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    Suggest remedies for constant insomnia caused by depression

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Posted on Thu, 26 May 2016 in General Health
Question: I have been suffering from insomnia for the last 5 years gone untreated and now it is getting worse. I guess the cause would be depression and anxiety,have a history of self harm and suicidal attempts but that was long ago,I still cannot fix my sleep cycle and it's affecting my daily activities,studies,health,everything. I'm turning 21 in a few months,about 5,10". Coming to the question,Do i need to see a doctor or seek medication?
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Answered by Dr. Harish Naik 1 hour later
Brief Answer:
See psychiatrist, medicine plus lifestyle changes will help

Detailed Answer:
Hi
Welcome.
I have gone through your query.

In one sentence if you want me to answer your question, I would say yes, definitely you need to see doctor, preferably a psychiatrist for counselling and for the prescription of medicine. Psychiatrists assess possibility of depression on basis of questionaires and examination.

A total of 6-8 hrs of sleep/day is usually enough. Many research suggests, Insomnia can lead to a very specific type of hopelessness, and hopelessness by itself is a powerful predictor of suicide. Sleep medicines can be tried for short term under supervision of doctor. Sleep hygiene is to be followed. Combating depression and anxieties with breathing techniques and meditation may also help induce sleep.

Addressing depression may solve most of your symptoms. Psychiatrist after his assessment may start a good antidepressant. There are many good molecules present which can be taken safely- escitalopram or sertraline or desvenalafaxine. You should take either of them. None of them gives sedation , so can be taken in.morning after breakfast. These are prescription based agent you should see doctor to get it.

Apart from medications, it is essential that you too make some effort to come out of depressive state by trying the following measures:-
1. avoid being alone : keeping a good company helps our thoughts to be away from bad and sorrowful ones.
2. get up in morning by 6am: go for a jog or brisk walk after having some milk/ fruit or something which you can take ( avoid running empty stomach)
3. take more of salads and green veggies- they produce calmness
4. talk about your problem.issues with a well wisher or to whom you are close. It is always useful to share ---the healing speed up!
5. sprouts have natural substances which produces calmness in mind
6. avoid tea/ coffee and any other substance of abuse- they increase the problem in such conditions.

This provisional advice provided by me is based entirely on the input provided to me. I would suggest examination by the doctor.

I hope this suggestion might be of some help to you.
Take care.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Harish Naik

General & Family Physician

Practicing since :2008

Answered : 2617 Questions

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