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I have a question regarding anti-anxiety and sleeping

Customer Question
hi JA: Hello. How can I...
hi
JA: Hello. How can I help?
Customer: I have a question regarding anti-anxiety and sleeping tablets. Can you help me with this?
JA: How long have you been dealing with this? Is there anything in particular that seems to make the symptoms better or worse?
Customer: Since 2014
JA: Anything else in your medical history you think the Psychologist should know?
Customer: I have GAD and take Lexapro. I have developed a fear of going to sleep at night / getting a good night sleep since I had my first child. I have a panic attack if I don't think I can fall asleep at night. I have no troubles having a nap in the day. Since Feb 2017, I have been taking Ambien to fall asleep & I now think I can't go to sleep without it. I have been doing this as I feel in control & rested the next day. I now feel more anxious as a result of thinking I have a dependency issues, but continue taking them so I don't feel fear or anxiety at night.
Submitted: 3 months ago.Category: Mental Health
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Answered in 9 minutes by:
9/6/2017
Mental Health Professional: Linda D., Psychotherapist, LMSW, CASAC replied 3 months ago
Linda D.
Linda D., Psychotherapist, LMSW, CASAC
Category: Mental Health
Satisfied Customers: 749
Experience: LMSW, CASAC
Verified

Welcome to JA. My name is ***** ***** I am a licensed psychotherapist in private practice in NYS. I am preparing my reply and will post in one moment.

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Mental Health Professional: Linda D., Psychotherapist, LMSW, CASAC replied 3 months ago

You are explaining perfectly the paradox of engaging in a behavior.....any behavior (but in your case taking Ambien) as a solution to your sleep problem and then pradoxically believing that you can not go to sleep without it which reinforces that you can not sleep. Yes, it is a vicious cycle, but it can be broken. One of my clients brought to my attention a book she purchased that helped with her insomnia that also had become an anxiety issue for her. I have since recommended this book to several others who have found it to be helpful. I will post the name and author in my next thread if you think this would be helpful for you. Sincerely, ***** ***** LMSW, CASAC

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Linda D.
Linda D.
Linda D., Psychotherapist, LMSW, CASAC
Category: Mental Health
Satisfied Customers: 749
749 Satisfied Customers
Experience: LMSW, CASAC

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