My wife age is 44 years. Since last few months she sleeps very disturbed at night. She wakes up at about 2-3 AM and is unable to go to sleep. Her BP is normally low 70 by 90, however her pulse rate is high to about 100. She not taking any medicine as her yearly health checkup comes normal. Kindly advice.

Ans: With regard to sleeping during the day is, needed sometimes and there is nothing wrong to sleep during day. But if you feel drowsy at 8 am, we need to check your snoring habits, and the quality of sleep.
Please get a Consultation with an ENT for Snoring and Sleep apnea

Ans: Engaging her physical, emotional and mental faculties, working them out will help her
Physical exercices, emotional expressions through art, and actively engaging the mind in creative activities will bring in balance and help for restful sleep.
Balanced nutrition and timely meals are important

Ans: The details mentioned are insufficient. In absence of any symptoms nothing needs to be done except for adequate fluid and diet intake. If there are symptoms please consult a cardiologist

Ans: I'm truly sorry to hear about your daughter's struggles. It's challenging to witness a loved one facing such difficulties. Let's approach this situation with empathy and practical steps to create a supportive environment for her.

First, it's crucial to communicate with her psychiatrist about the side effects of the medication. Sometimes, adjustments in dosage or a change in medication can help alleviate excessive drowsiness and other side effects. Encourage her to have an open dialogue with her psychiatrist about how she's feeling and any concerns she has regarding her treatment.

In addition to medical support, there are several strategies you can implement to help her regain a sense of routine and well-being:

Create a Gentle Routine: Establishing a consistent daily routine can help regulate her sleep patterns and reduce anxiety. Start with small, manageable changes. For instance, try waking her up at the same time every day, even on weekends, and encourage her to engage in light activities during the day.

Promote Physical Activity: Gentle exercise, such as walking, yoga, or stretching, can improve her mood and energy levels. Encourage her to engage in activities she enjoys, even if they are low-intensity.

Balanced Diet: Proper nutrition is essential for mental and physical health. Encourage her to have regular meals, even if they are small. Consider consulting a nutritionist to create a meal plan that caters to her needs and preferences.

Mindfulness and Relaxation Techniques: Techniques such as deep breathing, meditation, and progressive muscle relaxation can help reduce anxiety and improve sleep quality. Introducing her to these practices gradually can be beneficial.

Engage in Meaningful Activities: Encourage her to explore hobbies or activities that bring her joy and a sense of accomplishment. This could be anything from art and music to reading or spending time with pets.

Create a Supportive Environment: Ensure that she feels supported and understood. Open, non-judgmental communication can help her feel safe in expressing her feelings and concerns.

Gradual Changes: Remember that recovery is a gradual process. Celebrate small victories and be patient with setbacks. Each step forward, no matter how small, is progress.

Lastly, consider seeking the guidance of a therapist or counselor who specializes in anxiety and sleep disorders. They can provide tailored strategies and support to help your daughter navigate her challenges.

Your daughter's well-being is a priority, and with a compassionate, multi-faceted approach, she can begin to find relief and regain a sense of balance in her life.