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Chronic insomnia
Chronic insomnia happens suddenly and lasts few days
Also regular problem in falling asleep
Hyper sensitivity to any sound
Continuous flow of thoughts which can be anything
Answers (11)
Hi,
The best way ahead would be a detailed clinical interview to understand the symptoms and your comprehensive history.
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Kind Regards,
Dr Abhinav Tewari
Consultant Neuro-Psychiatrist
MBBS (A.I.I.M.S., New Delhi)
MD (Psychiatry) (A.I.I.M.S., New Delhi)
DNB (NBEMS)
Answered
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I think you are having symptoms of any stress related issues. That particular issue or issues need to be addressed and you will be doing well. You might need some medication initially. Please consult a psychiatrist first and start taking Counselling sessions.
Next Steps
Visit any nearby psychiatrist or consult online.
Health Tips
Counselling would be helpful. You can listen some relaxation music before going to bed.
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You have complained of sleep disturbances for a long time, especially when falling asleep
Various factors need to be assessed
* Screen Use,
*pain due to the physical illness that you have mentioned
* Dietary habits as tea or coffee
* Addiction if any as tobacco, alcohol, smoking
* Thought process, any stressors
* Environment
You must consult a Psychiatrist and discuss all these points, as per need Medications or lifestyle modifications will be advised
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Hello
Chronic insomnia doesn’t happen suddenly and for a few days — that’s usually acute insomnia triggered by stress or changes.
If falling asleep is a regular problem, with hypersensitivity to sound and a continuous flow of thoughts, it points to a persistent sleep issue often linked with anxiety or an overactive mind.
Take therapy. You can connect with me on nine two six six seven two six zero six five
Next Steps
Lets begin sessions
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Don’t force sleep: If you can’t sleep after 20–30 min, get up, go to another dim-lit room, do something boring, and return to bed only when sleepy.
Bed is for sleep only: Don’t watch TV or use phone in bed. This retrains your brain to link bed only with sleep.
Noise hypersensitivity: White noise machine/fan/earplugs can mask small sounds.
Exercise: Regular activity helps, but not within 2–3 hrs of bedtime.
Diet: Light dinner; avoid going to bed hungry or overly full.
Next Steps
Since this seems to be chronic with sudden worsening, you should consider seeing a psychiatrist or sleep physician) if:
Insomnia lasts >3 nights per week for >3 months.
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I understand how exhausting insomnia can feel, especially when your mind feels overactive and even small sounds disturb you. From what you describe, this looks like rumination and heightened arousal, which are common causes of sleep difficulties.
Next Steps
• Consult a psychiatrist or sleep specialist: They can check if anxiety, depression, or another condition is contributing and guide you on treatment.
• Therapy options: Cognitive Behavioral Therapy for Insomnia (CBT-I) is very effective and works even without medicines.
• Medication: Short-term medication may sometimes be needed, but only under medical supervision.
Health Tips
• Wind-down routine: Avoid screens 1 hour before bed, use dim lighting, and try calming activities (reading, soothing music, breathing exercises).
• Sleep environment: Keep your bedroom quiet, cool, and dark; earplugs or white-noise apps can help if sounds disturb you.
• Mind calming techniques: Write down thoughts before bed to “offload” your mind, or try guided relaxation/meditation audios.
• Consistency: Sleep and wake up at the same time daily, even on weekends.
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