Respected there I had gone through your query and understand your concern. With such presentation in my clinic, I would first concentrate on the following aspects of the case - 1. (a)- whether the depression and anxiety of the patient have been the natural part of his personality since childhood and now have aggravated...... OR (b)- depression and anxiety have developed all of a sudden as a result of some mishaps 2. when patient use term insomnia in clinic.... it often means (a)- No sleep at all. (b)- start sleeping normally but sleep disturbed at a regular interval of 2 - 21/2 hrs. (c)- start sleeping normally, sleep disturbed at mid-night and thereafter no sleep at all. if rest of the conditions are non-pathological, following medications give good results in 80 - 85 % of such cases... Presentation 1/ (a) # Sarswatarishta (suvarna yukta) # Kumarkalyan rasa # Chaturanan vati Presentation 1 / (b) # Ashwagandharishta # Sarswatarishta (suvarna yukta) # Chaturanan vati # yashad bhasm Presentation 2 / (a) # Ashwagandha ghrita # Mahavatavidhwansan rasa # Head massage with Shivtattwadi mishran Presentation 2 / (b) and (c) # Sootshekhar rasa # Chaturanan vati # Praval panchamrita (mouktika yukta) Hope i have answered your query and it would be helpful. Warm regards.... Dr. Ranjeet Sharma.