Sleep Hygeine

The habits that help you get a good night's sleep is called sleep hygiene. The habits that can help you are, limiting daytime naps, sleeping and getting up at a fixed time every day, avoiding caffeinated drinks before bedtime, avoiding fatty foods at night, and exercise.

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Can thyroid problems cause stress and anxiety?

Query: Hi doctor, I have TSH 6.01. My T3 and T4 are normal. I feel stressed with anxiety. I cannot sleep at night. Please help me.  Read Full »


Dr. Aditya Gupta

Answer: Hello, Welcome to icliniq.com. Though your TSH (thyroid-stimulating hormone) is raised, it does not require treatment with Thyroxine but needs monitoring. Follow steps of sleep hygiene such as sleeping and waking up at regular time, avoiding caffeinated drinks at least 8 hours before sleep, avoid u...  Read Full »

I am having nightmares at night. How to stop having it?

Query: Hi doctor, I have nightmares in the night. How can you help me not have them?  Read Full »


Dr. Aditya Gupta

Answer: Hello,Welcome to icliniq.com.Nightmare in adults can be due to various reasons. The most common of them being not having a good sleep.Practice sleep hygiene such as sleeping and waking up at the regular time, avoiding caffeinated drinks for at least 8 hours before sleep, avoid using television, mobi...  Read Full »

How to control my anger?

Query: Hi doctor, I am not able to control my feelings and getting so much of anger. My heartbeat is getting increased. I do not know what I a doing at that time. I am just scolding my friends, family, etc. But, after some time, I feel regret on thinking about that and will get into depression. Sometimes,...  Read Full »


Dr. Aditya Gupta

Answer: Hello, Welcome to icliniq.com. The first step is to prevent yourself from acting out during anger episodes. While getting angry, either do reverse counting from 20 to 0 or deep breathing. After calming down give logical suggestions to yourself against losing temper in that particular situation. Log ...  Read Full »

How can a person with OCD and an intense fear of sleep fall asleep?

Query: Hello doctor, I have been diagnosed with OCD. My OCD comes in the form of intense fear of sleep for the past five years, but it has gotten worse within the past couple of months. I am afraid the moment sleep comes, I fight this feeling until I am exhausted. How can I make peace with falling asleep a...  Read Full »


Dr. Aditya Gupta

Answer: Hello, Welcome to icliniq.com. I will start with the pharmacological part. You can discuss with your treating doctor regarding increasing the dose of Clomipramine, not only will it help with sleep but also in decreasing the obsessions. You can also discuss regarding substituting it with Fluvoxamin...  Read Full »

I get paranoid and scared when I am alone in a dark room. What should I do?

Query: Hello doctor, If my wife sleeps before me, I get paranoid and then cannot sleep till morning. I am generally paranoid when I am alone or in dark, otherwise. everything is normal with me. When I was a kid around 6 years old, I was attacked by a relative who was supposed to be possessed by a ghost. ...  Read Full »


Dr. Aditya Gupta

Answer: Hello, Welcome to icliniq.com. The best option is to consult a psychiatrist or clinical psychologist in-person, for a detailed evaluation. CBT (cognitive behavioral therapy) can then be used for treatment. Practice relaxation techniques like breathing exercises daily. PMR (progressive muscle relaxat...  Read Full »

Is long-term use of Etizolam harmful?

Query: Hi doctor, I was prescribed Etizolam 0.5 mg and Escitalopram for a month, as I had insomnia, stress, and anxiety. However, during the last week, it did not seem to work. I was struggling with sleep. Is it possible that I become addicted to the drug? Will I need a higher dose to get the same effect...  Read Full »


Dr. Aditya Gupta

Answer: Hello, Welcome to icliniq.com. Etizolam is not a sleep medicine but an anxiolytic. Long-term use of benzodiazepines like Etizolam is not advisable because of tolerance and addiction potential. They are used for a short-term to support the main medications like Escitalopram, which need to be taken f...  Read Full »

I lost 10 lbs, and I have abdominal pain from the past seven weeks. Is it due to IBS?

Query: Hello doctor, I have had abdominal pain for the last seven weeks. I experienced the same kind of pain three years back. I had all the imaging examinations, extensive lab workups, and all were normal. I was on 25 mg of Zoloft and 10 mg of Pamelor for the last two years, and I had little discomfort. I...  Read Full »


Dr. Aditya Gupta

Answer: Hello, Welcome to icliniq.com. It appears to be a case of IBS (irritable bowel syndrome). Zoloft (Sertraline) usually help in IBS. We will first talk about insomnia, for which, follow steps of sleep hygiene as follows: Sleeping and waking up at a regular time. Avoid caffeinated drinks at least ei...  Read Full »

Though I have a good job, I am not happy with my life. Kindly guide me.

Query: Hello doctor, I am not able to overcome the past experiences I have faced due to an orthodox family background. I am trying to compete in this big IT sector in a rat race but even after trying my best, I am not content, happy and satisfied. I have quite literally fought a battle with my family to g...  Read Full »


Dr. Aditya Gupta

Answer: Hello, Welcome to icliniq.com. Firstly, I would like to mention that sometimes you do not have control over the situations and what others do but what matters is how you cope with it. You are trying and only that matters. Regarding in-person consultation, you have to visit a nearby psychiatrist as a...  Read Full »

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