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Will light therapy or chronotherapy help in sleeping issues?

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

Patient's Query

Hello doctor,

I am a 27-year-old male with a sleeping disorder. I have difficulty falling asleep at night and difficulty going back to sleep after waking up in the middle of the night. I need to masturbate in order to fall asleep. I suffer from delayed sleep phase disorder. This has made it difficult for me to maintain a normal job. During college time, I never used to sleep the night before the exam because of fear of not getting up on time. What are light therapy and chronotherapy? How can they help? I have daytime fatigue. If there are any medicines that I can take for a short time, please suggest them. I am facing this problem for the last 10 years.

Answered by Pedro Paulino Matos

Education:

Medicine

Professional Bio:

Dr. Pedro Paulino Matos is a Psychiatrist with clinical experience of 13 years. He did his Medicine from Universidad de Extremadura in 2009 and his M.Sc in Legal Psychiatry from the Universitat de Barcelona in the year 2013, and Psychiatry from Universidad Complutense de Madrid in 2014. He can communicate in Portuguese and Spanish and is an expert in providing psychotherapy to patients. Currently, he is practicing in Burgos, Spain.

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

Hello,

Welcome to icliniq.com. Sleep disorders are very common. Normally hygienic measures could be helpful to alleviate the symptoms. Also, it could be a symptom of other disorders. However, in your particular situation that does not seem to be the case. Melatonin is effective in regulating the synchronization of the circadian rhythms of physiological functions like sleep timing. Of course, there are pharmacological options that can be useful in acute cases or taking a short-time course like Lorazepam 1-2 mg, or Lormetazepam 2 mg. If that does not work please feel free to contact me again.

Patient's Query

Thank you doctor,

I took Melatonin for some days and sometimes it worked well. However, on important occasions, even it did not work like I just cannot sleep the night before my exam or if I have any other important occasion the next morning. Even Melatonin fails. I am writing this to you as I tried to sleep last night after taking Melatonin, but have not been able to yet. Is this a serious disorder or some other underlying problem? I do not really understand.

Answered by Pedro Paulino Matos

Education:

Medicine

Professional Bio:

Dr. Pedro Paulino Matos is a Psychiatrist with clinical experience of 13 years. He did his Medicine from Universidad de Extremadura in 2009 and his M.Sc in Legal Psychiatry from the Universitat de Barcelona in the year 2013, and Psychiatry from Universidad Complutense de Madrid in 2014. He can communicate in Portuguese and Spanish and is an expert in providing psychotherapy to patients. Currently, he is practicing in Burgos, Spain.

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

Hello,

Welcome back to icliniq.com. Melatonin is more for sleep and circadian rhythm regulation and not that useful if what you intend is to induce sleep. To induce sleep Lorazepam or Lormetazepam are better. But you must be careful when using it before an important date (like the night right before an exam) as if you are not accustomed, it could affect your concentration and produce drowziness. Recovering data from your first query that does not seem a serious disorder. Although sleep disorders could be related to other disorders, like mood or anxiety disorders. It is common to see them during stressful periods like exams or job interviews. Above all, you should reduce all stimulant drinks, avoid sleeping after lunch or doing exercise after 6 pm. And it is important to establish a sleep timetable.

Medically reviewed by Dr. Vinodhini J.
Published At January 23, 2020
Reviewed At April 18, 2024

Education:

Medicine

Professional Bio:

Dr. Pedro Paulino Matos is a Psychiatrist with clinical experience of 13 years. He did his Medicine from Universidad de Extremadura in 2009 and his M.Sc in Legal Psychiatry from the Universitat de Barcelona in the year 2013, and Psychiatry from Universidad Complutense de Madrid in 2014. He can communicate in Portuguese and Spanish and is an expert in providing psychotherapy to patients. Currently, he is practicing in Burgos, Spain.

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

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.

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

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Prep / Recovery Guide

Sleep Disorder Management Prep and Recovery Guide

How it works

Sleep disorders can significantly impact your daily life. Understanding the basics of sleep, common disorders, and available therapies can help you manage your condition effectively.

1

Sleep
Cycles

2

Understand
DSPD

3

Light
Therapy

4

Chronotherapy
Helps

5

Melatonin
Other

6

Lifestyle
Adjust

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.

Education:

Medicine

Professional Bio:

Dr. Pedro Paulino Matos is a Psychiatrist with clinical experience of 13 years. He did his Medicine from Universidad de Extremadura in 2009 and his M.Sc in Legal Psychiatry from the Universitat de Barcelona in the year 2013, and Psychiatry from Universidad Complutense de Madrid in 2014. He can communicate in Portuguese and Spanish and is an expert in providing psychotherapy to patients. Currently, he is practicing in Burgos, Spain.

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

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