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Suffer from anxiety and sleeplessness. High blood pressure. Need a cure

I don't get sleep especially when my wife and son is not there with me. Also, when one of them is sick and I am far away, my tension goes to the roof. While getting tensed, I also think of my blood pressure going up etc. and that makes me tensed more. It is a vicious circle and I don't get sleep for the whole night.
Asked On : Mon, 22 Apr 2013
Answers:  2 Views:  25
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Psychiatrist 's  Response
Hi Vichuiitb,
Welcome to HCM Forum,

I can understand how frustrating it might be due to lack of sleep.

Its absolutely normal to get occasionally disturbed sleep due to change in routine,but abnormal when this is happening regularly with disturbance in your work efficiency and mood.
You not mentioned details of symptoms you experiencing at feeling that blood pressure goes up- for your information this feeling could be result of panic attack ( characterized by Palpitation, Chest discomfort, breathlessness, tingling numbness of extremities with impending doom)

If you having frequent such episodes or sleep disturbance with affected work efficiency then consult in person to nearest psychiatrist , who after thorough evaluation will able to guide you further.

Till then follow sleep hygiene as mentioned below -

1) Avoid napping during the day; it can disturb the normal pattern of sleep and wakefulness.
2) Avoid stimulants such as caffeine, nicotine, and alcohol too close to bedtime. While alcohol is well known to speed the onset of sleep, it disrupts sleep in the second half as the body begins to metabolize the alcohol, causing arousal.
3) Exercise can promote good sleep. Vigorous exercise should be taken in the morning or late afternoon. A relaxing exercise, like yoga, can be done before bed to help initiate a restful night's sleep.
4) Food can be disruptive right before sleep; stay away from large meals close to bedtime. Also dietary changes can cause sleep problems, if someone is struggling with a sleep problem, it's not a good time to start experimenting with spicy dishes. And, remember, chocolate has caffeine.
5) Ensure adequate exposure to natural light. This is particularly important for older people who may not venture outside as frequently as children and adults. Light exposure helps maintain a healthy sleep-wake cycle.
6) Establish a regular relaxing bedtime routine. Try to avoid emotionally upsetting conversations and activities before trying to go to sleep. Don't dwell on, or bring your problems to bed.
7) Associate your bed with sleep. It's not a good idea to use your bed to watch TV, listen to the radio, or read.
8) Make sure that the sleep environment is pleasant and relaxing. The bed should be comfortable, the room should not be too hot or cold, or too bright.

Hope It Helps.
Best regard.
Answered: Mon, 22 Apr 2013
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Psychiatrist Dr. Nehal Shah's  Response
thanks for using health care magic.
you are having panic attack with possible claustrophobia.
there are two types of treatment available.
1) pharmaco therapy like Peroxetine, sertraline or escitalopram
2) Behavior therapy like counselling, stress management
You should consult Psychiatrist for detailed evaluation and treatment
Meanwhile You should try stress relaxation exercise like yoga, meditation or self motivation.
avoid caffeine & nicotine in excess.
Answered: Mon, 22 Apr 2013
I find this answer helpful
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