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Postnatal health

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Sleep anxiety and fluoxetine

3 replies

Shinyshoe73 · 13/11/2019 16:57

I’m just looking for some reassurance as I feel like I’m in a black hole. After having my first DS five years ago I suffered badly with post natal anxiety - it was all around sleep in that I couldn’t sleep so would obsess all day long about not sleeping then not sleep! Coupled with severe anxiety it was a horrible, horrible time. I was prescribed fluoxetine which seemed to help and I was Happy and off medication only for the same sleep anxiety to happen again eight months later. This time I was prescribed sertraline and had CBT and I was feeling amazing and came off sertraline in January of this year. However two weeks ago the dreaded sleep anxiety struck again and I’m locked in a miserable cycle of obsessing over sleep only to lie awake all night with a racing heart full of anxiety. I have done all of the sleep hygiene etc it’s just my anxiety over sleep keeping me awake which I can’t stop! I have been given fluoxetine and I’m on day 6 to address the anxiety as well as amytriptline at night to help sleep. The amytriptyline was helping me sleep apart from last night when I got myself in such a state that even a Zopiclone sleeping tablet couldn’t help. I feel completely miserable and can’t stop worrying that I won’t sleep. I guess I’m looking for some reassurance from anyone who has had this and got over it? I’ve been here before but I’m really struggling to believe it’s going to get better.

OP posts:
peachgreen · 13/11/2019 17:17

Oh lovely, I can see you're really struggling with this - you posted a few days ago, right? It's a horrible thing. I think you maybe need a bit more help in the short term until the fluoxetine starts to help (which it will, I promise! It did for me, and it did for you before and will again - it just tends to make things worse before they get better). Do you have someone who could take your DS overnight and in the morning so you can have a pressure-free night? Maybe take your sleeping tablet straight away and just give yourself a night?

I would also recommend staying on the fluoxetine for longer - my psych recommended I stay on it for at least 18 months, ideally 2 years, even after I felt better. Coming off and going on again is really hard.

Shinyshoe73 · 13/11/2019 17:23

Thank you. My two children both sleep through now so it’s not even that I’m listening to them - it’s just my stupid mind keeping me up! I took a sleeping tablet last night but I still didn’t sleep, I really hope the fluoxetine works.

OP posts:
peachgreen · 13/11/2019 19:42

But if you're anxious about having to wake up at a certain time in the morning that could exacerbate things - a day properly "off" might help.

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