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Anxiety, Depression, Chronic Insomnia

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Hello. My name is Mila. For as long as I can remember, I’ve always been a very anxious person. I am also a loner, spend most of my time by myself, a typical introvert. I have been taking Xanax for a while and it was helping with my anxiety. Lately, I’ve been under increased stress (job situation, financial problems, complete loneliness) and my anxiety went out of control. I stopped sleeping at all, fall asleep at 5 am, wake up within an hour, can’t work all day, very agitated. Have been using herbal supplements, no help. My friend advised me to try trazadone. Also, I have been having severe heart palpitations. What would you recommend? Thank you.

Anxiety, Depression, Chronic Insomnia

Answered by on -


I appreciate the difficulty you are having and am glad you wrote us here. The lack of sleep, the stress, and the fact that you have been experimenting with different remedies to no avail would suggest you need a very thorough physical. Before we try to sort through all the psychological concerns, I believe getting a complete physical will rule out any medical issues as a cause and will give you a baseline. From there you can choose either individual or group therapy. While it would be difficult in the beginning I would recommend trying group therapy as it is often the case that many people in a group struggle with this issue of isolation.

Wishing you patience and peace,
Dr. Dan
Proof Positive Blog @ PsychCentral

Anxiety, Depression, Chronic Insomnia

Daniel J. Tomasulo, PhD, TEP, MFA, MAPP

Dan Tomasulo Ph.D., TEP, MFA, MAPP teaches Positive Psychology in the graduate program of Counseling and Clinical Psychology at Columbia University, Teachers College and works with Martin Seligman, the Father of Positive Psychology in the Masters of Applied Positive Psychology (MAPP) program at the University of Pennsylvania. He is Director of the New York Certification in Positive Psychology for the Open Center in New York City and on faculty at New Jersey City University. Sharecare has honored him as one of the top 10 online influencers on the topic of depression. For more information go to: He also writes for Psych Central's Ask the Therapist column and the Proof Positive blog.

APA Reference
Tomasulo, D. (2018). Anxiety, Depression, Chronic Insomnia. Psych Central. Retrieved on March 22, 2019, from
Scientifically Reviewed
Last updated: 8 May 2018
Last reviewed: By a member of our scientific advisory board on 8 May 2018
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