Anxiety: Coping with Sleep Issues and Emotional Distress

Hello, doctor?

I am experiencing difficulty falling asleep, waking up early, and having frequent dreams, which led me to seek medical attention.
Currently, I take one capsule of Yongkang and Shubilang with each meal, and before bed, I take two capsules of Fanduo, two capsules of Jing'an Ning, one and a half capsules of Lianduomian, and two capsules of Xinlv Ding.
I have been on this regimen for nearly two years, yet I still continue to wake up early and have vivid dreams.
Every day, I feel groggy, have body aches, and experience dizziness.
I often forget things and find it hard to control my tendency to magnify situations to their worst outcomes, which leads to feelings of fear and palpitations.
I dislike talking to others and often feel like my emotions are about to explode.
I have a strong urge to cry or express my anger.
I am constantly preoccupied with cleaning the bathroom at home, and I feel exhausted and wish I could just give up, but I can't bear to leave my children behind.
Each day feels like a painful struggle as soon as I open my eyes.
I want to ask if it is possible to not heal after taking medication for such a long time.
I have never asked my doctor what is wrong with me after taking medication for so long.
Is this anxiety?

Wen, 30~39 year old female. Ask Date: 2022/04/23

Dr. Wu Enliang reply Psychiatry

Hello, I believe you are experiencing severe depression and anxiety.
It’s concerning that after two years of consultations, you have never asked your doctor what is wrong with you.
It’s important to discuss your issues with your physician to ensure the right treatment is prescribed or to explore alternative non-pharmacological methods to address your difficulties.
I recommend that you talk about your concerns with your doctor.
If you do not trust your current physician, seek out another doctor whom you feel comfortable discussing your problems with.
This is essential for your recovery.
Dr.
Wu Enliang

Reply Date: 2022/04/23

More Info

It sounds like you are experiencing a significant amount of distress related to anxiety and sleep issues, which can be incredibly challenging to cope with. Your symptoms, including difficulty falling asleep, frequent early awakenings, vivid dreams, and feelings of emotional turmoil, are indeed indicative of anxiety-related disorders. It’s important to recognize that anxiety can manifest in various ways, including physical symptoms such as fatigue, muscle aches, and cognitive difficulties like forgetfulness and racing thoughts.

From what you've described, it seems that your anxiety has reached a level where it is not only affecting your sleep but also your overall quality of life. The feelings of being overwhelmed, the urge to cry, and the desire to express anger are all signs that your emotional state is under significant strain. The fact that you feel unable to control your thoughts and often magnify situations to their worst possible outcomes is a common experience for those dealing with anxiety.

Your current medication regimen, which includes various anxiolytics and sleep aids, suggests that you have been under medical care for some time. However, the persistence of your symptoms raises an important question about the effectiveness of your treatment plan. It is not uncommon for individuals to require adjustments to their medications or even a reevaluation of their diagnosis if they do not experience relief from their symptoms after a prolonged period.

Anxiety disorders can be complex and often require a multifaceted approach to treatment. While medications can be beneficial, they are most effective when combined with psychotherapy. Cognitive Behavioral Therapy (CBT) is particularly effective for anxiety and sleep disorders. CBT can help you identify and challenge negative thought patterns, develop coping strategies, and learn relaxation techniques that can improve both your emotional state and sleep quality.

Additionally, lifestyle modifications can play a crucial role in managing anxiety and improving sleep. Here are some strategies you might consider:
1. Sleep Hygiene: Establish a regular sleep schedule by going to bed and waking up at the same time every day. Create a calming bedtime routine that signals to your body that it’s time to wind down.

2. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, deep breathing exercises, and progressive muscle relaxation can help reduce anxiety and promote better sleep.

3. Physical Activity: Regular exercise can significantly reduce anxiety levels and improve sleep quality. Aim for at least 30 minutes of moderate exercise most days of the week.

4. Limit Stimulants: Reduce or eliminate caffeine and nicotine, especially in the hours leading up to bedtime, as they can interfere with your ability to fall asleep.

5. Healthy Diet: Eating a balanced diet and avoiding heavy meals close to bedtime can also contribute to better sleep.

6. Social Support: Engaging with friends, family, or support groups can provide emotional relief and help you feel less isolated in your struggles.

Given the severity of your symptoms and the duration of your treatment, it would be beneficial to have an open and honest conversation with your healthcare provider about your current situation. Discuss your ongoing symptoms, the impact they have on your daily life, and your concerns about the effectiveness of your current medications. Your doctor may suggest a reassessment of your treatment plan, which could include a different medication, a referral to a therapist, or both.

In conclusion, while it is clear that you are dealing with significant anxiety that is affecting your sleep and overall well-being, there are various avenues for treatment and support. It’s essential to advocate for yourself and seek the help you need to improve your quality of life. Remember, you are not alone in this, and with the right support and strategies, it is possible to find relief from your symptoms.

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