
Suggest Treatment For Severe Migraine, Depression And Severe Sleep Deprivation

These symptoms are probably due to extended grief
Detailed Answer:
Hello, Welcome to Health Care Magic
I am really sorry about your loss. In most of individuals after loss of loved one symptoms of grief develop. Prolonged crying, insomnia, restlessness, nightmares etc are commonly seen. These symptoms last for about 6 months, but in few persons sometimes these symptoms persist beyond 6 months and cause significant distress. This is also called prolonged grief or extended grief. Though the symptoms have similarities with PTSD but in my opinion your symptoms suggest prolonged grief disorder which has progressed to depression. Please try to relax yourself, I know it's very difficult but you have to accept this. Spend your time in doing constructive work and keep yourself busy.
Your sleep is very less in quantity and the medicines like 200 mg Amitryptiline, Clonazepam 1 and 20 mg Suvorexant are not working properly and you have only 4-4.5 hours of non refreshing sleep along with depressive symptoms like suicidal ideation.
I can reassure you that you are not at danger of death. The high BP was probably due to autonomic arousal due to depression and grief symptoms. Improvement of symptoms will normalise the BP. That episode was just a severe nightmare. Don't remain distressed with this. No need to worry.
In my opinion you should consult a psychiatrist for evaluation of these symptoms. Medicines like Mirtazapine, Trazodone etc can help in good sleep and will help in depression also. Apart from this in my opinion medicines like Melatonin, Ramelteon can help to normalise the sleep rhythm and will reduce the incidence of nightmares. Clonazepam should be continued along with these medicines. Please consult a psychiatrist for proper evaluation and treatment.
Thanks, hope this helps you. Please don't hesitate to ask again for more doubts.
Take care

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