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Anxiety & sleep, vivid dreams, difficulty waking up

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- Anxiety about going to bed and falling asleep. If I feel myself starting to drift off I wake myself up.
- Insomnia. Melatonin does not help. Ambien and benzos generally do, but I still wake up a lot.
- Waking up a lot during the night, generally from a dream.
- When waking up without an alarm clock, I generally wake up from a vivid dream
- Many dreams involve some sort of homicide, as if my dreams have a "murder mystery" theme to them. This is sometimes more common than others.
- Difficulty waking up to an alarm clock, even if I got enough sleep. I need to set my alarm an hour to hour and a half early, take adderall, reset my alarm, then go back to bed.
- Daytime drowsiness/sleepiness/Low energy/Low motivation/Lack of alertness.
- Strange sensation once in a while during the day, like I can't feel my limbs as well and feel out of it. This upsets me. I don't know if anxiety is the cause or the result.
- I don't like naps, and if I try to nap I generally don't make it past stage one.

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replied April 23rd, 2007
Sleep Disorders Answer A2601
There seems to be some confusion in your case. It is not logical to take sleeping medicine (Melatonin, Ambien, benzodiazepines) and medicines that counter sleepiness (Adderal) at the same time. It seems likely that your daily sleepiness is due to the insomnia you are experiencing at night. Insomnia is probably due to an anxious-depressive condition. You may consult a mental health professional. Most medical professional treat depression using selective serotonin reuptake inhibitors (SSRIs) like paroxetine, sertraline or others.
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