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Doctor insights on: Sleep Anxious

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Dr. Heidi Fowler
5,052 Doctors shared insights

Sleep (Definition)

Sleep is a topic that involves concepts such as how long it takes to fall asleep, how many times one wakes up at night, how many hours one sleeps at night, sleep stages, ...Read more


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Starting taking 50 mg of trazodone tonight for first time for sleep.. Get anxious taking new drugs. Can I take 5-10mg valium if I get anxious tonight?

Starting taking 50 mg of trazodone tonight for first time for sleep.. Get anxious taking new drugs. Can I take 5-10mg valium if I get anxious tonight?

Ask your doctor: Can sometimes interact together to cause worsening drowsiness - see below:
https://www. Drugs. Com/drug-interactions/trazodone-with-valium-2228-0-862-441.html

Having said that in some cases is used together - but safer under your doctor's supervision rather than via this forum so please ask him/her. ...Read more

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Tried l-thianine (200 mg) instead of 5 mg Valium for sleep when anxious. Much better and no drowsiness next day. Is l- thianine addictive like valium?

Tried l-thianine (200 mg) instead of 5 mg Valium for sleep when anxious. Much better and no drowsiness next day. Is l- thianine addictive like valium?

Go L-Theanine!: There is not much clinical data on how well l-theanine works for sleep or anxiety. However, it is considered quite safe (as taken in tea, for example; mage-doses have not been studied). If l-theanine is working better for you than valium, I would definitely switch given the side effects and possible dependency issues with valium. ...Read more

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10 year old given Benadryl (diphenhydramine) to help with sleep when anxious. If it doesn't work can they take prescribed 1 mg of Ativan?

10 year old given Benadryl (diphenhydramine) to help with sleep when anxious. If it doesn't work can they take prescribed 1 mg of Ativan?

Prefer melatonin: Unless prescribed by his dr. I prefer something over the counter like melatonin 2 mg at bedtime and relaxation exercise with him. ...Read more

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Hi. Trouble sleeping. Stressed. Anxious. Neck & back are tenses/uncomfortable. What's the best way to treat this plus me not getting any proper sleep?

Hi. Trouble sleeping. Stressed. Anxious. Neck & back are tenses/uncomfortable. What's the best way to treat this plus me not getting any proper sleep?

Cause of anxiety?: Are you clear on what you are anxious about? We all have anxiety but when it significantly interferes w/functioning and comfort level we need assistance. Please see your doc for a check up and a mental health professional who deals w/anxiety. How's your diet and exercise level? Exercise early in the day, even brisk walking. Get off the computer at least 1 hr before bed. ...Read more

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I am experiencing difficulty sleeping. The following also describe me: Difficulty sleeping, Feeling anxious, Feeling depressed, and Difficulty stayi?

I am experiencing difficulty sleeping. The following also describe me: Difficulty sleeping, Feeling anxious, Feeling depressed, and Difficulty stayi?

Sleep onset disorder: You appear to have lots of thoughts running in your head when attempting to sleep; this is called sleep onset disorder. First line treatment is benadryl at 50mg at bedtime; 2nd line is over the counter melatonin supplementation, 3 rd line is you consult your pcp for possible treatment with sonata, ambien, etc. ...Read more

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I have trouble sleeping and getting anxious?

I have trouble sleeping and getting anxious?

See below: Are these new symptoms? Initially, I would suggest talking to your primary care doctor to assess why are you having anxiety, insomnia, etc. Your next steps should be taken based on whether the cause of your sx has been established. Meanwhile, you can practice relaxation (you can google the script); sleep hygiene, stress management to help you decrease tension. Good luck! ...Read more

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What to do if I cannot sleep. Feeling too anxious?

What to do if I cannot sleep. Feeling too anxious?

