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Mahmoud Hindawi

Mahmoud Hindawi

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Answered 9710 | Rating 98.6%

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Hello I am a patient I have a thyroid problem And I have a huge problem with anxiety, depression and insomnia I feel that my antidepressants aren’t working as effectively and my anxiety level isn’t lowering at all It’s effecting my way of life I am nearly house bound ( I don’t leave the house ) I need advice

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Expert's Answer: Dr. Mohammad Derbeih

Dr. Mohammad Derbeih

Dr. Mohammad Derbeih

Licensed Physician

Answered 14274 | Rating 98.9%

What is the treatment of insomnia depression and anxiety?
Treatment depends on the cause after conducting the necessary tests and the thyroid gland is direct influincer so it must be corrected  , but the treatment can be summarized as follows:
exercise daily
Maintain a daily sleep schedule regularly
Avoid caffeine at night
Avoid smoking
Avoid going to bed with feeling of hunger
Ensure a comfortable sleeping environment.
Use relaxation techniques - such as meditation and relaxation of muscles.
Cognitive therapy - individual counseling or group therapy.
Stimulate mental control - just go to bed when you are sleepy. Avoid watching TV, reading, eating or worrying in bed. Set the alarm clock at the same time each morning , and avoid a long nap during the day
Antidepressants like elatrol or paroxetine
Antihistamines such as hudu tab 1x1
Melatonin which is a sleep hormone
short term use of benzodiazepines such as xanax 1x1
What causes insomnia?
Insomnia can be caused by physical and psychological factors. There is sometimes a major medical condition causing chronic insomnia, while transitory insomnia may be due to an event and insomnia usually results from:
Disorders in the rhythmic sleep routine - jet lag, career transformation changes, high altitudes, environmental noise, extreme heat or cold.
Psychological issues - bipolar disorder, depression, anxiety disorders, or psychotic disorders.
Medical conditions - chronic pain, chronic fatigue syndrome, congestive heart failure, angina, acid reflux disease, chronic obstructive pulmonary disease, asthma, sleep apnea, Parkinson's disease, Alzheimer's disease, hyperthyroidism
What tests should you do ?
medical history
physical exam
mental state exam
thyroid function test
blood pressure test

Customer Reply

Hello doctor I have tried alternate therapy But I am bipolar and I have attention deficit disorder add. So I do need strong advice on a new treatment, and changing all my medication. Since I am not getting better. I do need to check my thyroid.Since I had them surgically removed 20 years ago. Mentally I have lost my father in 1998 And my brother 2010 So as u can see I have an ability to never let things pass My depression level is over the line But now am 41 and I need to maintain a certain level of normality Since I have lived since 2010 And please be advised that I do excessive research on any medication that is proscribed to me That’s why I am not happy with my current meds Awaiting for your reply and advice Thank you

Expert's Answer: Mahmoud Hindawi

Mahmoud Hindawi

Mahmoud Hindawi

Licensed Doctor

Answered 9710 | Rating 98.6%

You can use previous prescribed drugs 

Ask the Licensed Doctor

Mahmoud Hindawi

Mahmoud Hindawi

Licensed Doctor

Answered 9710 | Rating 98.6%

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