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Hi. I Have Been Having Trouble Sleeping Lately. Last Month

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Posted on Mon, 3 Jun 2019
Question: Hi. I have been having trouble sleeping lately. Last month when i had my period i sleep wonderful but i noticed come my ovulation i am having a hard time sleeping again.and i feel so anxious like scared with no apparent reason.what can this be?is it insomnia caused by hormonal imbalance or stress or anxiety.please help.
doctor
Answered by Dr. Psychologist K. V. Anand (45 minutes later)
Brief Answer:
Provide more information please

Detailed Answer:
Dear friend. Thanks for the question. I went through your description.

Please clarify whether the anxiety and insomnia are only during ovulation periods. Also clarify whether these anxiety and depression were present throughout your life period after puberty or experiencing for some months now.

If the answer is affirmative for the second option, it could be hormonal imbalance during ovulation periods.

In the answer is NO, you need to provide much more information about your stress level, marital physical relationships, general health, any depression, children, regarding pre- menopausal symptoms, any postpartem depression etc

Please be as detailed as possible.

Take care.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Psychologist K. V. Anand (51 minutes later)
My sleep disturbance happens every february (winter in canada) but not yearly. My anxiety is very high every time i have pms as i have noticed. I have 2 kids 10 and 12.my relationship with my husband is active. I am only worried with my sleep that i keep on monitoring wether or not i slept the past night.so my worry is just about not getting enough sleep and everytime i did not have a good rest i am so anxious going to bed at night thinking that i might not be able to sleep again.help.
doctor
Answered by Dr. Psychologist K. V. Anand (1 hour later)
Brief Answer:
Try following the guidelines.

Detailed Answer:
Dear friend. I am sorry you have not mentioned your age. If your insomnia happens only during February, then it cannot be due to your hormonal imbalance.

The following are some of the medical conditions that can cause INSOMNIA :
Nasal/sinus allergies.
Gastrointestinal problems such as acid reflex.
Endocrine problems such as hyperthyroidism.
Arthritis.
Asthma.
Neurological conditions such as Parkinson's disease.
Chronic pain.
Low back pain.
Other than these, stress, anxiety, depression, obsession, lack of exercises etc can also cause insomnia.

Please go through the above carefully. Let me know whether you have any of the conditions. Also look into your general stress level and lack of exercise etc.

There is another condition which may suit your present condition. Seasonal depression. Seasonal Affective Disorder.

So, given the vastness of the conditions you may have, you need to have detailed investigations.

For the time being, as you have said, you just want to address your insomnia, I can provide some guidelines.

1. Do you really have insomnia? Assess yourself. A healthy active person should sleep for around 6 hours a day. Even though sleep is interrupted, 6 hours sleep is enough. If you are not active enough, the sleep may reduce to around 5 hours or so. If you are stressed or anxious, the sleep pattern may be disruptive. But overall you should get 5 to 6 hours of sleep altogether. Moreover your body knows your sleep pattern. If your body lacks sleep for more than 48 hours, your body knows how to get it. Therefore,

2. Never worry about insomnia. The more you worry, the more you become stressed ad anxious and thereby hindering your sleep process.

3. If you don't get sleep, instead of laying and worrying, start reading a book or listen to music. Again do not worry about the sleep.

4. Always tell yourself "I am not getting sleep now. No worry. I will sleep soon".

5. Along with music or book reading, start deep shallow rhythmic breathing through nostrils.

6. Avoid meal before 4 hours of retiring to bed.

7. Do not drink any caffeinated drinks or coffee 2 hours before bed. Instead milk or warm water help relax muscles and mind.

8. Exercise is very much essential for relaxed sleep. Get at least 45 minutes daily exercise.

9. Alcohol and tobacco hinders with your sleep process. Avoid them.

10. Try to get up and retire at the same time of the day. This helps your body circadian rhythm.

Let me know if you need any more guidance.
Take care


Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Psychologist K. V. Anand (37 minutes later)
Hi Doc. So sorry I was not able to lrovide you eith the whole detail about myself. I am XXXXXXX and I am 34 years old and I am a mother of 2 girls. My sleeplessness is recurring, it happened Febuary 2013 lasting for 3 months then Feb 2014, and then the latest is Feb 2019. I have been sleeping well last month but when I ovulated I started not being able to sleep again and I was feeling scared witout any reason and anxious. My only worry is really about sleep. I just want to get back the sleep I have before I had these sleepless nights. Because sometimes I have days where I was awake the whole night. Whatever advice you will give me Doc I will follow. But I don't want to resort to sleeping pills. Thank you very much doc for any help and advice you will be able to give me..
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Follow up: Dr. Psychologist K. V. Anand (1 minute later)
And my trouble sleeping this April happened I just notice because my kids and I have colds. Is it one reason as well?thank you doc.
doctor
Answered by Dr. Psychologist K. V. Anand (4 minutes later)
Brief Answer:
Stick to the guidelines

Detailed Answer:
Dear friend. Thanks for the follow up.

Don't worry. I do not see any medical conditions in your disturbed sleep. Any heavy snoring?

Any way, for the time being, stick to the guidelines given by me in my previous answer. You should get good sleep.

Happy to help. Take care
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
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Dr. Psychologist K. V. Anand

Psychologist

Practicing since :1993

Answered : 7324 Questions

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Hi. I Have Been Having Trouble Sleeping Lately. Last Month

Brief Answer: Provide more information please Detailed Answer: Dear friend. Thanks for the question. I went through your description. Please clarify whether the anxiety and insomnia are only during ovulation periods. Also clarify whether these anxiety and depression were present throughout your life period after puberty or experiencing for some months now. If the answer is affirmative for the second option, it could be hormonal imbalance during ovulation periods. In the answer is NO, you need to provide much more information about your stress level, marital physical relationships, general health, any depression, children, regarding pre- menopausal symptoms, any postpartem depression etc Please be as detailed as possible. Take care.