Sleep problems - #9159

It sounds like your symptoms of depression may be resurfacing, or there could be underlying anxiety that hasn’t been fully addressed. Since you’ve been struggling with sleep issues for months, along with persistent anxiety and difficulty focusing, it’s important to conduct a detailed evaluation to determine the cause and develop an effective management plan. Here are a few key aspects that need to be assessed: 1. Sleep Disturbance: Do you have difficulty falling asleep, frequent awakenings, or early morning waking? Do you feel rested in the morning, or do you experience fatigue throughout the day? Any history of nightmares, restless legs, or excessive daytime sleepiness? 2. Anxiety & Mood Symptoms: Are there specific thoughts or worries keeping you up at night? Do you feel restless, have muscle tension, or experience panic-like symptoms? Any persistent low mood, lack of motivation, or feelings of hopelessness? 3. Cognitive Symptoms: Is your focus affected due to anxious thoughts or lack of motivation? Do you experience memory difficulties, brain fog, or slowed thinking? 4. Other Possible Causes: Any recent stressors or major life changes? Changes in appetite, energy levels, or physical health concerns? Any substance use (caffeine, alcohol, nicotine, or other substances)? Since your depression had improved but symptoms are returning, this could indicate: A recurrence of depression/anxiety needing intervention. An underlying sleep disorder contributing to mental health symptoms. An external or internal stressor affecting your progress. Management Approach: Lifestyle Adjustments: Maintaining a strict sleep schedule, reducing screen time, and practicing relaxation techniques. Medical Evaluation: Checking for any physical health issues (like thyroid dysfunction, vitamin deficiencies). Therapeutic Approaches: CBT for insomnia/anxiety if needed. Medication Review: If you were on medication before, reconsidering its need or modification. It’s best to consult a psychiatrist for a thorough assessment so that the most suitable treatment plan can be created for you. Dr Aman Shaba Consultant Psychiatrist 7992489808