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Doctor insights on: Sleep Restriction Therapy For Insomnia

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Treatment and control for sleep deprivation?

Treatment and control for sleep deprivation?

Sleep deprivation: Everyone has a natural drive to sleep a certain amount at night. We tend to feel tired if we do not get this. What is your amount? Do you fall asleep during the day? I suggest you try to sleep 8 hours in a row at night for several days to evaluate this. Why are you not sleeping? ...Read more

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Dr. Heidi Fowler
1,704 doctors shared insights

Insomnia (Definition)

A sleep disorder in which you cannot fall or stay asleep. It usually accompanies another sleep, medical, or psychiatric disorder, and can lead to memory impairment, mood changes, and increased risk of ...Read more


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Is melatonin good for sleep maitenence insomnia?

Is melatonin good for sleep maitenence insomnia?

Periodic insomnia: Melatonin can help with sporadic insomnia. Many conditions can contribute to insomnia. Best idea is to see a psychiatrist to investigate your insomnia and its cause(s). A sleep study may even be needed. Then the best treatment plan can be developed with you. ...Read more

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I suffer with chronic insomnia and sleep apnea. I've taken different medications for depression, anxiety and sleep many years. Medications aren't work?

I suffer with chronic insomnia and sleep apnea. I've taken different medications for depression, anxiety and sleep many years. Medications aren't work?

Difficulty falling: asleep is often associated w/anxiety while waking up early and not returning to sleep is associated w/depression. Periodic waking is associated w/overall light sleep. A clinical psychologist can help w/stress management. Peace and good health. Natural treatment includes melatonin supplement but w/professional guidance. Stop all stimulants after noon. ...Read more

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Best medication(s) for anxiety and panic attacks mainly in sleep, suffering from night terrors and sleep paralysis causing hours of lost sleep and sleep deprivation and added increased anxiety etc ?

Best medication(s) for anxiety and panic attacks mainly in sleep, suffering from night terrors and sleep paralysis causing hours of lost sleep and sleep deprivation and added increased anxiety etc 
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Night terrors: From experience teaching Planned Dream Intervention to over 35,000 people world-wide, I most strongly recommend learning this skill over any medication. When you have disturbing experiences you are going to have unusual or frightening content in your dreams but there is no validity to dream interpretation. My No More Nightmares class teaches clients how to sleep through their dreams-without drugs! ...Read more

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Best medication(s) for anxiety and panic attacks mainly in sleep, suffering from night terrors and sleep paralysis causing hours of lost sleep and sleep deprivation and added increased anxiety etc ?

Best medication(s) for anxiety and panic attacks mainly in sleep, suffering from night terrors and sleep paralysis causing hours of lost sleep and sleep deprivation and added increased anxiety etc ?

Psychotherapy?: Have you yet tried any form of psychotherapy? Typically, the optimal combination of things to treat emotional issues such as anxietyor 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. ...Read more

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Is trazodone(desyrel) for anxiety and sleep problems?

Is trazodone(desyrel) for anxiety and sleep problems?

See below.: Trazodone is an antidepressent, called serotonin modulator. It's an antidepressant, but other uses for it include insomnia and anxiety. If you have any questions regarding this med, please talk to you prescribing physician or a pharmacist. ...Read more

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Severe insomnia on arimidex (anastrozole)? Is trazadone a good drug for sleep and anxiety

Severe insomnia on arimidex (anastrozole)? Is trazadone a good drug  for sleep and anxiety

See ans: If Armidex is causing insomnia, you might first try changing the time you take it. If you take it in the morning, try bedtime dose. Trazodone combined with Accuretic, (hydrochlorothiazide and quinapril) which you take, may have additive effects lowering your blood pressure. Melatonin at night may help with no drug interactions. Discuss with your doctor. Also limit caffeine which will keep you awake. I hope this helps. Take care. ...Read more

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Is there any medication for obstructive sleep apnea?

Is there any medication for obstructive sleep apnea?

See your PCP: Many treatment options are available for obstructive sleep apnea. The recommended therapy for sleep apnea depends on its severity, which is usually determined by a sleep study or examination. See your PCP for evaluation and referral for sleep study and management. ...Read more

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Which is better for sleep and starting sleep Ambien or lunesta (eszopiclone)?

