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Forum Name: Psychiatric Topics

Question: i cant sleep


 gepsomething - Wed Jul 21, 2010 3:01 pm

i cant sleep and when i fall asleep i woke up with a scream.i saw nightmares.but iwoke up without nightmares with a scream too.when im not sleeping i feel like im loosing my mind. can you please help me.and also i have night terrors too.
 Faye Lang, RN, MSW - Fri Jul 23, 2010 8:17 pm

Hello gepsomething,

You aren't alone in what you are experiencing. Once a person's sleep cycle has been so disrupted, it can take medical assistance to restore your usual or restful pattern. Nightmares and abrupt awakenings create anxiety, and anxiety contributes to nightmares, abrupt awakenings and sleep deprivation. It becomes a vicious cycle. With night terrors, the person wakes abruptly from sleep, and may experience gasping, moaning, or screaming while awakening. When the abrupt wakening occurs, the person has been in slow wave sleep. The awakening and any nightmares are usually not recalled by the person. This condition is less common in adults. Treatment may consist of psychotherapy, antidepressants and/or sleep medications. The goal is to identify any source of the initial anxiety, and to adjust the sleep cycle so that adequate sleep is restored.

The symptoms that you describe do seem consistent with anxiety and night terrors. The best step is to see a doctor and tell him or her exactly what has been happening. Initial treatment is likely to be antidepressant therapy, which will help regulate the sleep cycle. If that doesn't control your symptoms, the doctor may request a sleep study to determine exactly what's happening when you sleep. It's helpful to keep a daily record of your symptoms, including what happened, how long it lasted, what helped or made it worse, and any other information that you thing is important. Take your record to all medical appointments until your sleep problem is resolved and you're feeling back to usual.

Good luck to you!

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