Psychiatrist Questions Psychiatrist

What helps insomnia anxiety?

I am a 34 year old male. I want to know what helps insomnia anxiety?

4 Answers

Ideally, there are many many non-medication approaches that can help. Cognitive behavioral therapy is particularly effective in lowering anxiety, including regarding sleep. Would greatly encourage a non-medication first. There are many relaxation techniques, self-hypnosis techniques, that are very very effective. Please consult a local therapist or even try certain websites on the Internet that use cognitive behavioral therapy for sleep.

Lance Steinberg MD, Inc.
There are of course various medications for sleep (collectively called "hypnotics"), but many non-pharmacologic approaches can greatly improve insomnia. CBT-I is one such approach and be can be utilized through various apps. SHUTi is one of the earliest versions of this technology and has helped many patients.
I’d really like to understand exactly what you mean by “insomnia anxiety.” I’m going to assume you’re having anxiety about going to sleep but you might have an entirely different question. If you were in my office, I would start by clarifying this completely. Interestingly what happens in these cases is that folks get into vicious cycles. So, it might start innocent enough but by the time people end up in my office, there’s a whole negative conversation in your head and all kinds of “what ifs” and catastrophizing situations. Truly, it’s no wonder your poor brain can’t get any rest. We would start first with some simple reassurance. Disconnecting the anxiety about falling asleep is not all that hard to do. Just a little rewiring of some thinking, some relaxation exercises, maybe guided meditation. Might need to excavate and debride some other troubling thoughts swimming around inside your very busy mind, eluding you from that peaceful place at night, but I assure you it’s all very doable. If there’s more going on perhaps, we’d tease that out as well.
Hope this helps.

Sincerely,

Renee S. Kohanski, M.D.
Greetings,

Since the Pandemic, the most common reason why people do not sleep well is anxiety. This is because anxiety is the natural inborn way for our bodies to signal to us that attention is needed as "ALL is NOT well" in our body's overall functionality... What I am saying is this: All of us have our ways of responding to our body's messages. It is only when our characteristic ways DO NOT work that it is time to get outside help. That is when a mental health professional is needed to provide more information. The problem is there are so many different types of Mental Health professionals ... Most people ask their friends who have had problems as to their experience with getting help from such a professional.

My advice is to first go to your internist to first make sure your body is functioning properly. If your body is okay, then your physician needs to give you a referral to a mental health professional your internist is working with. Your physician will refer you based on your internist's knowledge of the results of the care that the patients that the specific mental health
professional treated that the internist made. Now keep in mind that even if you are told that the results were GREAT, still you (as one interested in finding the BEST FIT for your own mental health care you still have to personally see that therapist as each of us humans is VERY UNIQUE. So, check that therapist out to see if it is a good fit. Psychotherapy is very unique treatment modality. It takes years to master it, but the results are palpable from the start and are STEP BY STEP by persistent committed work over time.

Because today anxiety is so common and most people need "Immediate relief" medication is the first line of treatment for most people as medications do improve coping. We know medications are LIFE SAVERS in all types of body dysfunctions. This is why getting an evaluation by a physician who is a psychiatrist specializing in pharmacology is the usual recommendation of general practitioners/internists. However, medications are NOT enough for a very large number of people with severe anxiety. This is why an additional Mental Health professional, a Psychotherapist is needed. Thus most persons with complex anxiety need both a physician pharmacologist and a psychotherapist. I am one of a small minority of physicians who are trained in both pharmacology and psychotherapy including psychoanalysis. My practice involves complex cases where the integration of medication with psychotherapy is essential for good outcomes.

Best,

Maria T. Lymberis, MD