Hello I am suffering from anxiety adjustment disorder and I am taking fludep 20 and also I can not sleep at night so I am also taking zolpidem from few days. Any suggestion for me?

Question

My main advice would be (from 5/6 years of personal experience of previously having it)

Seek counselling (it?s the best thing I ever did) and actually talk about the problem no matter how ridiculous it sounds or if it makes you teary because they really are used to and trained with handling this sort of thing.
Acknowledge that the anxiety is coming from within the disorder itself and not the things you are anxious about, therefore you be looking into other peoples experiences of anxiety, realise the restrictive thought processes of what you got through that makes you anxious, how they got better and etc rather than assuming the thing you are anxious about is the cause.
Quit caffeine (or at least reduce it) this might sound ridiculous but for myself and others, caffeine really does induce or at least exacerbate anxiety mentally and physiologically for that reason it?s best to reduce it until you?re better. It doesn't necessarily get rid of the anxiety disorder but it does help in managing the anxiety.
Don?t be afraid to start thinking differently (by challenging and not following through with the anxious behaviour) in a way that breaks the anxious thought loops. It sounds ridiculous but the anxious thought patterns feel normal and almost addictive and to think otherwise can seem scary or dangerous when that's simply not the case realistically.

Rachna Mishra · Accepted Answer

My main advice would be (from 5/6 years of personal experience of previously having it)

Seek counselling (it?s the best thing I ever did) and actually talk about the problem no matter how ridiculous it sounds or if it makes you teary because they really are used to and trained with handling this sort of thing.
Acknowledge that the anxiety is coming from within the disorder itself and not the things you are anxious about, therefore you be looking into other peoples experiences of anxiety, realise the restrictive thought processes of what you got through that makes you anxious, how they got better and etc rather than assuming the thing you are anxious about is the cause.
Quit caffeine (or at least reduce it) this might sound ridiculous but for myself and others, caffeine really does induce or at least exacerbate anxiety mentally and physiologically for that reason it?s best to reduce it until you?re better. It doesn't necessarily get rid of the anxiety disorder but it does help in managing the anxiety.
Don?t be afraid to start thinking differently (by challenging and not following through with the anxious behaviour) in a way that breaks the anxious thought loops. It sounds ridiculous but the anxious thought patterns feel normal and almost addictive and to think otherwise can seem scary or dangerous when that's simply not the case realistically.

Jyoti Shukla · Answer

taking medicines for every small bit is not correct,please try to make lifestyle changes along with your doctors advice.Dont know if your doctor has suggested you to meet a counselor to get useto of your self in best possible way with suitable modifications for coping with your adjustment disorder.
Do not stop or change your medicines without your doctor's consent but
please consult a psychological counselor for long lasting effect.

Prof. Jagadeesan M.S. · Answer

It is not rational to take a non sedative anxiolytic like fludac and depend on a sedative hypnotic like zolpidem. In a longer run zolpidem is not advisable. Consult any psychiatrist in person or online and get your prescription modified such that anxiety and sleep are addressed with safer options. Good luck.

Saul Pereira · Answer

Please include counseling in your treatment. Anxiety has all to do with fear and your inability (or so you would tend to think) to handle the same. Fear is based on looking too much into the future and imagining things that usually do not tend to happen (usually 90% of your fears will not happen). You need to change your perception of the fearful stimulus then you can change your response to the fear. The first one is the best and will preempt the need for the second. If you are already far gone into the reaction mode, then you need both responses to counter the attack. The way we see things in life (like half empty or half full glass) is very dependent on our attitude. Attitude may have developed over many years but fortunately can change in a matter of sustained choices made and acted up on now. Sometimes, fear may have originated in childhood and your body, more than you brain, remembers the emotion and will react with heightened fear even for the slightest provocation or stimulus. Sometimes, you may not even need a stimulus! these matters can ideally be resolved in therapy only, and exclusively. Accordingly, you choose to see things as either threatening or as an opportunity. The opportunist will be positive and work with the situation to make good out of it. The individual who sees it as threatening, will, out of fear, try to avoid/run away from the situation or react with anxiety. Yes, self-belief does impact it too, but you can see that prior to that, perception will tarnish the belief system too. Here, you can see that all the resolution lies in just changing your perception/attitude, even if it is against odds. Changing your response, despite the perception, is building up of your reserves and resources to handle any contingency that life throws up at you. And life throws up situations quite regularly and heavily. For this you need to develop a fit mind and body: the former, by meditation and mind exercises; and the later, by exercises and proper diet. You need good sleep too. Included in the development of the mind is the handling of emotions, in your case, fear. These changes will give you a handle on life and your perceptions and responses. Prayer is really powerful, if you are a spiritual person. Repeat some personally framed affirmations that are geared to calming you down and building confidence. Do a personality development course too. Anything that develops you personally will be of great assistance in building resilience.