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A 36-year-old member asked:

i feel like my mind is collapsing/shutting down from lack of sleep. do you have any advice?

2 doctor answers3 doctors weighed in
Dr. A V
Dr. A V answered
Neurology 18 years experience
Insomnia: See a sleep specialist to help you determine the best way to be evaluated. A sleep study may be needed or other interventions such as medication, psychological evaluation, etc. May be recommended. Make sure you are following proper sleep hygiene as well (avoid stimulating activities at night, avoiding naps, no clock-watching at night, etc).
Dr. Heidi Fowler
Psychiatry 25 years experience
Med Eval.: I agree w dr. Kumar. Is your physician aware of your sleep problems? It not, please advise so that this can be evaluated. Consultation w a sleep medicine specialist & polysomnogram (sleep study) are often needed. In the meantime, please use excellent sleep hygiene. 1. Keep a regular bedtime & wakening time (to include weekends). Get up the same time each day, regardless of what time you fell >>>.
Dr. Heidi Fowler
Psychiatry 25 years experience
Provided original answer
asleep. 2. Make a regular, relaxing bedtime routine. Relaxing rituals prior to bedtime may include a warm bath or shower, aromatherapy, reading, or listening to gentle music. 3. Sleep in a dark, quiet, cool room on comfortable mattress & pillows. 4. Use the bedroom only for sleep & sex. Have work materials, computers, & TVs in another room. 5. Finish eating at least 2-3 hs prior to your regular bedtime. 6. No caffeine within 6 hours; alcohol & smoking within 2 hrs of bedtime. Alcoholism is a major cause for insomnia. 7. Exercise regularly; finish a few hours before bedtime. 8. No naps. 9. Go to bed only when sleepy. Lay in bed only for sleeping, not for work or watching TV. 10. Designate another time to write down problems & possible solutions in the late afternoon or early evening, not close to bedtime. 11. After 10-15 minutes of not being able to get to sleep, go to another room to read or watch TV until sleepy. Consider chamomile tea before bed. Warm milk. Lavender oil in bath or lavender scent on pillow. Melatonin is very helpful. Acupuncture often works well for insomnia. Take care.
Aug 24, 2013

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