See below: What are you worried about? Is it everyday things or tomorrow or things that have not been done today? As dr. Fowler said, do relaxation, establish daily routines -- they make environment more predictable, no caffeinated anything. On the nights that you can sleep, what happens that helps you drift off? Monitor yourself, keep a diary and you might be able to figure out a pattern. Good luck! ...Read more

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Cant sleep, feeling too anxious about exam coming up. Any tips for me?

Cant sleep, feeling too anxious about exam coming up. Any tips for me?

Tips to address your: stress:
Talk about feelings & address problems. Don't avoid them. Aim for 7.5 - 8 hours of sleep/ night. Daily physical activity is optimal in a green space. Eat healthfully. Cut out junk carbs, caffeine & alcohol (or moderate). Try Qi Gong, Tai Chi, acupuncture, acupressure, homeopathy, meditation, Yoga, exercise program, deep breathing exercises or Progressive muscle relaxation. Take care. ...Read more

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I know im tired long day at work up for 17hrs and once I lay down I cant sleep and feel anxious?

I know im tired long day at work up for 17hrs and once I lay down I cant sleep and feel anxious?

Insomnia: Difficultly initiating sleep after long day of work usually due to inability to relax, but can be sign of something else. I consider this insomnia and I recommend you see you primary care doctor for this. Hope this helps. ...Read more

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I started Lexapro, (escitalopram) 5mg/day, 15 days ago and feel extremely restless/anxious. Sleep is awful. Is it worth it to continue? Will these feelings go?

I started Lexapro, (escitalopram) 5mg/day, 15 days ago and feel extremely restless/anxious. Sleep is awful. Is it worth it to continue? Will these feelings go?

Lexapro (escitalopram): Plus Prozac or cymbalta (duloxetine) can precipitate serotonergic syndrome. Any one of the agents can precipitate mania or hypo mania (any chance you might be bipolar?) don't combine the agents without strict supervision (heart rate, BP, temperature, etc) often switching from one serotonergic agent to another requires a wash out period of up to 2 weeks. ...Read more

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starting taking 50 mg of trazodone tonight for first time for sleep. I get anxious taking new drugs. If I get anxiety can I take a 5 -10mg valium?

starting taking 50 mg of trazodone tonight for first time for sleep. I get anxious taking new drugs. If I get anxiety can I take a 5 -10mg valium?

Ask your doctor: Can sometimes interact together to cause worsening drowsiness - see below:
https://www. Drugs. Com/drug-interactions/trazodone-with-valium-2228-0-862-441.html

Having said that in some cases is used together - but safer under your doctor's supervision rather than via this forum so please ask him/her. ...Read more

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Been having headaches, been getting much worse sleep than usual. Anxious & stressed. Can this be the cause? Or something sinister like gbm brain tumor?

Been having headaches, been getting much worse sleep than usual. Anxious & stressed. Can this be the cause? Or something sinister like gbm brain tumor?

Do you fear you have: A zebra? It sounds like a horse to me. Anxiety & stress can lead to headaches, musculoskeletal aches, & problems with sleep. Have you considered deep breathing exercises or progressive muscle relaxation to calm yourself? How about acupuncture, yoga or meditation? Make sure that you use excellent sleep hygiene. Retire & rise same time each day. Keep bedroom dark & cool & use only for sex & sleep. ...Read more

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Racing thoughts can't concentrate sleep prob irritable anxious (random)scream throwthings wen angry isolated can't move on jaded what psychosis r u having?

Racing thoughts can't concentrate sleep prob irritable anxious (random)scream throwthings wen angry isolated can't move on jaded what psychosis r u having?

See your PCP.: The symptoms suggest possible bipolar disorder. However, to get properly diagnosed, see your pcp to rule out other medical conditions and get referred to a psychiatrist if appropriate. Sometimes steroids can cause these symptoms as well. Good luck, . ...Read more

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Can my muscle twitching that's body wide (started 2 weeks ago)anxiety & lack of sleep im super anxious to the point I need counseling and now this?

