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How to manage insomnia in anxious and depressive patients?

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

Patient's Query

Hi doctor,

I am experiencing insomnia for the past two years or from last year may be. Things are like I can not sleep for around 7 to 8 days or sometimes more but after these few days, l fall asleep. And after a few days, the same scenario gets repeated. Is that normal? I mean is this normal or hazardous I am feeling that my overall learning power got hampered and I am getting dumb day by day. Previously, I was also taking spills for my restlessness and nervousness as I was depressed and got anxious and stressed. I have also done CBC, ECG, and thyroid test.

Thank you.

Answered by Dr. Vishal Anilkumar Gandhi

Hi,

Welcome to icliniq.com.

Thank you for taking help from a psychiatrist. I read your case details and I can understand your situation. You may have a major depressive disorder. You have sleep disturbance because of your depression. I advise you to follow the below guidelines to deal with it. It will help you.

  1. You should do exercises daily for 30 to 45 minutes or at least go for a walk. It will boost your confidence.
  2. You should 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 foods, and avoid junk foods.
  4. You must drink enough water.
  5. You should spend quality time with friends and family daily or do video calls if you are living away from your family.
  6. You should spend time on creative hobbies like reading good books, writing journals, painting, drawing, and learning new skills or language or musical instruments.
  7. You should take enough 7 to 8 hours of sleep daily.
  8. You must avoid tobacco or alcohol or any substance abuse.

    9. I would suggest you live your life and do not spend it. Be bold and confident to face the life. You must continue your medication. I also recommend you go for a few tests. Tests are,

    1. CBC (complete blood count).
    2. Thyroid profile.
    3. Vitamin B12.
    4. Vitamin D3.

      5. I hope that you get your answer.

      Thank you.

Answered byDr. Vishal Anilkumar Gandhi

Medically reviewed byiCliniq medical review team

Published At June 17, 2023
Reviewed AtJanuary 25, 2024

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

Dr. Vishal Anilkumar Gandhi
Dr. Vishal Anilkumar Gandhi

Psychiatry

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