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How to treat sleep issues, mood swings, and behavior issues?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have major sleeping problems where I do not get sleep at night sometimes until late or sometimes at all. I also have a lot of mood swings where I am really happy at times and the next second my mood switches. I feel very confused about my behavior and in general, I do not like interacting or making conversations with people. So I get really conscious and think about scenarios about how to say what. I keep worrying a lot about different things and have difficulty focusing on things and especially because of irregular sleep I am having problems. I get scared of sleeping at times and have nightmares at times when I do.
Answered by Dr. Ruhi Satija

Education:

MD

Professional Bio:

Dr. Ruhi Satija is a Psychologist and Psychotherapist skilled in assessing, diagnosing, and treating a wide range of mental health and emotional issues. Her expertise includes cognitive-behavioral therapy (CBT), psychodynamic therapy, stress and anxiety management, depression treatment, trauma-focused therapy, and counseling for relationship or personal challenges. She is experienced in helping individuals, couples, and families develop coping strategies, improve emotional well-being, and achieve personal growth.

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Hi,

Welcome to icliniq.com.

I am so sorry to hear about your situation, I can imagine how hard it must be for you.

With the little information that I have, I think your sleep issues are just an external expression of underlying anxiety. It is the fear that is keeping you awake so to help you with your sleep issues.

First, we need to take a few measures to help you in increasing your relaxation levels which would calm you down. For that, you can try why deep breathing exercises like box breathing, progressive muscle relaxation, meditation before sleep. You have to maintain your sleep hygiene which essentially means regulating your bedtime and your process of going to sleep which in common language is called night rituals.

Once you have established this then you need to work on your anxiety. As you have also mentioned that you were sent for anger management 10 years ago, I would suggest starting psychotherapy as soon as possible which will help you understand the negative thoughts which are causing all these mood symptoms.

Taking care of anxiety and anger is one thing, then the next step is finding the root cause of it and getting rid of it will help you solve the issue permanently. So I would suggest you to start psychotherapy. You can find a local counselor or we can start therapy online via video consultations.

I hope this helps.

Medically reviewed by Dr. Vinodhini J.
Published At April 3, 2020
Reviewed At April 18, 2024

Education:

MD

Professional Bio:

Dr. Ruhi Satija is a Psychologist and Psychotherapist skilled in assessing, diagnosing, and treating a wide range of mental health and emotional issues. Her expertise includes cognitive-behavioral therapy (CBT), psychodynamic therapy, stress and anxiety management, depression treatment, trauma-focused therapy, and counseling for relationship or personal challenges. She is experienced in helping individuals, couples, and families develop coping strategies, improve emotional well-being, and achieve personal growth.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ruhi Satija
Dr. Ruhi Satija

Psychiatry

Education:

MD

Professional Bio:

Dr. Ruhi Satija is a Psychologist and Psychotherapist skilled in assessing, diagnosing, and treating a wide range of mental health and emotional issues. Her expertise includes cognitive-behavioral therapy (CBT), psychodynamic therapy, stress and anxiety management, depression treatment, trauma-focused therapy, and counseling for relationship or personal challenges. She is experienced in helping individuals, couples, and families develop coping strategies, improve emotional well-being, and achieve personal growth.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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