Can my muscle twitching that's body wide (started 2 weeks ago)anxiety & lack of sleep im super anxious to the point I need counseling and now this?

Anxiety & insomnia: Hello. Your twitching may be related to your anxiety. If the anxiety & sleep problems are brought under better control and you still notice a muscle twitching - then medical evaluation could shed more light on the symptom. If you are not already in some form of counseling - recommend that. Cognitive behavioral therapy is especially helpful. Use excellent sleep hygiene. Take care. ...Read more

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Can you develop heart disease or diabetes type II from a week or so of lack of sleep and interrupted anxious sleep? :/

Can you develop heart disease or diabetes type II from a week or so of lack of sleep and interrupted anxious sleep? :/

No: Not a direct cause of heart disease or diabetes. Could worse the disease when establish. You mention you have chest pain and difficulty breathing and insomnia all symptoms of anxiety and/or depression. Another possibility is asthma, angina (doubt), gerd. See your physician for a better assessment through a physical and history. ...Read more

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I've recently started becoming anxious about sleep. What could be wrong with me?

I've recently started becoming anxious about sleep. What could be wrong with me?

Many possibilities: Find a sleep specialist. Could be due to a new anxiety disorder that's manifesting. High stress levels, etc. Seeing a sleep specialist will allow him/her to get a more thorough history and get to the likely root of the problem, and make referrals to psychiatry, etc if indicated. Good luck! ...Read more

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I have to have my last chemotherapy and I can't fall asleep. Could I be too anxious to sleep?

I have to have my last chemotherapy and I can't fall asleep. Could I be too anxious to sleep?

Anxiety can: Prevent us from falling asleep. Depression often wakes us up early. Anxiety in your situation is understandable. Please seek out a support group if available through your hospital or get a few sessions of supportive counseling w/a mental health professional. Peace and good health. ...Read more

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Can you tell me some suggestions on how to get sleep when your tired anxious and have a major migraine : (?

Can you tell me some suggestions on how to get sleep when your tired anxious and have a major migraine : (?

Treat the migraine.: If you can find a quiet place - do so. Breath in slowly ; deeply through your nostrils. Fill your lungs with air (but not to the point of discomfort). Hold for a count of five then slowly begin to exhale through an open mouth. Repeat at least 12 times, longer if you need to. Keep bedroom dark ; cool. Turn off tv. Can try warm milk, chamomile tea or melatonin along w light reading or warm bath. ...Read more

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For the past 3 days I had 6 or less hrs of sleep due to my crohns disease. Now I am extremely scared and anxious about sleep. Any ways to reduce anxiety?

For the past 3 days I had 6 or less hrs of sleep due to my crohns disease. Now I am extremely scared and anxious about sleep. Any ways to reduce anxiety?

Anxiety: Talking therapy ranks really high. Cognitive Behavioral therapy or psychotherapy can be effective. Aim for daily exercise, 8 hours of sleep per night & good nutrition w 5 servings of veggies & 4 of fruit per day. Try tai chi, yoga, Qi Gong, progressive muscle relaxation, deep breathing exercises & meditation. Don't isolate - spend time w friends & stay active. ...Read more

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I've been on Zoloft (sertraline) 150mg for years now and my anxiety is under control but the last few days I can't sleep and im not anxious I done get it, what coul?

I've been on Zoloft (sertraline) 150mg for years now and my anxiety is under control but the last few days I can't sleep and im not anxious I done get it, what coul?

Anxiety ; insomnia: Have you added any new medicines, supplements, or recreational drugs -- or stopped any of the same? Do you drink alcohol? Any changes to your pre-sleep routine? Anything worrisome on your mind? How is your mood, and your energy? These are some things i'd ask in working with you -- your own psychiatrist will want to know the same. Cognitive behavioral therapy can help w/insomnia also. ...Read more

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What can I take to help me sleep while breastfeeding. My baby sleeps well but I often wake and struggle to return to sleep because I feel anxious.

