
Suggest Treatment For Sleeplessness In An Anxiety Patient

continue with zoloft.
Detailed Answer:
Hello
Welcome to HCM.
You have history of major depressive episode in past. Now, the death of your setp-dad and stress of funeral has disturbed your sleep. You have attacks of anxiety, thoughts of gloom and doom, lost weight and no desire to eat and do anything.
Dear, I can understand your concerns.
Your details suggest that you are suffering from major depression with panic disorder. The stressors which you have faced because of your setpdad's demise and funeral has led you to it. Ability to handle stress varies with age and so does coping skills.
Regarding the medication, the thumb rule of prescribing is if a person has responded well to some medicine in past, the same medicine is restarted in future episodes as well.
Since you have responded to zoloft in earlier episode, I think it is the right choice for you now.
However, the dose increments may be required depending upon the response.
I would suggest you to continue with zoloft.
Donot worry about testosterone replacement therapy.
Discuss this with your doctor.
Hope this helps.
Feel free to ask further.
Kindly close the discussion if you are satisfied with the response and give your valuable feedback.
Thanks.
Dr. Shubham Mehta, MD (Psychiatry).


consider dose increment; XXXXXXX dose-250mg.
Detailed Answer:
Thanks for the follow-up query.
Sorry for the delay in response.
Considering the details which you have provided, I would suggest a dose increment of sertraline. It is a good antidepressant can be given upto 250mg (maximum dose) depending on the response.
Most of the clients respond well with doses of around 150mg.
Please discuss this with your doctor.
Along with the drug, other alternative ways which will help you are:
1. Take omega-3 fatty acid supplements. These help to lift mood.
2. Increase green vegetables in your diet. These are natural serotonin boosters of body.
3. Go for aerobic exercises. Simple brisk morning walk of 30 minutes daily is an excellent stress-buster.
4. Soothing music can help in relaxation.
Hope this helps.
Feel free to ask further.
I wish you good health.
Thanks.

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