What are the medical reasons for my insomnia, and how do I overcome them?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am having problems with sleep. Sometimes after I fall asleep, I get up but cannot open my eyes or mouth. I am conscious but cannot get up. Also, I wake up feeling exhausted. I have had this problem for the past three years after facing a few problems with my job. I do not take medications, though I sometimes try Unisom when I am having trouble sleeping. I have been told that there is a spiritual reason for this, but I would like to know whether this is a medical or psychological issue or not. Please guide me.

Thank you.

Answered by Dr. Aneel Kumar

Education:

FCPS

Professional Bio:

Dr. Aneel Kumar is a Consultant Psychiatrist and Assistant Professor of Psychiatry at Jinnah Medical and Dental College, Suhail University. With extensive clinical and academic experience, he also serves as the in-charge of the Department of Psychiatry and is an executive member of the Pakistan Association for Mental Health (PAMH). He is also a registered member of the Pakistan Psychiatric Society. Dr. Kumar has played an active role in advancing mental health awareness through workshops, seminars, and continuing medical education (CME) programs for medical students, healthcare professionals, and the corporate sector. He is experienced in diagnosing and managing a wide range of psychiatric conditions and is committed to improving mental health outcomes through patient-centered care, education, and advocacy.

This doctor is not available for online consultations on the platform anymore.

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Hello,

Welcome to icliniq.com.

Sleep disturbance is one of the symptoms of depression and anxiety as well. Do you have any futuristic fears, worries, anxieties, or apprehensions related to the past event you mentioned in your history? If yes that you have to see how it affects your daily life apart from sleep disturbance. Taking an antihistamine for sleep is not a good idea; it is better to have a proper psychiatric assessment. Psychiatric treatment has two modalities medication and psychotherapy sessions. People with mild symptoms do not require medication but counseling. If symptoms are sufficient enough to affect the quality of life, it is better to be on medication to get back to normal life because continuous illness may cause other medical issues.

My advice:

  1. Go for a daily walk for at least 30 minutes on an empty stomach.
  2. Spend quality time with family and friends.
  3. Identify negative thoughts in your mind and discuss them.
  4. Have a healthy diet.
  5. Avoid alcohol, smoking, or any other addictive substances.

Feel free to revert in case of any queries.

Thank you.

Medically reviewed by iCliniq medical review team
Published At December 5, 2022
Reviewed At December 7, 2022

Education:

FCPS

Professional Bio:

Dr. Aneel Kumar is a Consultant Psychiatrist and Assistant Professor of Psychiatry at Jinnah Medical and Dental College, Suhail University. With extensive clinical and academic experience, he also serves as the in-charge of the Department of Psychiatry and is an executive member of the Pakistan Association for Mental Health (PAMH). He is also a registered member of the Pakistan Psychiatric Society. Dr. Kumar has played an active role in advancing mental health awareness through workshops, seminars, and continuing medical education (CME) programs for medical students, healthcare professionals, and the corporate sector. He is experienced in diagnosing and managing a wide range of psychiatric conditions and is committed to improving mental health outcomes through patient-centered care, education, and advocacy.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Aneel Kumar
Dr. Aneel Kumar

Psychiatry

Education:

FCPS

Professional Bio:

Dr. Aneel Kumar is a Consultant Psychiatrist and Assistant Professor of Psychiatry at Jinnah Medical and Dental College, Suhail University. With extensive clinical and academic experience, he also serves as the in-charge of the Department of Psychiatry and is an executive member of the Pakistan Association for Mental Health (PAMH). He is also a registered member of the Pakistan Psychiatric Society. Dr. Kumar has played an active role in advancing mental health awareness through workshops, seminars, and continuing medical education (CME) programs for medical students, healthcare professionals, and the corporate sector. He is experienced in diagnosing and managing a wide range of psychiatric conditions and is committed to improving mental health outcomes through patient-centered care, education, and advocacy.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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