A member asked:

How come my anxiety tend to escalate before bed time? i have had a hard time falling sleep, and when i sleep my mind is racing...i feel i don't get a good night sleep anymore..it's like i am anxious in my sleep..i would wake up in the middle of the night,

12 doctors weighed in across 5 answers
Dr. Oscar Novick answered

Specializes in Pediatrics

Anxiety: During the day your mind is occupied by other activities. At bedtime, you are more relaxed and your anxieties begin to cloud your mind. Seek help from a therapist or your doctor yo hrlp valm your anxieties

Answered 5/12/2016

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Time to see doctor: This seems to be disrupting everyday functioning and life for you and I think it is time to see your PCP or a mental health specialist. You will need some help to try to get some good sleep.

Answered 5/12/2016

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Dr. Matt Wachsman answered

Specializes in Internal Medicine

Lack of: Other input...mind's intrusive thoughts take over Or could be one of several sleep disorders

Answered 5/12/2016

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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 anxiety or depression 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 10/15/2017

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You are probably: anxious most of the time, but when approaching sleep, we tend to let our defenses down some. In sleep, our defenses are REALLY down, so the causes of anxiety will have greater play. Look for nightmares, waking up in night sweats, etc. Eliminate physical causes first, but see a psychologist after that. http://www.psychologyproductsandservices.com/page2.html

Answered 5/11/2016

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