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I have depression, anxiety, some OCD and racing thoughts. I…

I have depression, anxiety, some...
I have depression, anxiety, some OCD and racing thoughts. I also have insomnia. I always get insomnia when depressed. I was prescribed Prozac but am wondering about Lexapro due to the fact that I'm getting very little sleep already. I want something that will work on the depression, anxiety, OCD and racing thoughts but not make the insomnia any worse. What do you recommend?
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Answered in 25 minutes by:
7/27/2017
LeahMSWuofm
LeahMSWuofm, Clinical Social Worker
Category: Mental Health
Satisfied Customers: 817
Experience: 10 years post-MSW experience
Verified

Hi, thanks for writing. One of the anti-obsessional anti-depressants that can impact sleep in a positive way is Zoloft, which has a more common side effect of drowsiness. However, the difficulty with these meds including Prozac, Zoloft, and Lexapro is while drowsiness is a frequent side effect of them, they also list insomnia, so it really depends person-to-person how these meds will impact you. Figuring this out can take some trial and error including adjusting times of day when you take the medicine.

Have you asked your doc to consider alternative meds to help with the insomnia like melatonin or trazadone? Also, would you consider tackling your insomnia from the behavioral angles utilizing approaches such as tending to sleep hygiene and potentially undergoing cognitive behavioral therapy targeted at insomnia (CBT-I)?

http://www.sleepassociation.org/patients-general-public/insomnia/sleep-hygiene-tips/

http://www.sleepeducation.org/treatment-therapy/cognitive-behavioral-therapy

http://www.cbtforinsomnia.com/

I am here to chat!

-Leah

LeahMSWuofm
LeahMSWuofm, Clinical Social Worker
Category: Mental Health
Satisfied Customers: 817
Experience: 10 years post-MSW experience
Verified
LeahMSWuofm and 87 other Mental Health Specialists are ready to help you
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Customer reply replied 6 months ago
Thanks for your answer. I will talk to my doctor about the things you mentioned.

You're welcome!! I hope you feel your best soon. Thank you for the rating!

-Leah

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LeahMSWuofm
LeahMSWuofm
LeahMSWuofm, Clinical Social Worker
Category: Mental Health
Satisfied Customers: 817
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