Which is better for sleep and starting sleep Ambien or lunesta (eszopiclone)?

Try other means 1st: The best sleep is natural sleep. If you're having trouble sleeping, try simple changes: don't go to bed if you're not sleepy, avoid caffeine and alcohol, and don't exercise late in the day. Stay off your computer or phone late in the evening; bright screens can interfere with natural sleep cycles. Try meds only under a doctor's care and for occasional, not daily use. Good luck! ...Read more

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Is weight loss effective at treating sleep apnea?

Is weight loss effective at treating sleep apnea?

Yes: Weight loss is a corner stone of the treatment in sleep apnea. Returning the body mass index to a normal range can lead to an improvement, if not even the cure of sleep apnea. ...Read more

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Let's talk about insomnia. Currently, on clonazepam for anxiety but uncomfortable increasing for sleep aid, also doesn't work well there. Options?

Let's talk about insomnia. Currently, on clonazepam for anxiety but uncomfortable increasing for sleep aid, also doesn't work well there. Options?

Difficulty falling: asleep is often associated w/anxiety while waking up early and not returning to sleep is associated w/depression. Periodic waking is associated w/overall light sleep. Please see you doc who may order a sleep study. A psychologist can help w/stress management. Peace and good health. Natural treatment includes melatonin supplement but w/professional guidance. Stop all stimulants after noon. ...Read more

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Is tms indicated for someone with long term chronic general anxiety and social anxiety ?

TMS for Depression: Primarily indicated for depression that is refractory to adequite pharmacotherapy i.e., proper dose levels & adequate time on drug;. ...Read more

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Is hypnotic therapy for anxiety effective?

Is hypnotic therapy for anxiety effective?

Yes it can be: In hypnosis, you're focusing very intensely on the hypnotist's voice & suggestions, screening out other things. It can be like getting involved in an exciting movie. Through practice, can learn how to focus on things other than anxious body symptoms -- which if you do that, they enlarge. Or there can be reframing of physical symptoms. Self-hypnosis can be very useful also. Session recordings help. ...Read more

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Can chronic insomnia (20+ yrs) be cured? I've tried meds (otc & rx), cbt, sleep hygiene, meditation, sleep study (ruled out apnea). None seem to help.

Can chronic insomnia (20+ yrs) be cured? I've tried meds (otc & rx), cbt, sleep hygiene, meditation, sleep study (ruled out apnea). None seem to help.

Hopefully: I tend to believe most conditions can be cured with proper treatment. You have tried the conventional therapies so i would consider alternative therapies- herbs and supplements like 5-htp ; glycine, classical homeopathy, chinese medicine etc. Also consider cranial electrical stimulation. I can't not mention that Adderall (dextroamphetamine and racemic amphetamine) might be significantly contributing to your insomnia.Work with a holistic dr. ...Read more

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Age 50, suffer from insomnia. Which sleep aid is safer (cognitive impairment, dependence, etc.) for long-term daily use, Hydroxyzine or Zaleplon?

Age 50, suffer from insomnia. Which sleep aid is safer (cognitive impairment, dependence, etc.) for long-term daily use, Hydroxyzine or Zaleplon?

Difficulty falling: asleep is often associated w/anxiety while waking up early and not returning to sleep is associated w/depression. Periodic waking is associated w/overall light sleep. Please see you doc who may order a sleep study. A psychologist can help w/stress management. Peace and good health. Natural treatment includes melatonin supplement but w/professional guidance. Stop all stimulants after noon. ...Read more

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Is klonopin (clonazepam) an effective maintenance treatment for extreme stress along with CBT and an ssri?

Is klonopin (clonazepam) an effective maintenance treatment for extreme stress along with CBT and an ssri?

Sedatives: No. It is a sedative. It is not a cure, or a treatment. It is to numb up the feelings or emotions and is highly addictive. It is for intermittent and short term use for a situational problem. Anxiety can be overcome but not by these type of pills. ...Read more

Dr. Heidi Fowler
5,027 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