What can I take to help me sleep while breastfeeding. My baby sleeps well but I often wake and struggle to return to sleep because I feel anxious.

Talk to O B: No reason to feel anxious you and your baby are doing fine. Talk to your OB for help. And do not sleep with your baby in the same bed. ...Read more

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Tachycardia many times a night. Always am awakened 10 min after falling asleep with tach up to 180bpm. Something with sleep causing this? Not anxious!

Tachycardia many times a night. Always am awakened 10 min after falling asleep with tach up to 180bpm. Something with sleep causing this? Not anxious!

Testing needed: If you are not anxious and have tachycardia in the 180s, your next stop should be your primary care doctor who will likely order a Holter monitor (named after the inventor) which involves wearing a small device for several days to record your heart rate pattern for review by an electrophysiologist (a doctor who specializes in heart rhythm disturbances). Then meds will likely be prescribed. ...Read more

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Very anxious + bad sleep just had 4 pvcs in about 1-2 minute span + 1 earlier while laying down. Normal heart, labs and tests. Should I worry?

Maybe: If you have not seen a cardiologist, you should make an appointment to do so as soon as possible. Many things need to be looked into--including 24 hour monitoring to verify heart rate and pattern. You said tests were normal--but did not say what tests were done.
Caffeine may be an issue; thyroid may need to be checked. See a cardiologist. Good luck. ...Read more

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0 sleep Thursday night was anxious all day, yesterday maybe 6 hours last night but off & on Would this make my anxiety worse? Is that why I'm so tired after panic attack? Am I Going crazy? Also angry.

Not crazy but need: Behavioral health care. It is imperative that you see your doctor for an evaluation and if needed, seek consultation from a psychiatrist. Seeing a psychiatrist is not being crazy; not seeing one when you need to is insane!
Wish you good health! ...Read more

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Was dizzy tense and not sleeping well, got really anxious was given lorazapam 2 mgs by mistake, then given Ambien (zolpidem) could I have some brain issue from d?

Was dizzy tense and not sleeping well, got really anxious was given lorazapam 2 mgs by mistake, then given Ambien (zolpidem) could I have some brain issue from d?

Overdoing Medicine: I would imagine the combination of these pills really knocked you for a loop. That is like having drunk three bottles of wine all at once. Please do not continue taking these together or alone in any frequent way. If you stay away from them your brain should be just fine. ...Read more

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I have trouble sleeping, my weight is on and off all the time, I'm mad then sad always anxious, nervous. Is this stress? I can't sleep sometimes, always nervous, anxious, breaking out cause I'm nervous, minds constantly racing, I have mood swings one min

I have trouble sleeping, my weight is on and off all the time, I'm mad then sad always anxious, nervous. Is this stress? I can't sleep sometimes, always nervous, anxious, breaking out cause I'm nervous, minds constantly racing, I have mood swings one min

You: You need to be assessed by a health care professional before any medication can be recommended. Your symptoms could be consistent with a mood disorder, an anxiety order or there could be an underlying medical cause. It is clear that your symptoms are impacting your quality of life, so please get evaluated. ...Read more

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Second day of lexapro, (escitalopram) 5 mg, severe anxiety, headache, can't sleep, wake up very anxious when I try, tinnitus, sweating, dizzy. Help please?

Second day of lexapro, (escitalopram) 5 mg, severe anxiety, headache, can't sleep, wake up very anxious when I try, tinnitus, sweating, dizzy. Help please?

Stop Medication: If you are having these symptoms from Lexapro (escitalopram), (escitalopram) it could well be that you are having a well known side effect from the medication and you should stop it.
Tell the doctor that prescribed this Lexapro (escitalopram) about the symptoms and if the headache gets worse - go to the Emergency 'Room. Usually, stopping the medication will relieve the symptoms after a day or two.
Antidepressants may not be for you. ...Read more

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I am experiencing loss of sex drive. The following also describe me: Lethargy, Irritability, Feeling anxious, Trouble sleeping, and Heat sensitivity. What should I do?

