifting dose of peroxetine to night is useful for sleep. Avoid any medicine at afternoon to prevent nap. Add on low doses of benzodiazapine like lorazepam in night for maintenance of sound sleep. Psychological councelling will help her for depression. Take advise from your treating doctor before taking any medicine. Glad to hear from you. Thank you.