|
20.75006578047934 27.22508589321583 C1 Good morning. I've been experiencing severe insomnia and an- anxiety lately.[N]
|
|
27.54408623856971 33.34410390622844 C1 It's been affecting my daily life and I'm really struggling to cope with the lack of sleep.[N]
|
|
33.63210593412148 36.252113569074005 C1 I'm looking for some help with this issue.[N]
|
|
36.87211615612403 41.30912903531802 O1 Good morning. I understand how challenging that can be.[N]
|
|
41.75013203419954 49.58515612215925 O1 Insomnia and anxiety often go hand in hand and can create a frustrating cycle.[N]
|
|
50.02615912104076 56.113174764470244 O1 Can you tell me more about your sleeping patterns and how your anxiety manifests.[N]
|
|
56.69618016448427 62.7381956659415 C1 Well, I find myself lying in bed for hours, just staring at the ceiling.[N]
|
|
62.89419776566539 70.71222504518178 C1 Unable to fall asleep, when I do manage to drift off, I often wake up multiple times during the night.[N]
|
|
71.11022466321026 76.96024217312201 C1 My mind is constantly racing with thoughts, and I can seem to relax.[N]
|
|
78.06724856525244 84.50426531291059 O1 I see. That does sound distressing. It's important for us to.[N]
|
|
84.50426531291059 90.15428802114417 O1 Address both your sleep hygiene and your anxiety for starters.[N]
|
|
90.33228726057997 97.86330648317588 O1 Let's talk about your bedtime routine. Do you have any ones established.[N]
|
|
98.26931425446243 103.55632249111277 O1 And are you consuming any stimulants like caffeine.[N]
|
|
103.72032754577292 106.69233824439513 O1 Or engaging in screen time before bed.[N]
|
|
107.53633567875804 112.23435768219855 C1 I don't really have a routine, I usually watch T V or.[N]
|
|
112.27735649571758 116.04734251933755 C1 It scr- it scroll it scrolls through my phone until I feel tired.[N]
|
|
116.47336582757956 120.65538034367803 C1 I do drink coffee but I try to avoid it in the evenings.
|
|
121.37738520566302 126.48539873697273 O1 Reducing screen time before bed can greatly improve your sleep quality.
|
|
126.72040010937121 130.25241257475932 O1 As the blue light emitted from the screen.
|
|
130.5964084316527 134.74142087788726 O1 Can interfere with your natural sleep wake cycle.
|
|
135.4514234333879 143.3424541884055 O1 Establishing a relaxing bedtime routine can also signal to your body that it's time to wind down.[N]
|
|
143.88945818278222 150.2664698583161 O1 As for caffeine, it can stay in your system longer than you might expect.[N]
|
|
150.5994793524233 155.7124928995077 O1 So limiting your intake after lunch could be beneficial.[N]
|
|
155.77449567923293 160.72750872152707 C1 That makes sense. I'll try to cut down on the screen time and coffee.[N]
|
|
161.07050848152784 166.67752749341446 C1 But what about when I'm in bed and can't stop my anxious thoughts.[N]
|
|
167.3955284365174 173.25554629347243 O1 Well, there are several techniques we can try to manage those intrusive thoughts.[N]
|
|
173.74754066416563 178.90857194086757 O1 Mindfulness and relaxation exercises can be very effective.
|
|
179.4765626450738 185.18859175388485 O1 Have you ever practiced deep breathing or progressive muscle relaxation.[N]
|
|
185.53058565133716 192.12560582717245 C1 I've heard of them but never really talk tried, I'm willing to give anything a shot at this point.[N]
|
|
192.8416044953404 200.35762430160003 O1 Great. I can guide you through these techniques. Additionally, cognitive behavioral therapy.[N]
|
|
200.68864128642804 206.4806511163226 O1 Has shown to be very effective for both anxiety and sleep disorders.[N]
|
|
206.6676445247594 213.03467570005552 O1 It can be, it may be worthwhile to explore with this uh therapist.[N]
|
|
213.1956729327262 216.17568170345675 O1 Who specializes in C B T.[N]
|
|
217.1326775411966 223.56871284044587 C1 I've considered therapy before, but haven't taken the step yet. Maybe it's time.[N]
|
|
223.7957063750802 229.69271653624335 C1 Could you also advise if there's any medication that might help in the short term.[N]
|
|
230.49271969118243 237.12773999321524 O1 Certainly. There are medications that can help with both anxiety and insomnia.[N]
|
|
237.57674594703303 244.7967680947052 O1 However, they are typically recommended only after non pharmacological methods.
