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Anxiety attack in 86 yearly causing sleeplessness. The last…

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Anxiety attack in 86...

Anxiety attack in 86 yearly causing sleeplessness

Doctor's Assistant: How long have you been dealing with this? Is there anything in particular that seems to make the symptoms better or worse?

The last 4 or for years seems to happen it normal daily activities are changed such as time schedules or traveling and being in a different place

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

I am very active for my age and can control the feelings if i get up and be acrive but then normal sleep patterns are interupted

Submitted: 1 month ago.Category: Medical
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Answered in 4 minutes by:
12/29/2017
Doctor: Dr. Arun Phophalia, Doctor replied 1 month ago
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 37,244
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
Verified

Welcome to Just Answer.
Answers here are for education and information.
I will respond shortly with an answer, or further information request.

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Doctor: Dr. Arun Phophalia, Doctor replied 1 month ago

Have you tried anything for anxiety attacks and sleep issues?

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Customer reply replied 1 month ago
Two years ago I went to an urgent care facility when this situation first started and I was alarmed and confused. She gave me a prescription that seemed to calm me down I only used once. But I haven’t used it again because I don’t want to become addicted to it. Unfortunately I can’t remember the name of it.
Doctor: Dr. Arun Phophalia, Doctor replied 1 month ago

Thanks for the additional information. I am writing the detailed answer for you and will get back to you in 4-5 minutes. If you get a phone call request, you may ignore it as that is an automated site trigger. Thank you

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Doctor: Dr. Arun Phophalia, Doctor replied 1 month ago

Anxiety can be treated by the following measures by yourself;

1) Cognitive-behavioral therapy (CBT) and operant-behavioral therapy (OBT); done by a psychologist.

2) Relaxation training and biofeedback.

3) Hypnosis

4) Acupuncture and acupressure

5) Yoga

6) Meditation

7) Group sporting activities

8) St. John's wort

9) Melatonin
10) Valerian root.

The goals of the treatment of Insomnia are;

1) To improve related daytime impairments

2) To improve sleep quality.

Cognitive-behavioral therapy (CBT) is also considered the most appropriate treatment for patients with sleep issues (insomnia). The components of CBT are;

1) Sleep hygiene education

2) Cognitive therapy

3) Relaxation therapy

4) Stimulus-control therapy

5) Sleep-restriction therapy

Phytotherapy for the treatment of insomnia is an exciting new therapeutic option, which might benefit patients suffering from different degrees of insomnia. Insomnia or sleeplessness is a disorder characterized by difficulty initiating or maintaining sleep. It affects sleep quality and quantity leading to increased morbidity. Sleep disturbances are thought to be caused by abnormalities of the circadian system as indicated by misalignments of the endogenous circadian cycle and the sleep-wake cycle. Several contributory factors may be involved such as stress, health status, and medicines (e.g. caffeine).

Treating insomnia is a big challenge as the available medications are associated with several side-effects. Herbal medicines are being looked at as an ideal replacement for these medications. Among the ethnobotanicals used for sleep disorders, Valeriana officinalis and Ziziphus jujuba have been evaluated for pharmacological or clinical efficacy against insomnia. Sedative-hypnotics are the most commonly prescribed drugs for insomnia. Though not usually curative, they can provide symptomatic relief when used alone or adjunctively:

Short- and intermediate-acting benzodiazepines (triazolam, temazepam, estazolam)
Eszopiclone
Zolpidem
Zaleplon
Ramelteon

A physical illness is uncommon with the sleep issue. An off and on sleeplessness need to dig the cause for underlying anxiety, depression or other related issue. A thorough evaluation by the history is done to reach to a conclusion. Accordingly the medical treatment is commenced. The precipitating factors can be;

1) depression,

2) anxiety,

3) sleep-wake schedule changes,

4) medications,

5) other sleep disorders,

6) medical conditions

7) work-related issues

8) family problem,

9) health events.

All these in isolation or in combination play problems in sleep issues. Good sleep cycle, handling the specific problem, counseling, cognitive-behavioral therapy, medications are employed for the treatment.

Following measures are helpful;

1) Avoid if you do;

a) caffeine or alcohol use,

b) environmental noise,

c) inappropriate room temperature,

d) watching TV in bed.

e) avoid large meals in dinner.

2) Relaxation techniques

3) Acupressure and acupuncture.

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Doctor: Dr. Arun Phophalia, Doctor replied 1 month ago

Was this information helpful to you? I would be glad to answer any further questions.

It is privilege assisting you.

Please let me know if you have further queries or unanswered questions.

Please consider a positive 5 star rating if this interaction has been satisfactory, as this is the only way we experts are credited and compensated for the time and work. You are not charged again for giving a rating.

The rating button is on the left upper side of this thread.

You can continue to ask questions after positive feedback.

Thank you.

Wishing you all the very best in life.

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Happy new year 2018.

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