I am a 28-year-old female with anxiety, depression, insomnia, and concentration difficulties. Please help.

Q. How to manage anxiety, depression, insomnia, and concentration difficulties?

Answered by
Dr. Vishal Anilkumar Gandhi
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 25, 2023 and last reviewed on: Jun 20, 2023

Hi doctor,

I am a 28-year-old female. I was diagnosed with anxiety and depression two years ago, and I have had insomnia for 14 years, which would get better after having melatonin tablets prescribed for a week. The problem I have faced is that it is too loud in my head. I am constantly talking in my head, having full-blown conversations with myself in the head about new ideas, hobbies, business ideas, etc. Even if I have a lot of work to be done, I sit to work but cannot concentrate and will prioritize something else that is not important, like deep cleaning my room. But then again, when I start working, I sit all day and all night and work, then eventually have burnout. Please help.



Welcome to icliniq.com.

I can understand your situation.

You have a major depressive disorder. I suggest following the below lifestyle to deal with it. It will help you.

1. You should do exercises daily for 30 to 45 minutes, like at least going for a walk. It will uplift your mood.

2. Do meditation for 20 minutes daily. Just sit in one place in a comfortable position and try to concentrate on your normal breathing, do not stop or force yourself to stop your thoughts. Just let it be. It will help you to relax.

3. You should eat healthy home-cooked food and avoid junk food.

4. You must drink enough water.

5. Spend quality time with friends and family daily.

6. Spend time on creative hobbies like reading good books, writing journals, painting, drawing, and learning new skills like language or musical instruments.

7. Sleep enough for seven to eight hours daily.

8. Avoid tobacco, alcohol, or any substance abuse.

9. Live your life, do not just spend it.

10. Be bold and confident.

Start tablet Sertraline 25 mg daily in the morning after breakfast and tablet Clonazepam 0.5 mg at night. I suggest you bring the following blood reports and follow up after ten days:

1. CBC (complete blood count).

2. RBS (random blood sugar).

3. Thyroid profile.

4. Vitamin B12.

5. Vitamin D3.

I hope that you get your answer.

Please, let me know if you want some help.

Thank you.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Depression: Know the Types and Classical Signs

Bipolar Disorder: Bipolar disorder is also known as manic depression ... Clinical depression is an illness, a di   Read full

Anxiety: an Everyday Occurrence or Is There Something More to It?

On-going stress and environmental factors also contribute to anxiety disorders ...   Read full

Depression and Heart Health

A variety of symptoms can be brought on by a mental health disorder known as depression ... Conclusion: Depression is a serious mental health disorder associated with various other problems and c   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions.  Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this.  Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades.  Read more»

Ask your health query to a doctor online?

Ask a Psychiatrist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.