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. Z Your Own Question

Dr. Z
Dr. Z, Psychologist
Category: Mental Health
Satisfied Customers: 5088
Experience:  Psy.D. in Clinical Forensic Psychology with a background in treating severe mental illnesses.
74815544
Type Your Mental Health Question Here...
Dr. Z is online now
A new question is answered every 9 seconds

I have lost my job 2 weeks ago. I have not slept at all.It

Resolved Question:

I have lost my job 2 weeks ago. I have not slept at all.It feels like my mind is turned on all the time. I want to move on I am trying to let go but it keeps hanging on.
Submitted: 10 months ago.
Category: Mental Health
Expert:  Dr. Z replied 10 months ago.

Dr. Z :

Hello I believe I can help you with your concern

Dr. Z :

I am so sorry that you are going through these symptoms currently, I can imagine how distressing this is for you

Dr. Z :

It sounds like you are definitely experiencing a significant amount of anxiety, which is natural for what you are currently going through

Dr. Z :

I would like to recommend a type of therapy called Cognitive Behavioral Therapy (CBT), which is the most evidence based therapy to treat anxiety/stress and is very effective too. CBT has a premise that your symptoms are caused by negative thoughts, so if we change your thought process to be more positive and objective as well, then your symptoms will lessen.


 

Dr. Z :

So this link may help you, it contains a technique I use with patients called a thought record. It will help you keep track of any negative thoughts you have. You put the negative thought on paper, the emotion accompanying, the evidence to support it, and the evidence against it. Then I want you to come up with an alternative thought for the situation (more objective and plausible). This will help you change your way of thinking to be able to think more positive and not automatically go to a negative type of thinking.

Dr. Z :

In addition, these two worksheets are very good at helping lessen anxiety symptoms. It can help you focus on the big picture and the objective/positive thoughts and outcomes.

Dr. Z :

Also individuals with severe anxiety have a poor coping mechanism, so this worksheet will help you develop a better coping strategy to manage your symptoms better.

Dr. Z :

This is a link for something called Progressive Muscle Relaxation that can help you create a long term calm by using muscle tension and release techniques; it can help manage your anxiety and is very similar to a style of meditation.

Dr. Z :

These two books are also really effective in helping manage anxiety as well.

Dr. Z :

Now for the supplements, the St. Johns Wort, Omega-3, Glutamate, Passion Flower, KAVA, Magnesium supplements, and Valerian root can be added to increase anti-anxiety effects as well

Dr. Z :

For your difficulty sleeping I would recommend the use of a natural supplement called Melatonin that should be able to help you sleep better too

Dr. Z :

Now if you wanted medications, as therapy is a gradual process and may take some time to be effective for you, while the medications can work very quickly I would recommend the use of Lexapro at 10-20mg as it is a newer generation of a SSRI antidepressant and is very effective with minimal side effects. Also you can choose to add a benzodiazepine (e.g. Ativan, Xanax, or Klonopin) at night to help lessen your anxiety and help you sleep too as they have sedative properties. Now the benzodiazepines are very physically addicting, so they should be used at a low dosage and only as needed

Dr. Z :

The medications are very effective, but they only lessen the symptoms and are not a cure. Only therapy is a true cure, for this anxiety you are feeling. By the way the technical term for this would be called an Adjustment Disorder with Anxiety

Customer:

I do not feel any anxiety

Dr. Z :

Really? What do you feel then?

Customer:

It is hard to explain MY head feels like it is on all the time I fell emotion less

Dr. Z :

Well it could be a mix of depressive symptoms and anxiety symptoms, as these are very commonly seen together (around 65 percent of the time). The mind racing like you are describing is very indicative of anxiety that is why I thought it was anxiety at first. It could be very difficult to understand what you are feeling right now because your mind is still adjusting to everything

Customer:

after 2 weeks

Dr. Z :

The "emotion less" feeling you described is called numbing and is more associated with depressive symptoms.

Customer:

how can I help my self

Dr. Z :

Well those CBT techniques I listed earlier are great and very effective for both anxiety and depressive symptoms as these symptoms are associated with adjusting to losing your job 2 weeks ago. Also the natural supplements and the medications if you choose to have them are also effective for both of these symptoms

Dr. Z :

Also this is a treatment book on depressive symptoms that I would like to add to the other books too

Dr. Z :

Obviously a therapist who specializes in CBT would be more ideal, but you mentioned that financial constraints make that difficult, so I wanted to give you this self-help option that is very effective too

Dr. Z :

Also this is a self-help website with many many more good techniques to help with your symptoms as well.

Dr. Z :

The good news is that because this is an adjustment disorder it is usually temporary and the symptoms will resolve on their own, but with the CBT techniques it will resolve a lot faster for you

Customer:

Thanks for your help Can I get this sent to my email so I can check these resources

Dr. Z :

Actually I do not have access to your email as the administrators prevent the experts from accessing that information to keep you personal information private, but when you finish rating me, this chat will be sent as a link to your email, if it has not already, so you can always use it for future reference. In addition, this chat will be saved in your JA account under My Questions so you can always go back to it when you need to

Customer:

can I get this sent to my email so I can check out these resourses? Thank you for your help

Dr. Z :

Well like I said I do not have access to your email, but once you rate me a link of this chat should be sent to your email so that you will always have access to it. And also this chat will be saved on your JA account as well

Dr. Z, Psychologist
Category: Mental Health
Satisfied Customers: 5088
Experience: Psy.D. in Clinical Forensic Psychology with a background in treating severe mental illnesses.
Dr. Z 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