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Daughter's Anxiety, Sleep Disorder, and Excessive Sleepiness: Seeking Help

Dr Ashish

Dr Ashish Sehgal  | Answer  |Ask -

Relationships Expert, Mind Coach - Answered on Jul 15, 2024

Ashish Sehgal has over 20 years of experience as a counsellor. He holds a doctorate in neuro linguistic programming, mental health and social welfare.He is certified in neurolinguistics by both the Society of NLP and the American Board of NLP.... more
AtulD Question by AtulD on Nov 08, 2023Hindi
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Relationship

Hello Dr. Ashish, my daughter who is 23 years old, is sufferings from anxiety and sleep disorder from past 4 years. For that she takes medicines from a MD Psychiatrist regularly. But due this medicine side effect (I think so) she sleeps excessively. Instead of morning she wakes up anytime between 11 to 2 in the noon. Even if we force her to get up early (say at 9 O'clock), she sleeps again after 3-4 hours till late evening. She does not have any desire to do any household work and even she does not feel hunger in day time. Mostly she skips her lunch and eats dinner directly. Kindly help me in getting her out of this trauma.

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.

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Plastic-Aesthetic Surgeon, Emergency Care Consultant - Answered on Dec 05, 2024

Asked by Anonymous - Dec 05, 2024Hindi
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Dear Doctor, I work as a corporate lawyer in Delhi. I’ve been considering undergoing a cosmetic procedure for my skin for some time now, but I’m feeling a bit overwhelmed by the number of surgeons available. I want to ensure that I choose someone who is experienced, as this is a big decision for me. Could you advise what I should look for when selecting a plastic-aesthetic surgeon? Are there any specific red flags I should be aware of when researching potential surgeons? I want to make sure I’m in safe hands. I’m 40 years old.
Ans: This is a beautiful question.
Before I dwell on your question, there are a few points which are very important for the patient to know.
1. You should roughly know what result you wish to have.
2. Never think of a perfect result. There is no such result.
3. You must think in terms of improvement and if you are sble to achieve more than 90% approx, it can be considred good.
4. Dont compare your results with any celebrity's result. There body structure is different, they have probably taken better care till now and importantly, the result you see on a public platform is after make up and not the real result. Some times it may be a photoshopped image
5. Let your doctor know if you have any medical history and addictions.
6. Don't go with pre concieved notion (especially if you have researched a lot online). Discuss with the doctor, listen to his/ her views and raise your concerns if any
7. Try and see some results of the doctors work (Remember, too good a result may not be the true result). Realistic result is what you should want to look at and believe.
8. Don't fall for less budget! its obvious a meticulous job needs more surgical time. This means that the doctor may charge more. Seniority also adds to the cost.
What I mean, there is a price to be paid for a good job.(whether medical or anywhere).
Now coming to the Plastic surgeon's choice.
1. Research well, but dont fall prey to only advertisement. Small and big centers, both advertise,
2. Dont fall for glamour. You are going to a surgeon. A plastic surgeon's clinic is clean but not lavish generally. At least I believe that the person coming is not a client, but a patient. A patient - Doctor relationship is more pure than a client-Professional relationship.
3. Talk and discuss with the doctor. A too busy doctor may not always be the best doctor for you. Plastic surgery is about thinking, planning and execution. A doctor who thinks aloud about your problem ( especially if ut us face, nose, breast etc) is applying his/ her knowledge for your betterment, because every oerson is different.
4. Check the resilts? Look for genuinity.
5. Be wary of arrogant, loud and boisterous people. There is a difference between confidence and fambloyence.
6. Doctors who are attached to reputed hospitals are generally good in their work.
7. A doctor who can talk about probable complications is also a doctor worth trusting.
I hope I am able to do justice to this difficult question. All the best. You can write again if you need any other clarifications.
Dr. Anshuman Manaswi

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