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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Insomnia Be Treated While Suffering From Bipolar Disorder?

my fiancé has bipolar 2. she seems to be coming down from the high and is starting to go through the extreme sad phase. She is having trouble going to sleep. Every time she seems to reach the rem she startles herself awake. She becomes very confused to her surroundings and says many bizarre things. She claims she is afraid to sleep because she might not wake up. How can I help her to sleep more soundly?
Fri, 22 Jun 2018
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Psychiatrist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

The information that you have given is not enough, its important to know how many such episodes your fiancee has had in the past and on what medications she was on. As a matter of fact decreased need for sleep and/or decreased sleep is a symptom of mania/ depression. If with the present medications she s not able to sleep well, then change in her medications may be warranted. I think she is getting an episode of depression, its important to quickly visit your psychiatrist and see if there is any need to change the dosage or medication.Along with her mood stabilizers she might require medications for sleep as well, as her symptoms improve her sleep will also get back to normal.

Hope I have answered your query.
Let me know if I can assist you further.
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How Can Insomnia Be Treated While Suffering From Bipolar Disorder?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The information that you have given is not enough, its important to know how many such episodes your fiancee has had in the past and on what medications she was on. As a matter of fact decreased need for sleep and/or decreased sleep is a symptom of mania/ depression. If with the present medications she s not able to sleep well, then change in her medications may be warranted. I think she is getting an episode of depression, its important to quickly visit your psychiatrist and see if there is any need to change the dosage or medication.Along with her mood stabilizers she might require medications for sleep as well, as her symptoms improve her sleep will also get back to normal. Hope I have answered your query. Let me know if I can assist you further.