How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Steve Your Own Question

Dr. Steve
Dr. Steve, Psychologist
Category: Mental Health
Satisfied Customers: 370
Experience:  19 years conducting therapy; book author; newspaper columnist; former co-host of radio show
Type Your Mental Health Question Here...
Dr. Steve is online now
A new question is answered every 9 seconds

For 50 years my wife has been unable to sleep properly. Born

Resolved Question:

For 50 years my wife has been unable to sleep properly. Born in June 1945, at the age of 15 her mother had a stroke;after that event Jean was detailed,as the youngest sibling, to look after her mother. At the age of 21 she was in charge of dispensing her mother's sleeping tablets(her mother was also an insomniac) and after administering the daily dosage, one particular night, her mother died. Since then Jean has been unable to achieve a full night's sleep.
In the last 10 years Jean has taken to relying on wine on a daily basis to achieve a night's sleep;her doctor says she has to relinquish alcohol to start to be treated for the problem.As her husband, I think the problem started 50 years ago with the guilt of lack of support in treating her mother(reinforced by older female family members who thought Jean,as the youngest, was the daughter responsible for care of their mother)
Jean is willing to do whatever is necessary to talk about the problem and resolve it.
It's been a long time!!
Submitted: 4 years ago.
Category: Mental Health
Expert:  Dr. Steve replied 4 years ago.

Greetings:

 

Great question, thanks for writing. Your wife is going through a difficult period, but I think you are right on the money with your armchair assessment of the problem (you do know her well). I agree that guilt has been a tremendous negative force in her life, and may be the primary motivator influencing her decisions and behavior right now. Based upon the description you provided, your wife not only has the guilt feelings throbbing internally, but the people she was closest to in her life (i.e., her sisters) did all they could to overtly and covertly reinforce the guilt.

 

However, her doctor was also correct in that any medical intervention - or psychological, for that matter - should begin without the anesthetizing effects of alcohol clouding her mind. My overall advice is to get her to a mental health professional, but a talk therapist rather than a psychiatrist for the time-being. A prescription may be necessary (especially in the short run to help her rest at night), but I would rather a therapist be the center of the wheel for her treatment. Here's why:

 

A talk therapist will have more contact with your wife and will be best able to gauge her diagnosis, her treatment progress, and her mental health needs. A psychiatrist will be happy to help with the medical management, but they tend to rely upon the evaluations done by the therapists because the therapist is usually more thorough in the data they consider. Given your wife's extensive history both with emotional pain and with sleeplessness, there are a lot of variables to consider.

 

Lastly, you should be on the lookout for other unhealthy coping strategies your wife may employ while the process is still in its infancy. Once you remove alcohol AND begin to tear away at the emotional scabs holding back the pain of her youth, she may turn to other means of self-soothing. She may begin to shop a lot, for example. Or maybe begin to take other pills (maybe over-the-counter medications) to try to keep the pain and frustration at bay. Whatever the case, long-term alcohol use tends to seep into the brain and convince it that it will need SOMETHING to manage the burgeoning anxiety.

 

I wish you well. Your wife has some very tough work to do - it is difficult to open yourself to the emotional torment that you felt would utterly consume you when you were younger (which is why it was potent enough to disrupt sleep and call for wine), but there is hope. Treating trauma like hers will take some time, but it is relatively routine - a good therapist should know what to do and will begin immediately.

 

If you are satisfied with the response, please hit "Accept." That is the only way I receive credit for my answer. Thanks-

Dr. Steve

Dr. Steve, Psychologist
Category: Mental Health
Satisfied Customers: 370
Experience: 19 years conducting therapy; book author; newspaper columnist; former co-host of radio show
Dr. Steve and other Mental Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education