HomeAnswersPsychiatrypanic disorderI have not slept in 30 hours. What should I do?

How to manage troubled sleeping in an individual with constant panic attacks?

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Published At April 6, 2024
Reviewed AtApril 6, 2024

Patient's Query

Hi doctor,

I have been having symptoms synonymous with a panic disorder. I have constant panic attacks and a constant dread feeling inside me. My main question is this. My doctor prescribed me Mirtazapine, and like everyone, I would drift off to sleep. Just as I was about to dream, I would wake up with a gasp of air as if I had forgotten to breathe. I cannot sleep at all and have not slept in 30 hours. What should I do? I know it is anxiety that is causing it. What do I do? Kindly help.

Hello,

Welcome to icliniq.com.

I understand your concern.

Mirtazapine may require several weeks to fully manage your anxiety. Be patient, communicate any concerns with your doctor, and adhere to their prescribed dosage. I suggest you follow the below-mentioned instructions:

1. Cognitive-behavioral therapy (CBT) techniques: Deep breathing exercises, progressive muscle relaxation, and guided meditation can effectively calm your nervous system and reduce anxiety symptoms.

2. Sleep hygiene practices: Implement consistent sleep and wake times, create a relaxing bedtime routine, avoid screens before bed, and ensure a dark and quiet sleep environment.

3. Avoidant measures: Limit caffeine and alcohol intake, as they can exacerbate anxiety and disrupt sleep. Maintain a healthy diet and regular exercise to support your overall well-being.

4. Social support: Connecting with loved ones or a therapist can provide invaluable emotional support and coping strategies.

Even if it does not improve, then I suggest you take other medicines like Paroxetine with Clonazepam because Paroxetine is the drug of choice for panic disorder. Do regular exercise also. I suggest you consult a specialist, talk with them, and take the medications with their consent. Medicine with psychotherapy is one of the best ways to come out of this problem.

I hope this helps.

Follow up in case of queries.

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

Dr. Vipul Chelabhai Prajapati
Dr. Vipul Chelabhai Prajapati

Psychiatry

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