U.S. doctors online nowAsk doctors free
Saint Paul, MN
A 53-year-old male asked:

is there any med that would help if you have developed perf. anxiety feeling lightheaded sleeplessness, mucsle twitches also stress overloaded 2 mo.

2 doctor answers4 doctors weighed in
Dr. Heidi Fowler
Psychiatry 25 years experience
Yes: However - see that you are on Lorazepam - this is addictive & doesn't treat the underlying problem. Ambien (zolpidem) can also lead to tolerance. You have also had trials of several antidepressants. I am going to suggest a different course of action- non-medication options. First - anxiety can respond very well to cognitive behavioral therapy. This is a way to help give you control over your symptoms. >.
Dr. Heidi Fowler
Psychiatry 25 years experience
Provided original answer
Good sleep hygiene is essential. 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, warm bath or lavender scent. Additionally consider deep breathing exercises and progressive muscle relaxation exercises. As a doctor - I often provide patients w a mix of buspar (anxiety med) with melatonin. Take care.
Aug 22, 2013
Dr. Aaron Ament
Psychiatry 58 years experience
PROBABLY: Sounds like pretty intense anxiety, and yes there are meds to reduce it. But the question of what's behind the performance anxiety is important. The answer may remove that anxiety altogether. Makes sense to see a psychiatrist who canp prescribe meds and help you find the answer.

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Free
Talk to a doctor
24/7 visits
$15 per month

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Free
Talk to a doctor
24/7 visits
$15 per month
Last updated Apr 14, 2016

Disclaimer:

Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.