A member asked:

Cant sleep because of my panic attacks, what do i do??:(

19 doctors weighed in across 9 answers
Dr. Heidi Fowler answered

Specializes in Psychiatry

Do you have: panic attacks during the night and day? If so, clearly the panic attacks are not adequately controlled. Have you been medically worked up to see if there is a medical cause for the panic? What form of treatment do you currently receive? Cognitive behavioral therapy mixed with psychotropic medications is often effective. Take care.

Answered 9/28/2016

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Address panic: Have found success using drug alprazolam, about every 6-8 hrs as needed. Deconditioning and biofeedback also seem useful. Meditation may work, and there are some therapists who suggest squeezing the web space between thumb and index finger for about 3-5 min firmly (may hurt) when panic attack occurs, as can stop.

Answered 11/2/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Get treated: It appears you have at least figured out your insomnia is due to your underlying anxiety disorder. So, the treatment will involve getting your anxiety under better control. See your Dr. and get treated for anxiety, which can involve counseling as well as medications. Best wishes.

Answered 11/2/2014

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Dr. Paul Grin answered

Specializes in Pain Management

Anxiety: Anxiety symptoms are not a sign of illness, they are the mind's ability to produce the "flight or fight" response which gives rise to many physiological changes include chest pains, insomnia, dry mouth, aphasia, tremor and sweating. Depending on the cause of your anxiety symptoms, your health care provider can recommend appropriate treatment.

Answered 6/25/2016

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Therapy?: Have you yet tried any form of psychotherapy? Typically, the optimal combination of things to treat emotional issues such as panic attacks, which are common is medication (which, on your best day, is supposed to take the edge off symptoms) but the real gruntwork takes place in psychotherapist's consulting room.

Answered 9/14/2015

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Sleepless: It would be important to have a sleep study and a neurological exam conducted by Doctors. Once physical illness is treated or ruled out then it would be good to a consult with a Clinical Psychologist for Panic Disorder and have an evaluation by a Psychiatrist for possible medication in addition to psychotherapy.

Answered 9/24/2017

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Dr. Oscar Novick answered

Specializes in Pediatrics

Seek help: Sek help from a psychologist, your physician or apsychiatrist.

Answered 9/4/2013

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Dr. Heidi Fowler answered

Specializes in Psychiatry

Seek medical care : But in the mean time here are some tips. Retire & rise same time each day. Keep bedroom dark & cool & use only for sex & sleep. Turn off tv. No naps. Exercise regularly but not in late evening. No caffeine for 6 hrs & no alcohol or tobacco w/i 2 hrs of sleep. Keep dinner moderate sized & finish at least 2 to 3 hrs before sleep. Can try warm milk, chamomile tea or melatonin along w light reading, >.

Answered 6/8/2019

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Consider biofeedback: Nocturnal panic can be related to a number of issues. Consider sympathetic surges related to a breathing disorder during sleep or consider underlying panic that arises during certain stages of sleep. In some cases self-hypnosis or biofeedback can be helpful. If trying a few techniques does not help, consider sleep study in sleep lab to rule out a primary sleep disorder. They can be common.

Answered 9/16/2013

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Related Questions

A member asked:

Anxiety/panic attacks and sleep deprivation, please help me?

A doctor has provided 1 answer