Hello doctor,

I am a 53-year-old female. My height is 160 cm, and my weight is 65 kg. I developed insomnia five years ago, and I could not sleep on my own. I believe I was suffering from health anxiety. So, my doctor suggested taking the tablet Mirtazapine to induce sleep which I took for some period. After a year of discontinuing the tablet Mirtazapine, I got psychological counseling, and since then, my sleeping has been fine with an occasional restless night.

In the past few weeks, I have been experiencing panic attacks; I panic while I start to sleep, my heart pounds, I feel some sensation over my chest, and tingling sensations all over my body. This causes me to be very alert, and it takes a long time to feel sleepy again after that.

My main concern is what my next steps should be?

Kindly help.

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