I am 54 years old govt employee. During official writing and official public meeting I feel more anxiety .as per doctor's advice past I was taking tab trika .25 mg in night time past 5 years .without consulting Dr. A month before I felt sleeping disorders and suicide thinking moods. that why I went to nimhns hospital bangalore. I consulted Dr. They diagnosed anxiety neuro problems. Dr. prescribed tab. Clonotril .25 mg. And t.mirzaben 15 mg in bed time .past a week sleeping I feel sleeping disturbing and unable to do routine work in my office. Pls need tmt. Adv dr.

Dr. Saranya DevanathanPsychiatrist50yrs exp

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Dear lybrate-user, mirtazapine will start its action after 2-3 weeks only. Wait for it to start action. It will work at certain dose. You have been given low dose now, follow up with nimhans so that dose is given according to your improvement vs side effect.  

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Ms. Harsharan Kaur RandhawaPsychologist3yrs exp

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Dear Lybrate user I read your concern. I would suggest you to take counseling along with medicines for your anxiety and sleeping problem. Medicines are alright for sometime but in the long run they are not good. Medicines have side effects. But with counseling, you can better understand the root cause of your anxiety and sleep disturbance. Moreover, suicidal thoughts can be handled by cognitive behavioral therapy, by changing your thought pattern. Medicines can give you results in short time span but are not good in the long run, whereas, counseling is a slow process but can resolve the problem from its roots. For online counseling, you can contact me or for face to face, you can go to a psychologist near you.  

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