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Stress, hearing unknown voices at night, sleeplessness

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Internal Medicine Specialist
Practicing since : 1998
Answered : 1579 Questions
Dear Dr.

I am having a XXXXXXX Lankan business person and I am having a financial trouble these days which need to be solved.There is a loan available in commercial bank of ceylon XXXXXXX Lanka.
Because, of that I am having little bit stress.Sometimes I am thinking while others have 1 million 2 million money, I am having a loan.Because of that I have very limited chances of spending too as I am a good donater.Also I am feeling a doubt of the future.Presently I am doing a UK LLB degree.So my question now is I am hearing some unknown
voices at night which make me uncontrol and trouble at sleeping.I would like if all these problems will be solved and make me happy and have troubleless sleeping at night as I would like to do donations and meritorious activities too.I would like to thank you,if you can give a good answer for this and get rid from this situation and have a good night sleep?
Tue, 22 May 2012 in Sleep Disorders
Answered by Dr. Jasvinder Singh 59 minutes later

Ayubowan! What you are having is auditory hallucinations and when they are occurring just before sleep are called hypnogogic auditory hallucionations. Stress and anxiety which you are currently having are important causes for these hallucinations. Aside from hearing the voices through the ears, sometimes one could hear the voices as thoughts in their heads or from somewhere else. Although medical causes like schizophrenia may also cause these symptoms but in your case it looks like stress induced.

You need an urgent medical management for these symptoms. These include:

1)     Controlling the anxiety levels. Although you are under stress but you have to realize that bad times do not last forever. Every cloud has a silver lining as well. Try to identify and focus on activities that make you feel better. Motivate yourself to do things for yourself, talk to your family and friends and discuss your stress with them. They will help you find a solution to your problem. Controlling and removing anxiety is the primary treatment. Also join some meditation and yoga classes to calm your mind.

2)     Regular exercise and proper diet are essential to good health. Exercise is of paramount importance because it releases endorphins from the body.

3)     You need to take some antianxiety medications like short reuptake serotonin inhibitors (SSRI) and benzodiazepines like alprazolam and clonazepam.

4)     Psychotherapy and cognitive behavior therapy is of equal importance as medications and you should hold these sessions with a good psychiatrist/ psychologist.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.


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