A member asked:

Bipolar w/bad insomnia z-drugs, dayvigo, belsom, lunes, vistaril, all regular insomnia med do nothing. psych dr wont rx sedative/hypnotic/benzos & on trazodone, seroquel, mirtrazipine, topamax, lamictal w/no help. wha else to try? besides new doc?

3 doctors weighed in across 2 answers

Different approach : Medication is not the answer! Get off as many as feasible ASAP. FIND a sleep specialist and commence a full sleep hygiene program. Consider a biofeedback approach. If not done before, do sleep study with oximetry

Answered 2/21/2021

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Best to discuss medication & possible sleep study with your Psychiatrist. If uncomfortable with your Dr. consult another for a second opinion. Have a physical exam by a Dr. to determine if you have a physical illness. Consult with a Clinical Psychologist for psychotherapy with ZOOM. Fears & anxiety could be heightened due to the Covid-19 pandemic. Stay safe & hopeful to elevate your immune system.

Answered 4/27/2021

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