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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Insomnia?

hello, i have got insomnia for more than one month.it is related to anxiety. I am not anxious due to some worry. I just feel anxious when I have to sleep. I take zolpidem and xanax intermittently but still sometimes I get hyperactive and anxious and don't sleep after taking medecines. Also I am already late by one week for my periods.I feel the discomfort, I also had minimal pink vaginal discharge 3 days back. Is this all interrelated? can there be an organic cause for my insomnia?Please suggest a treatment.
Mon, 21 Sep 2015
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Psychiatrist 's  Response
Thanks for the question.

Anxiety is a common cause of insomnia. When your mind is moving quickly and you are worrying about things, it is definitely difficult to turn that off and go to sleep! Before resorting to the use of medications, sleep hygiene is the most important thing you can study. In fact, behavioral changes are almost always more effective than medications. If you lay in bed awake, try getting up and reading a book or doing something else, and only go to bed when you actually feel tired. This trains your body to associate the bed with sleep only. There are many tricks like this if you Google the term "sleep hygiene."

Medications such as Ambien (zolpidem) can sometimes be useful, but studies show they really only add about 20 minutes of total sleep time. Xanax is actually a very bad medication to use for sleep, because its effects wear off very quickly, you wake up in the middle of the night, and even worse you will develop a tolerance to it, requiring higher and higher doses.

Try focusing on sleep hygiene. I would also visit your primary care doctor or psychiatrist to explore treatments for anxiety, whether it be behavioral (therapy) or a medication (such as an SSRI).

I hope this helps.

Dr. Sheppe
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Psychiatrist Dr. Suneetha K S's  Response
Hi, I understand your concern.

Insomnia could be because of several reasons like anxiety, depression, faulty sleeping habits, excessive stimulants intake ( coffee, alcohol) etc.

Increased anxiety, sleeplessness, irregular periods can be present when there is thyroid abnormalities. I would suggest you to get thyroid status checked.I would also suggest you to take a psychiatrist opinion for anxiety. He might suggest you to undergo CBT or might prescribe you SSRI ( escitalopram). Improvement in anxiety will solve your sleep problems also.

Hope the answer has helped you.
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What Causes Insomnia?

Thanks for the question. Anxiety is a common cause of insomnia. When your mind is moving quickly and you are worrying about things, it is definitely difficult to turn that off and go to sleep! Before resorting to the use of medications, sleep hygiene is the most important thing you can study. In fact, behavioral changes are almost always more effective than medications. If you lay in bed awake, try getting up and reading a book or doing something else, and only go to bed when you actually feel tired. This trains your body to associate the bed with sleep only. There are many tricks like this if you Google the term sleep hygiene. Medications such as Ambien (zolpidem) can sometimes be useful, but studies show they really only add about 20 minutes of total sleep time. Xanax is actually a very bad medication to use for sleep, because its effects wear off very quickly, you wake up in the middle of the night, and even worse you will develop a tolerance to it, requiring higher and higher doses. Try focusing on sleep hygiene. I would also visit your primary care doctor or psychiatrist to explore treatments for anxiety, whether it be behavioral (therapy) or a medication (such as an SSRI). I hope this helps. Dr. Sheppe