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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Cause And Treatment For Insomnia Along With Depression?

Hello, I am an 18 year old senior in high school. It is not 1:40 Am and I cannot sleep. I am severly depressed and these thoughts won't let me sleep. My doctor prerscribed me 20mg Prozac but that hasn't helpes so I stopped taking it. 2 weeks ago my 2 best friends an my gf of a year an a half moved. I feel incredibly lonely and I feel like i spiral deeper and deeper every day. Is there anything that can work faster or just not make me feel this way all the time? At this point I'd almost rather feel nothing
Fri, 28 Aug 2015
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Psychiatrist,  's  Response
Hello thanks for asking from HCM for your health related queries

I can understand your concern. You are 18 years old and have problems of poor sleep. Due to shifting of your friends and girlfriend you have developed the symptoms of depression. Such depression occurs due to adjustment disorder. In most of individuals symptoms improve with time. As your symptoms are worsening and are causing distress to you so I'd advise you to consult a psychiatrist.

Prozac is Fluoxetine and the drug is an anti anxiety and anti depressant drug. The drug is very helpful in the symptoms you are having but it doesn't cause improvement of sleep. For sleep related problems either some other antidepressant like Paroxetine, Mirtazapine etc can be used or some sleep drug should be prescribed. Low dose benzodiazepines like Clonazepam, Lorazepam etc can help in good sleep till your acute phase of distress passes. Please don't remain distressed and visit a psychiatrist as soon as you can.

Thanks, Hope this helps you. Take care

Dr. Seikhoo Bishnoi,
Psychiatrist.
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What Is The Cause And Treatment For Insomnia Along With Depression?

Hello thanks for asking from HCM for your health related queries I can understand your concern. You are 18 years old and have problems of poor sleep. Due to shifting of your friends and girlfriend you have developed the symptoms of depression. Such depression occurs due to adjustment disorder. In most of individuals symptoms improve with time. As your symptoms are worsening and are causing distress to you so I d advise you to consult a psychiatrist. Prozac is Fluoxetine and the drug is an anti anxiety and anti depressant drug. The drug is very helpful in the symptoms you are having but it doesn t cause improvement of sleep. For sleep related problems either some other antidepressant like Paroxetine, Mirtazapine etc can be used or some sleep drug should be prescribed. Low dose benzodiazepines like Clonazepam, Lorazepam etc can help in good sleep till your acute phase of distress passes. Please don t remain distressed and visit a psychiatrist as soon as you can. Thanks, Hope this helps you. Take care Dr. Seikhoo Bishnoi, Psychiatrist.