Have Mental Health Questions? Ask a Psychiatrist Online
Hello, I am Rafael. Thanks for asking your question - I'm here to support you.
Hi! I am truly sorry to know you have been coping with insomnia this long.
yeah well it's a bit of a struggle to hold down a job
You are a young person and cannot imagine how tough things could get when not getting a good rest you need and deserve.
Have you got all the necessary medical-neurological evaluations to identify the cause of this insomnia or the factors worsening it?
yeah they sure do, i lose the ability to cope in work situations and find it reakly frustrating. what's more i dont like employers to know i have insomnia because they think of it as some kind of weakness
That's very frustrating but real.
What about evaluations?
i don't have any neurological evaluations but have seen a gp who put me on a couple anti anxiety/antidepressants because i have sleep anxiety as well.
no formal evaluation that i'm aware of.
I see, then there could be the root of your insomnia but it is always wise to get those evaluations completed.
im in nz. you?
Right now traveling in South America
your office must be pretty nice today!
do you think i shoud see a specialist?
The antidepression medication was for the insomnia too, you said you have anxiety, right?
Psychotherapy, even more considering you got this anxiety disorder, my best guess is that it could be very psychogenic
sleep anxiety. it's different to anxiety disorder although i am quite hihly strung i dont think i have anxiety disorder.
depression, maybe, anxiety, not so much. i'm not saying i'm not an anxious personality, but not to the point of needing drugs.
What circumstances were you facing 5 years ago when this problem started?
Then it is psychotherapy what you need more than anything, since it could easily create or worsen insomnia and anxiety too.
i have had spates of insomnia since i was about 10, usually in times of change.
I see, then that points at how sensitive you are and how your emotions get expressed-impact on your body-physiology and specifically your sleep.
then 5 years ago when it got really bad, i had extreme stress inmy life from all different angles. i had no money, i was trying to study full tie and work full time too, i was having relationship probems (my partner was a problem gambler) and i did suffer from long bouts of depression.
Then I truly think that could be it, it does perfect sense
Depression and anxiety appear as a reaction from your body-psyche to overwhelming experiences you do not know how to cope with.
yeah, well now many of the stressors are gone. in five years my life has changed a lot for the better. we have (almost) enough money for the basics now, we've moved to the city where my partner can find work (we were extremely poor before)
we can;t afford to live in a decent house and have a very cold little apartment, when it gets cold i can't sleep. i will always have bouts of insomnia for the rest of my life, i just don't see them ever stopping. what should i do?
Counselign or psychotherapy to work on any depression-anxiety and improving coping skills.
yeah, that would be great if i could afford it! i'll have to see if theres a way i can get a subsidiesdservice. what would you recommend for a different drug from zopiclone? i sem to be completely immune to them
Apparently it is through sleep problems that your anxiety and depression express themselves the most, and the approach to improve your sleep must be based on those areas.
yeah i know. i really hope i can find a place i can afford.
You need and deserve to feel better and I feel hopeful about you, I would not state that you have to undergo insomnia for the rest of your life, but that things could improve if you get the adequate support.
yeah you're right. can i keep this transcritp for future reference?
This is already saved in your account.
And it is accessible even from Google, since this is public information
cool. thanks so much you've been fery helpfyl!