Having history of CNS TB, vasculitic infracts & Hydrocephalus treated in 2024.
Nightmares- I often see myself dying in dream, ghosts, someone trying to kill me.
I feel like screaming loud, crying. I cry for hours even after small argument with partner. Sleep problem as well.
Currently taking Eliwel.
Answers (8)
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Hi
Thank you for opening up about this—your past medical history and the emotional struggles you’re currently facing are deeply connected and very valid. CNS TB, vasculitic infarcts, and hydrocephalus can all leave behind subtle neurological and emotional impacts. These conditions may contribute to heightened emotional sensitivity, cognitive fatigue, and disrupted regulation of fear and mood. Nightmares involving death, ghosts, and being attacked are often manifestations of trauma stored in the brain—your mind is trying to process fear, helplessness, and emotional overwhelm. The prolonged crying and intense reactions to arguments suggest your emotional system is in a state of hyperarousal, often seen in post-traumatic stress or mood instability, especially if the brain’s stress regulation pathways have been affected.
Eliwel (Amitriptyline) helps with sleep and mood but may not be sufficient on its own. Therapy focused on trauma (like CBT for PTSD, EMDR, or sensorimotor psychotherapy) can help process these emotional imprints. Sleep hygiene and grounding work are essential too, so your brain can begin to feel safe again. Nightmares can be reduced with imagery rehearsal therapy (IRT), where we work together to rewrite and rescript the ending of distressing dreams. It’s also important to evaluate with a neurologist if the infarcts have had lingering cognitive effects that influence your emotional regulation. You are not alone in this—your brain has been through a lot, and healing is very much possible with the right care.
Take therapy, and you can connect with me on nine two six six seven two six zero six five.
If you are symptomatic despite taking medicine you must again get evaluated psychiatrically. With optimization of dose or change of medicine you will get well.
Next Steps
you may book an online consultation with me on Practo for more details and further treatment
Hi, I appreciate that you reached out with your concern.
I understand that experiencing recurrent nightmares, intense emotional distress, and sleep disturbances can be overwhelming, especially with a history of CNS TB, vasculitic infarcts, and hydrocephalus. The dreams could be linked to anxiety or PTSD or could be due to the medications you are taking.
I recommend you to consult Neurologist since your condition has a neurological background. Also seek support from therapist and consider techniques like CBT. Meanwhile you may practice Mind-Body Relaxation Techniques like progressive muscle relaxation, deep breathing, or light physical activity can help regulate emotions. Also practice Bhramari pranayama for sound sleep.
Next Steps
If you are finding it is still persist, you may book an appointment with Rupali Mohbe/BIRDY ME at Practo
Health Tips
Daily do Progressive muscle relaxation techniques to calm yourself.
Since you're already on medication, you can talk to doctor that prescribed this medicine or consult a psychiatrist can assess whether adjustments or additional therapies might help you feel better.
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.
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.
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