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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Sleep Disorder And Nightmares

hi i am 22 years male, actually i am not able to sleep early in night, but i don't know when all of a sudden i fell asleep. i am much worried because of this problem and this problem is from over 2 years. and many times as i sleep i see many diffrent types of nightmares because of which i am woke from the half sleep and after that i don't fell like sleeping but on my work site or the day time the laziness comes again but not sleep
Mon, 1 Dec 2014
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Psychiatrist,  's  Response
Dear User,
If such a patient walks into my clinic I would ask few more question: Do you often feel anxious?, Do you often feel depressed?, How much distressed you are from all these symptoms?. Sleep disturbance is just a symptom which can be even normal if it is not that distressing or it can be seen in a range of psychiatric disorders like anxiety disorders, depression, etc. But there are a group of patients I come across whose only complaint is distressing sleep disturbance, and I usually treat them with meds like T. Mirtazapine (7.5-15 mg at bed time).
Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.
Dr. Sudhir Mahajan
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Suggest Remedy For Sleep Disorder And Nightmares

Dear User, If such a patient walks into my clinic I would ask few more question: Do you often feel anxious?, Do you often feel depressed?, How much distressed you are from all these symptoms?. Sleep disturbance is just a symptom which can be even normal if it is not that distressing or it can be seen in a range of psychiatric disorders like anxiety disorders, depression, etc. But there are a group of patients I come across whose only complaint is distressing sleep disturbance, and I usually treat them with meds like T. Mirtazapine (7.5-15 mg at bed time). Hope I am able to answer your concerns.If you have any further query, I would be glad to help you. Dr. Sudhir Mahajan