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What Causes Sleeplessness When Under Stress?

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Posted on Wed, 8 Jun 2016
Question: dose it look like I am getting sleep and how much dose it look like I am sceard I have FFI
doctor
Answered by Dr. Sonia Raina (18 minutes later)
Brief Answer:
need more details to diagnose

Detailed Answer:
Hello, greetings!
Thanks for posting your query on hcm.
I have seen your attached photo. You do seem a bit drowsy, like you haven't had a good night's sleep or maybe you are tired.
You have to remove any kind of fear and anxiety about fatal familial insomnia that you may have.
Let me know since how long have you been sleepless and since when is this going on so that I can assist you better?
Regards,
Dr. Sonia
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Sonia Raina (47 minutes later)
well its bean going on for months I was told that I anxiety desoder and a lot of stress and I have insomnia my mum had sleep apnea my dad has dementia and I am only 29
doctor
Answered by Dr. Sonia Raina (47 minutes later)
Brief Answer:
Polysomnography and investigation required.

Detailed Answer:
It seems like you have been diagnosed with anxiety, which is one of the findings in familial fatal insomnia. Also, you are suffering from insomnia since couple of months which seems like it is rapidly progressing.
If you are on any medications for anxiety or insomnia, do let me know.

In your case, before any treatment it is important to diagnose the condition.
-You should undergo a polysomnography or a sleep study
- Also, a Positron emission tomography will be helpful to diagnose this disorder.
- Your symptoms need to be charted down for a span of a few weeks for final diagnosis of familial fatal insomnia.

I would like to put forward this point that there is no definitive cure of familial fatal insomnia. Drug trails include usage of quinacrine, doxycycline, and intracerebral pentosan polysulfate (PPS).

Reduction in anxiety and stress will definitely help.

I hope you found this answer useful.
If you have further doubts/ clarifications, you may get back to me.
Regards,
Dr. Sonia

Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Sonia Raina (1 hour later)
I had anxiety be for my sleep problems that's what gave me sleeping problems and stress I use to all wase rurry about my hart doctors and hospital say its fine but I stress so much now I strees thinking I will never sleep again
doctor
Answered by Dr. Sonia Raina (7 minutes later)
Brief Answer:
Anxiety needs to be treated

Detailed Answer:
You must consult a psychiatrist for your anxiety. A few sessions of counselling combined with medication will help you a lot. You may need to take anti anxiety drugs belonging to the class of benzodiazepines. These are prescription drugs and you may get a prescription from your local psychiatrist.

Once your anxiety is taken care of, then we may deal with other problems.
Thus, I recommend that you start treatment for your anxiety without further ado.
Regards,
Dr. Sonia
Above answer was peer-reviewed by : Dr. Deepak
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Follow up: Dr. Sonia Raina (15 minutes later)
I have drepeaon as well but had that for awhile I am 29 I have hart tablits cald metoprolol sandoz 50mg and lorzepam1mg for anxiety which help me sleep some times I don't fill to week my speech is good and my reflux is still farst I can still think my hart rate is some times 45 some times 56 some times 60s
doctor
Answered by Dr. Sonia Raina (2 days later)
Brief Answer:
drug regime needs change

Detailed Answer:
Your heart rate seems low. Did you have a history of high blood pressure? Do you have any documentation regarding any heart issue? If so, please share. You are on lorazepam but this does not seem sufficient as you are still suffering from anxiety and insomnia. Most probably you need to add another class of drug like selective serotonin reuptake inhibitors (SSRIs), tricyclic antidepressants (TCAs) in your regime.

This has to be done after consultation with your psychiatrist. Thus I recommend you see him so that your drugs can be modified accordingly.
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Sonia Raina (6 minutes later)
OK I am 28 years old and I still can yourn and fill sleepy so I don't think I do have FFI but it fills like I can't sleep no more I fill very streesd about going to sleep that's probly why I stay a wake and my eys are worm and but when I go to bed I wake up with sleep in my eys dose that mean I am getting some sleep with out noing about it
doctor
Answered by Dr. Sonia Raina (10 minutes later)
Brief Answer:
Change of medication regime needed.

Detailed Answer:
As mention earlier, you need a change of anti anxiety medication. Along with Lorazepam a selective serotonin reuptake inhibitor (SSRIs) or tricyclic antidepressant (TCAs) has to be added. This will help you in getting adequate sleep and will also bring down your anxiety levels. However as these are prescription drugs, you need to get a prescription from your psychiatrist.
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Sonia Raina (16 minutes later)
I have them but I don't like them pluse they can course insomnia and if I had FFI which I don't think I have then they woldnt work for me
doctor
Answered by Dr. Sonia Raina (17 minutes later)
Brief Answer:
Antidepressants suggested

Detailed Answer:
Tricyclics like Amitriptyline and tetracyclics, such as mirtazapine are anti depressants that wont cause insomnia. You can start these after consultation with your doctor. Also, a few counselling sessions will help you.
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Sonia Raina (4 minutes later)
my doctor did give them to me awhile back just to sceard to take it and If I have ffi then they won't help
doctor
Answered by Dr. Sonia Raina (16 minutes later)
Brief Answer:
Start with the medications.

Detailed Answer:
You may start the medications and observe for a period of 1 month. FFI hasn't been diagnosed yet in you, thus you may go for the investigations.
Regards,
Dr. Sonia
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Sonia Raina (21 minutes later)
can there be other things that stop u from going to sleep
doctor
Answered by Dr. Sonia Raina (7 minutes later)
Brief Answer:
Lifestyle modification

Detailed Answer:
Yes, caffeinated drinks, smoking, watching TV/usage of mobiles late into the night, unhealthy eating habits, overstressing on problems are some of the activities which cause poor sleep. Ensure that you aren't doing any of them.
Maintain a healthy lifestyle, exercise moderately everyday and eat a balanced diet and hopefully you get better soon. Wish you all the best.
Above answer was peer-reviewed by : Dr. Sonia Raina
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Answered by
Dr.
Dr. Sonia Raina

General & Family Physician

Practicing since :2013

Answered : 182 Questions

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What Causes Sleeplessness When Under Stress?

Brief Answer: need more details to diagnose Detailed Answer: Hello, greetings! Thanks for posting your query on hcm. I have seen your attached photo. You do seem a bit drowsy, like you haven't had a good night's sleep or maybe you are tired. You have to remove any kind of fear and anxiety about fatal familial insomnia that you may have. Let me know since how long have you been sleepless and since when is this going on so that I can assist you better? Regards, Dr. Sonia