Counselor/Therapist | Mental Health Questions Insomnia

Why is Trazodone not working for insomnia?

I was prescribed Trazodone for depression and insomnia 150mg 2 weeks ago after previously trying Citalopram and Sertraline.
Since taking trazadone I slept for the first 2 nights feeling groggy in the morning but ok and then since then I go to sleep at 9 and then waking at 2 with increased breathing and anxiety. I feel worse and am finding it very difficult to be functionable and do my job at work. It kinda feels like the lack of sleep is hindering my depression more and I thought it was going to get better. The breathing and anxiety is that bad I can’t even relax and watch tv-it feels painful to simply sit. What should I do? Is this normal or should I be concerned?

Female | 29 years old
Complaint duration: 14 days
Medications: Sertraline 150mg

1 Answer

Hello Have you allowed yourself a sleep study yet? Are your diagnosed issues above treated by a Psychiatric professional? Sleep studied allow for a professional to see what the root cause is for the symptoms you are experiencing. Blood work, how often does your DO send you for them? Are you taking necessary steps to keep a dedicated journal of your symptoms? What you ate the day before? What stress level you were at? Did something out of the ordinary occur that day? Start Journaling. Keep a list of things that you ate, did, didn't do, wanted to do but didn't, did but didn't want to do, feelings, good bad and otherwise.

Be your own advocate. Do the homework. And seek out someone to talk to about all of it.

Sometimes, we think it's all about the diagnosis alone. But alone it does no good if one is not also changing day to day habits that may contribute to your feelings.

You can and you will succeed if you do not continue doing the same things again and again and thinking a different outcome will be produced. Change is hard. Thought process change is even harder. And when you chunk down big huge amounts of lists you need to do to better your health, it is easier and not so bound to your thoughts. They will become intrusive.