I am experiencing loss of sex drive. The following also describe me: Lethargy, Irritability, Feeling anxious, Trouble sleeping, and Heat sensitivity. What should I do?

Consult: Together, these sound like they could be the symptoms of a state of depression. But there may be other causes. You need to consult a professional in person so they can asssess what the other possibilities are and whether they apply to you; and if this is actually a state of depression, as it sounds. Then he or she may also be able to suggest treatment or help for you. ...Read more

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What could cause dizziness, lack of sleep, some confusion, very anxious, migrains. Had inner ear infection loss of hearing yrs ago. Feeling frustrated?

What could cause dizziness, lack of sleep, some confusion, very anxious, migrains. Had inner ear infection loss of hearing yrs ago. Feeling frustrated?

Multiple Symptoms: It is important to see your doctor to assess your medical conditions, then consult a mental health professional who can help you with your anxiety and how to reduce your overall tension levels. Try to use the anti anxiety app for daily supportive help. My best. ...Read more

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I've been feeling very anxious and can't sleep. What could cause me to feel so anxious?

I've been feeling very anxious and can't sleep. What could cause me to feel so anxious?

Depends: There are many types of anxiety, many of which can be related to life changes or stress in ones environment. Anxiety can also be related to our physical health or the use of various substances. Sometimes however anxiety comes out of the blue, without apparent reason. Your family physician would be a good place to start in trying to understand why you're experiencing so much anxiety. ...Read more

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I get extremely anxious before exams and other important events and I can't sleep, what can I do to sleep?

Options: Warm milk or chamomile tea. Deep breathing exercises or progressive muscle relaxation. Go out for a run (but not close to bed time). Just tell yourself that you are not allowed to think about the test or stress about and then don't. Melatonin is also an option. ...Read more

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Hi, I'm embarrassed to ask this question, but have been extremely anxious about this all day to the point that I couldn't sleep last night. Last night I visited a strip club andy got a few lap dances from a stripper, who was fully nude. During the dance s

Hi, I'm embarrassed to ask this question, but have been extremely anxious about this all day to the point that I couldn't sleep last night. Last night I visited a strip club andy got a few lap dances from a stripper, who was fully nude. During the dance s

Glad you got: Beyond your embarrassment. Your entire question didn't come through. Try for a short brief question and someone will do his/her very best to be helpful. Peace and good health. ...Read more

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I feel so anxious all the time especially during the morning is this from sleep medicine wearing off?

I feel so anxious all the time especially during the morning is this from sleep medicine wearing off?

See a psychiatrist: I recommend that you see a psychiatrist to have you anxiety treated, preferably with something that is nonaddicting if possible. There are many antianxiety medications. Which you should take depends on a lot of factors, especially which of the anxiety disorders you have.Psychotherapy and over the counter meds and a variety of other treatments can also help. ...Read more

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I’m very very anxious and unable to sleep. I have to work 74 hours next week which is making me more worried. What are ways to relax?

Insomnia: There are many natural ways to help: th key is to limit the use of electronics, especially in bed room. How much tv, smartphone, & computer time do you have? What is your diet like? Do you exercise outside daily? Do you pray or meditate daily? We can help. Consult with us for range of treatment options. ...Read more

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I have been very anxious lately, and I think causing me to wake up after only 4-5 hours of sleep, what can I do and could this be the case?

I have been very anxious lately, and I think causing me to wake up after only 4-5 hours of sleep, what can I do and could this be the case?

Cant go back 2 sleep: It is likely that at 4am, you're having a hard time quieting your mind, try some relaxation to fall back asleep (visualization, music, etc). Create a consistent wake time and avoid naps. Go to bed only when you are tired. If you can't fall asleep within 20 mins, get out of bed until you're tired again. Avoid substances that impact sleep, like alcohol. ...Read more