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Generalised anxiety Disorder
I have been suffering from generalised anxiety disorder the doctor prescribed me sertaline 50 mg, Apriprazole 0.5 mg and clonotril 0.25 mg for 60 days at the first attack it was an year ago, again I went to the same psychiatrist she asked me to continue the same medicine but the second time it did not work in my body, she prescribed me for 90 days but it was over 60 days without improvement, now I am unable to yawn body is not getting tired even though I am working in night shift, I have to masturbate to sleep while taking clonotril 0.5 mg and when I am standing I feel heaviness in my leg and when I am bending down I get falling sensation. My carcadian ryhtm is completely disturbed, I don't know what is happening in my brain, unable to feel lively plus sensitivity to bright lights, eye pressure, I have realized that the same medicines are not working in my body.
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You need psychiatrist who monitors your actual symptomatic condition closely,which can’t be done with 2 monthly follow up,At least you need follow up of every 5 days to monitor your worsening symptoms..as drugs have stopped working on your body,still you r taking the same madications with same doses,there are also chances drugs have started showing side effects or it will if not be looked out,sertraline is SSRI group of drug,which can cause sexual dysfunction,digestion issues,another one is aripiprazole,which is antipsychotic group of drug which also comes with certain side effects like restlessness,movement issues if taken for longer duration with certain doses..
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You really need fresh history taking by new psychiatrist,who actually takes care of you in short follow up
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If it’s not working for you,doesn’t suit you,making your life more n more difficult,so that needs to be looked after sincerely,cause living life peacefully is your basic right
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Hello. From your description, a few important points are clear. Generalised anxiety disorder can relapse, and the same medicines may not always work the same way again. This does not mean anything is permanently wrong with your brain. Symptoms such as reduced sleepiness, disturbed circadian rhythm (night shift), heaviness in legs, dizziness or falling sensation on bending, light sensitivity, and inner restlessness can be due to a combination of anxiety, sleep deprivation, and medication side effects (especially benzodiazepines like clonazepam and augmentation drugs such as aripiprazole).Dependence on clonazepam for sleep and needing stimulation to fall asleep suggests your sleep cycle is significantly disrupted. Long-term or increasing use of clonazepam can worsen sleep quality and cause daytime physical sensations. Night-shift work itself strongly affects circadian rhythm and can reduce the effectiveness of psychiatric medications and worsen anxiety symptoms. At this stage, the correct step is not to continue the same medicines without benefit, but to have a proper medication review. Your psychiatrist may need to adjust doses, change medications, gradually taper clonazepam, and add structured psychotherapy (CBT) along with sleep-wake regulation strategies.
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Please do not stop or change medicines on your own. I strongly recommend a follow-up consultation (preferably in person) with a psychiatrist to reassess your treatment plan and sleep pattern. With the right adjustments, these symptoms are reversible and manageable.
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Anxiety disorders can affect the entire body, not just thoughts. Over time, ongoing anxiety, night-shift work, disturbed sleep cycles, and prolonged medication use can lead to symptoms like restlessness, unusual body sensations, light sensitivity, and feeling mentally “flat.” When treatment that worked earlier no longer feels effective, it does not mean something is permanently wrong — it usually means the body–brain system needs reassessment. What you’re describing suggests a mix of active anxiety, sleep–circadian disruption, and possible medication-related effects, all of which are manageable with the right approach.
Next Steps
Helpful next steps would include: - Getting a fresh psychiatric review (a second opinion if possible) to reassess medications, dosage, and timing rather than continuing the same combination without benefit - Reaching out to a mental health professional, especially a therapist, to work on anxiety patterns, body awareness, and coping skills alongside medication - Actively addressing the disturbed circadian rhythm by discussing night-shift impact, sleep timing, and light exposure with a professional - Paying attention to physical symptoms (leg heaviness, dizziness, light sensitivity) and sharing them clearly during consultation so they are not overlooked - Avoiding self-adjustment of medicines and instead focusing on structured follow-up and monitoring
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What you’re experiencing is distressing but not uncommon in long-standing anxiety, especially with disrupted sleep cycles. With a careful reassessment and combined medical and psychological support, these symptoms can gradually settle and your sense of liveliness can return. To know more about this, you can always reach out for help to us at nine-five-two-two-five-five-five-seven-zero-three.
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"Hi there, I understand that seeking help can feel overwhelming, but you’ve already taken the first brave step. I can guide you with a clear treatment plan tailored just for you, so you can feel better and regain control over your life. You can reach me directly on WhatsApp for quick support on seven zero eight two zero two two zero six two."
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That is quite normal. A person need not respond to the same medicine when the symptoms recur. Consult the same psychiatrist and explain the changes and get the medications revised for recovery. Good luck
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You need detailed assessment, also prescription optimization, many things are overlapping at once Consult
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consult
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consult
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Your symptoms suggest poor response + side-effects to the current regimen, not brain damage. This can happen in GAD. Key points (short): • Same medicines may stop working over time → dose change or switch needed • Clonazepam dependence / circadian disruption can cause dizziness, heaviness, poor sleep, emotional dullness • Night-shift + anxiety worsens symptoms (light sensitivity, eye pressure, falling sensation) What to do now: • Do not self-increase clonazepam • Consult psychiatrist for medication revision (change SSRI / taper benzodiazepine / add CBT) • Correct sleep–wake cycle gradually • Rule out anemia, BP issues, B12, thyroid if not done This is treatable and reversible with proper adjustment.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.