Why do I feel fear before sleep, and how can I stop it?

Hello,

Welcome to icliniq.com.

I have read your query and can understand your concern.

Based on your description, it sounds like you may be experiencing a sleep-onset anxiety episode or a type of nocturnal panic, where a sudden wave of fear hits just as you’re about to fall asleep. This can abruptly stop sleep and is often related to stress, anxiety, or temporary changes in your sleep–wake cycle.

Since you have had similar episodes in the past that usually resolved within a week, but this one has lasted longer, it is important to address both the mental and physical aspects. The medication you are taking, Zolaram 5 mg (Alprazolam), is a short-acting medicine that helps reduce anxiety and promote sleep. Taking half a tablet, as you are doing, is an appropriate starting dose. However, this type of medication is generally recommended for short-term use only, as prolonged use can lead to dependence or tolerance.

Here are some additional steps that may help:

1. Maintain good sleep hygiene: Keep a consistent sleep schedule and create a relaxing bedtime routine.

2. Avoid stimulants: Limit caffeine and heavy meals close to bedtime.

3. Limit screen time: Reduce exposure to phones, computers, or TVs before bed.

4. Practice relaxation techniques: Deep breathing, meditation, or progressive muscle relaxation can help calm your mind.

If your symptoms persist or worsen, it may be helpful to see a sleep specialist or mental health professional to rule out underlying anxiety or sleep disorders. Do not stop or change your medication without consulting your doctor. Regular follow-ups are recommended to monitor your progress and adjust treatment as needed.

I hope this answers your query.

Please let me know if I can assist you further.

Thank you.

Hello,

Welcome back to icliniq.com.

You are most welcome.

Please revert if you have any other concerns, we will be more than happy to help you.

Thank you.