From last one years I am having sleep disorder and nw I am feeling very lethargic anxiety and depression from last 3months you am having lonazep 0.5 and topaz 25 I want to leave this medicine and wants alternative treatment since these medicines r also not able to make me sleep properly pls advise.

Mr. Saul PereiraPsychologist51yrs exp

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You should consult your doctor for your sleep problems because both medicines can make you sleepy and drowsy. So maybe the dose may need to be reviewed. Weight gain is also one of the side effects and you need to monitor your eating and exercise habits regularly. Your intention of leaving the medication is good but not until your problem is resolved entirely. I recommend that you go for some therapy and learn some skills, techniques, and tools to handle your condition psychologically. Life is full of problems as a norm. Any attempts to escape will never help and lead to anxiety: you must learn to face these problems every day with good success. The counselor will help you in this regard. I also firmly believe that every crisis offers an opportunity for change if you seek it and grab the opportunity. Please meet with a counselor and work on your emotions, particularly anger. Exercise is very important but you have to build on it developmentally. I suggest you do the opposite of what this depression makes you feel like doing (actually, not doing): you will need to fight this condition. You must become active; stay upright during the daylight time; meet people; never sleep during the day, wake up by 6 am every day, play some active games, especially contact games, do physical exercises, talk to people and join some social clubs, attend yoga classes, etc. Watch sitcoms on tv or comedies and cheer yourself up. Go for excursions in groups, for outings, camps, conferences, and religious conventions. Get a pet dog and spend time training it, exercising it, and relating to it. Expose yourself to some sunlight every day, at least 30 minutes but not in the scorching heat. Whatever happens, please incorporate these three important adaptations in your life: always be responsible, be respectful, and be functional. If you did these three, lots of things will go well in life. Please pray and have faith in god to alleviate your sufferings. Don?t wait for others to help. Use your own motivation, which might be at its lowest, but persevere and win this battle. Above all to be really happy, you need to live in love and for love. Learn all about emotions and how to handle them and that will get you out of the depression and anxiety rather easily and quickly. A counselor is there only to facilitate you, all the hard work must come from you, and your cooperation with that person is very critical for your success. Be positive every day and learn to be content with what you have. Do some left brain exercises: it is the happy brain. Here are a few suggestions: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. Whatever happens please cooperate with the therapy and medicine, and do not discontinue until the condition is completely resolved.  

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