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o*********y
发帖数: 70 | | g*****j
发帖数: 1211 | 2 Psychiatrist probably is a over-kill for primary insomnia. But sometimes
insomnia is associated with anxiety or depression. A psychiatrist may be
more confident than primary care physician in making diagnosis and
prescribing medications.
It is probably helpful to be aware that short-lasting insomnia is just so
common that almost everyone experiences that at some point of their life.
Such situation is short-lived and usually your body recovers by itself. | o*********y
发帖数: 70 | 3 谢谢。已经三个多月了，每天只能睡4-5个小时，入睡尚可，很早就醒。吃助眠药如
melatonin也差不多。此外还有肠胃功能不好。
可能有些焦虑吧，总是怀疑自己得了什么大病。
【在 g*****j 的大作中提到】
: Psychiatrist probably is a over-kill for primary insomnia. But sometimes
: insomnia is associated with anxiety or depression. A psychiatrist may be
: more confident than primary care physician in making diagnosis and
: prescribing medications.
: It is probably helpful to be aware that short-lasting insomnia is just so
: common that almost everyone experiences that at some point of their life.
: Such situation is short-lived and usually your body recovers by itself.
| k****b
发帖数: 1974 | | g*****j
发帖数: 1211 | 5 I guess your best option is to get an appointment with your PCP first.
Early wake up is a common phenomena as we age. Of course, anxiety,
depression, as well as many other issues can add to the problem. Both
insomnia and irritable bowel are common complaints in otherwise healthy
individuals, but they also appear in more severe disease states. However,
it is worth a medical evaluation if that bothers you and adds on to your
anxiety. Some targeted exam and lab work may at least ease your nerv | o*********y
发帖数: 70 | 6 Thanks.
【在 g*****j 的大作中提到】
: I guess your best option is to get an appointment with your PCP first.
: Early wake up is a common phenomena as we age. Of course, anxiety,
: depression, as well as many other issues can add to the problem. Both
: insomnia and irritable bowel are common complaints in otherwise healthy
: individuals, but they also appear in more severe disease states. However,
: it is worth a medical evaluation if that bothers you and adds on to your
: anxiety. Some targeted exam and lab work may at least ease your nerv
| o*********y
发帖数: 70 | 7 今天又来了，12点睡，3点多醒，醒来后就没有办法睡着了。几个月以来一直这样，就
像上了闹钟一样。
经历过美国家庭医生的效率，非常失望。真想直接去个sleep center约一下了。再这样
下去我会疯了。
【在 g*****j 的大作中提到】
: I guess your best option is to get an appointment with your PCP first.
: Early wake up is a common phenomena as we age. Of course, anxiety,
: depression, as well as many other issues can add to the problem. Both
: insomnia and irritable bowel are common complaints in otherwise healthy
: individuals, but they also appear in more severe disease states. However,
: it is worth a medical evaluation if that bothers you and adds on to your
: anxiety. Some targeted exam and lab work may at least ease your nerv
| g*****j
发帖数: 1211 | 8 If your insurance allows that, you certainly can. But I think primary
insomnia probably is not what sleep centers routinely treat. Before your
PCP visit comes, there are several things that you can do to improve your
sleep hygiene.
1) avoid naps during the day
2) avoid intense activities prior to sleep
3) avoid caffeine (coffee, tea) at all if possible, or at least after lunch
4) make sure that your sleep environment is comfortably cool, dark, quiet
5) avoid excessive liquid or meal prior to s | o*********y
发帖数: 70 | 9
lunch
Thanks for the detailed answers. Unfortunately I stick to all above, and don
't have any unhealthy sleeping habit during the past months.
I used to have some sleeping problem but they mostly related to not being
able to fall asleep. I did try some sleeping pills, or even rely on alcohol,
for some time, to make the problem go away.
But during the past months, the symptons suddenly switch to waking up early.
I took Melatonin, Unisom and Lorazepam (prescribed by my PCP). Melatonin
and Unisom
【在 g*****j 的大作中提到】
: If your insurance allows that, you certainly can. But I think primary
: insomnia probably is not what sleep centers routinely treat. Before your
: PCP visit comes, there are several things that you can do to improve your
: sleep hygiene.
: 1) avoid naps during the day
: 2) avoid intense activities prior to sleep
: 3) avoid caffeine (coffee, tea) at all if possible, or at least after lunch
: 4) make sure that your sleep environment is comfortably cool, dark, quiet
: 5) avoid excessive liquid or meal prior to s
| o*********y
发帖数: 70 | 10 In my case, is PCP better or Phychologist better? Thanks.
lunch
【在 g*****j 的大作中提到】
: If your insurance allows that, you certainly can. But I think primary
: insomnia probably is not what sleep centers routinely treat. Before your
: PCP visit comes, there are several things that you can do to improve your
: sleep hygiene.
: 1) avoid naps during the day
: 2) avoid intense activities prior to sleep
: 3) avoid caffeine (coffee, tea) at all if possible, or at least after lunch
: 4) make sure that your sleep environment is comfortably cool, dark, quiet
: 5) avoid excessive liquid or meal prior to s
| | | g*****j
发帖数: 1211 | 11 Alcohol makes you drowsy, but you can develop anxiety and insomnia after a
couple of hours. It ONLY exacerbates your sleeping problem. Lorazepam can
be used short term for anxiety, but you can develop tolerance (i.e. need
more after a while) and withdrawal (i.e. more anxious after stopping). It
is also a short half time drug and may not be ideal for your case.
You may request a referral to a psychiatrist. Psychologist cannot prescribe
medication, and they usually work with psychiatrist to p | o*********y
发帖数: 70 | 12 Thanks for the detailed answer. I sent a reply to your mail box.
can
prescribe
.
have
【在 g*****j 的大作中提到】
: Alcohol makes you drowsy, but you can develop anxiety and insomnia after a
: couple of hours. It ONLY exacerbates your sleeping problem. Lorazepam can
: be used short term for anxiety, but you can develop tolerance (i.e. need
: more after a while) and withdrawal (i.e. more anxious after stopping). It
: is also a short half time drug and may not be ideal for your case.
: You may request a referral to a psychiatrist. Psychologist cannot prescribe
: medication, and they usually work with psychiatrist to p
| Y****r
发帖数: 3473 | 13 like riding a bike or doing yoga | L*D
发帖数: 3966 | 14 回在中医版。
http://www.mitbbs.com/article_t/ChineseMed/12540467.html
就像上了闹钟一样。
样下去我会疯了。
【在 o*********y 的大作中提到】
: 今天又来了，12点睡，3点多醒，醒来后就没有办法睡着了。几个月以来一直这样，就
: 像上了闹钟一样。
: 经历过美国家庭医生的效率，非常失望。真想直接去个sleep center约一下了。再这样
: 下去我会疯了。
| g***r
发帖数: 285 | 15
http://www.thisamericanlife.org/Radio_Episode.aspx?episode=361
it's one of the episodes on a show called "this american life", called fear
of sleep, i listened to it, was a great show, if you have time, highly
recommend to listen to the whole episode, for anyone with sleep problems,
【在 o*********y 的大作中提到】
: 心理医生？
: 谢谢了。
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