|
|
245.31177035048665 252.0327870175819 O1 Have been tried, as they can have side effects and potential for dependence.[N]
|
|
252.78579783676346 259.896815734285 O1 One option is a class of medications called benzodiazidines.[N]
|
|
261.8188341478526 265.22083643744287 O1 But these are generally prescribed.[N]
|
|
267.68885266734486 269.50885777834617 O1 For short term use.
|
|
269.8488594820132 275.598876991925 C1 I've heard about the dependency issues with those kind of medications.[N]
|
|
275.9378630673878 280.14988744379036 C1 Are there other options with still curing risks.[N]
|
|
280.4928774381353 288.13991265175343 O1 Yes, there are other medications like certain antidepressants that can help with sleep.[N]
|
|
288.3699136928833 295.8899371025311 O1 And are not habit for me. Additionally, there are specific medications for insomnia.[N]
|
|
296.12894239381166 302.36595362765416 O1 Such as Zolpidem, which can be used on as needed basis.[N]
|
|
303.4019536208964 310.9969766361769 O1 We can discuss the best option for you based on a comprehensive evaluation of your condition.
|
|
311.34697868688727 317.3990088683776 C1 I would appreciate a detailed evaluation, I want to handle this right away.
|
|
317.4860019613204 320.52800311513266 C1 And avoid any unnecessary risks.[N]
|
|
320.6970081855674 327.0040391715673 O1 Absolutely. Your safety and well being are our top priorities.[N]
|
|
327.61203000197105 332.5290566026056 O1 Let's schedule an appointment for a full assessment.[N]
|
|
333.1120668854474 338.74907622632645 O1 Meanwhile, I suggest you start implementing the sleep hygiene practices.
|
|
339.0470856100107 342.9890896032681 O1 We discussed and explore relaxation techniques.
|
|
343.5850686770256 350.24610468613616 O1 Keeping a sleep diary can also be insightful for our upcoming consultation.[N]
|
|
350.6700910297688 356.60510912334433 C1 Thank you, doctor. I'll start the sleep diary and work on my bedtime routine.
|
|
356.9451108270114 360.1471515482371 C1 How soon can we schedule the assessment.
|
|
360.6131302118525 365.51513723385136 O1 You can book an appointment through our online plat- platform.
|
|
365.8731468068319 371.40015580066773 O1 I have availability next week after booking.[N]
|
|
371.62515714151675 377.9901765917161 O1 You'll receive a confirmation and a remin- reminder closer to the date.[N]
|
|
378.4122098041867 385.8932090222302 O1 Please make sure to keep track of your sleep patterns and any anxiety triggers until then.[N]
|
|
386.09922624367863 392.0552209659339 C1 I've booked the appointment for next week. In the meantime, should I reach out if I have.[N]
|
|
392.24522219636015 397.53726951140845 C1 Any concerns or questions about the techniques you've mentioned.[N]
|
|
397.6962550189822 402.16525317786164 O1 Definitely. Please don't hesitate to contact me.[N]
|
|
402.50927801622856 406.50628218300756 O1 If you need guidance or if your symptoms were sent.
|
|
407.172300540234 411.7973145008394 O1 You can send a message through this platform at any time.
|
|
412.07829258079107 415.7402956906655 O1 And I'll get back to you as soon as possible.
|
|
416.7073306225779 421.31132889188024 C1 Oh, that's very reassuring. Thank you for your help today.[N]
|
|
421.4923457189613 427.2243553595596 C1 I'm feeling a bit more hopeful about managing my sleep and anxiety.[N]
|
|
427.7053340704991 432.72738021822 O1 You're welcome. I'm glad I could provide some reassurance.[N]
|
|
433.11835896070886 439.2533776852722 O1 Remember, managing sleep disorders and anxiety is a process.[N]
|
|
439.5183791523188 447.3014108887464 O1 But with the right tools and support, you can improve your sleep and overall quality of life.
|
|
447.7924286938585 452.612443269677 O1 I look forward to our appointment and helping your quarter.
|
|
453.09943762459545 460.65844521674273 C1 I appreciate it, doctor. I'll see you next week and we'll reach out if anything comes up before then.[N]
|
|
460.9404389248986 462.14747335202094 C1 Have a good day.
|
|
462.5284514319726 468.80546310750657 O1 You too. Take care and try to stay positive.[N]
|
|
469.05648015543335 474.47149660844053 O1 And we'll tackle this together. Goodbye for now.
|
|
|