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Dr. Phil, MD
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 56580
Experience:  GP in the United States
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I have been suffering from insomnia on and off for years. Recently

Resolved Question:

I have been suffering from insomnia on and off for years. Recently it has been much better and I have been using a self hypnosis cd. For the last week or so I have been sleeping badly again. The trigger is that I have been in a new relationship and always conscious of how I look. I am so concerned with getting a good night's sleep so that I look refreshed that I cannot get to sleep and now I am worrying about not sleeping which is making things worse.
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. Phil, MD replied 3 years ago.

Dr. Phil, MD :

Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.

Dr. Phil, MD :

Hi I'm Dr. Phil

Dr. Phil, MD :

Can I ask your first name?

Customer: Karin
Dr. Phil, MD :

Hi Karin.

Dr. Phil, MD :

Nice to meet you

Dr. Phil, MD :

I'm very sorry about this

Dr. Phil, MD :

It sounds like it is mostly anxiety related

Dr. Phil, MD :

Do you exercise?

Customer: Yes. I run 6 miles 3 times a week.
Dr. Phil, MD :

okay good

Dr. Phil, MD :

does exercise help you sleep?

Customer: No. I ran today.
Dr. Phil, MD :

okay

Dr. Phil, MD :

what about melatonin?

Customer: I have tried loads of herbal stuff and hypnosis cds.
Dr. Phil, MD :

have you tried melatonin in particular?

Customer: No I don't think so. I did buy some St Johns Wort max strength today.
Dr. Phil, MD :

That is not good for insomnia

Dr. Phil, MD :

SJW is the same as like prozac or zoloft

Dr. Phil, MD :

it is an anti depressant

Dr. Phil, MD :

I would try melatonin 3 mg nightly

Dr. Phil, MD :

that will help

Customer: Ok and what if that doesn't work?
Dr. Phil, MD :

Then I would ask your doctor for a sleep aid

Dr. Phil, MD :

using something mild like doxepin will help

Customer: Ok but what about the longer term?
Dr. Phil, MD :

I think once your anxiety about the relationship gets better

Dr. Phil, MD :

you will do well again

Dr. Phil, MD :

This change is new and is affecting you but it will level out

Dr. Phil, MD :

are you there?

Customer: Yes. Still here. Will try the melatonin first.
Dr. Phil, MD :

alright Karin :)

Dr. Phil, MD :

sounds good

Dr. Phil, MD :

Was this chat helpful?

Dr. Phil, MD :

Any more questions for me?

Customer: Well I'm not asleep yet, but hopefully soon.
Dr. Phil, MD :

ok :)

Dr. Phil, MD :

Did I do good work for you?

Customer: Yes
Dr. Phil, MD :

thank Karin :)

Dr. Phil, MD :

would you mind rating me before leaving?

Dr. Phil, MD :

if you have more questions, I'm happy to help

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