Depression and self-harm after taking sleeping pills?
I often find myself trapped in inexplicable feelings of sadness.
Perhaps others can't notice it during work, but once I'm off the clock and alone, feelings of depression, crying, and negative thoughts constantly arise.
Recently, I experienced a period of high stress and poor sleep, and I took some Zipsoon (a sleep aid) from my mom.
One time, after taking it, I lay down for an hour and still couldn't fall asleep.
On another occasion, after taking it, I woke up to find that I had been browsing photos of my ex-boyfriend on Facebook.
A few days ago, due to work stress, I started having trouble sleeping again.
This time, I took two pills, and the next morning, I noticed several dried blood stains on my left hand (thankfully, after cleaning the wounds, I found only two or three were deeper cuts, while the others were just minor abrasions).
When I got up, I saw my eyebrow razor in the middle of the bed and my phone on the floor.
After checking my phone, I found several pictures of myself with my eyes closed, but I had taken pictures of my bleeding wrist...
I'm so tired—physically and emotionally drained—but I still can't sleep well, and now I'm afraid to take sleeping pills again...
What should I do?
Rou, 20~29 year old female. Ask Date: 2021/03/24
Dr. Wu Enliang reply Psychiatry
Hello, user: This is somnambulism caused by Zolidem (the chemical name for Zipsoon, which is produced by various manufacturers in Taiwan with the same active ingredient).
This indicates that your body is not suited for this type of medication.
Regarding your feelings of sadness, the urge to cry, persistent negative thoughts, high stress, poor sleep, and fatigue, I am more concerned that it may be depression.
I recommend that you seek medical attention at a mental health facility.
Dr.
Wu Enliang
Reply Date: 2021/03/24
More Info
Struggling with depression and the use of sleep medications can be a complex and challenging situation. It’s important to understand the potential dangers associated with sleep medications, especially when they are used to cope with underlying mental health issues like depression.
From your description, it appears that you are experiencing significant emotional distress, which is exacerbated by sleep difficulties. The use of sleep medications, such as Zolpidem (known as Zipsoon in some regions), can sometimes lead to unintended consequences, including disorientation, memory loss, and even self-harm, as you've unfortunately experienced. These medications can create a false sense of security regarding sleep, but they do not address the root causes of insomnia or depression.
Understanding the Risks of Sleep Medications
1. Dependency and Tolerance: One of the primary concerns with sleep medications is the risk of developing a dependency. Over time, your body may require higher doses to achieve the same sedative effects, leading to a cycle of increased use and potential withdrawal symptoms when not taken.
2. Cognitive Impairment: Sleep medications can impair cognitive function, leading to confusion, memory issues, and even episodes of sleepwalking or engaging in activities while not fully awake. This can be particularly dangerous, as you've noted with your experiences of self-harm.
3. Masking Underlying Issues: While sleep medications can provide temporary relief from insomnia, they do not treat the underlying causes of depression or anxiety. This can lead to a cycle where the original issues remain unaddressed, potentially worsening over time.
4. Interaction with Other Medications: If you are taking other medications for depression or anxiety, such as SSRIs (Selective Serotonin Reuptake Inhibitors), there can be interactions that may exacerbate side effects or reduce the effectiveness of your treatment.
Recommendations for Moving Forward
1. Seek Professional Help: It’s crucial to consult with a mental health professional who can provide a comprehensive evaluation of your symptoms. They can help determine whether you are experiencing depression, anxiety, or another mental health condition that requires treatment.
2. Explore Alternative Treatments: Cognitive Behavioral Therapy (CBT) has been shown to be effective for both insomnia and depression. It focuses on changing negative thought patterns and behaviors that contribute to your emotional distress and sleep issues.
3. Medication Review: If you are currently taking sleep medications, discuss with your doctor the possibility of tapering off or switching to a different medication that may have a lower risk of side effects. Your doctor can also evaluate your current antidepressant regimen to ensure it is effective and appropriate for your needs.
4. Lifestyle Modifications: Incorporating healthy sleep hygiene practices can significantly improve your sleep quality. This includes maintaining a regular sleep schedule, creating a calming bedtime routine, and limiting screen time before bed. Additionally, engaging in regular physical activity and practicing mindfulness or relaxation techniques can help manage anxiety and improve mood.
5. Support Systems: Connecting with friends, family, or support groups can provide emotional support and reduce feelings of isolation. Sharing your experiences with others who understand can be incredibly beneficial.
Conclusion
Navigating depression and the use of sleep medications is undoubtedly challenging, but it is essential to prioritize your mental health and well-being. By seeking professional help and exploring alternative treatments, you can work towards a healthier and more sustainable approach to managing your symptoms. Remember, you are not alone in this journey, and there are resources and support available to help you through it.
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