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Is overthinking affecting my mental health and sleep?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am experiencing fear and worry, and I feel as though I may collapse at any moment. Please provide assistance. I have been enduring these symptoms for a duration of five months. I am plagued by negative thoughts, which are significantly impacting my ability to sleep, work, and find enjoyment in life.

Please help.

Thank you.

Hello,

Welcome to icliniq.com.

Thank you for seeking help from a psychiatrist. I can understand your situation.

What you are experiencing sounds like it could be related to major depressive disorder, and it is important to remember that this is a medical condition, not a personal weakness.

The good news is that there are several non-medication ways to manage depression, especially in the early stages. These steps may seem simple, but when practiced regularly, they can make a meaningful difference in how you feel over time.

Try to engage in some form of physical activity every day for about 30 to 45 minutes, such as going for a walk. Even light exercise helps release “feel-good” chemicals in the brain and can slowly improve your mood and energy levels. Practicing meditation for around 20 minutes daily can also be very helpful. Sit comfortably, focus on your natural breathing, and allow your thoughts to come and go without judging them. This helps calm the mind and reduce mental stress.

Make sure you are eating healthy, home-cooked meals and try to avoid junk or highly processed foods, as they can affect both your body and mood. Drinking enough water throughout the day is equally important. Spending quality time with friends and family, even through phone or video calls if you are not physically together, can give emotional support and reduce feelings of loneliness.

You may also find it helpful to reconnect with activities that bring you joy or peace, such as reading, journaling, painting, drawing, or learning something new like a language, music, or a skill you have always been interested in. Try to maintain a regular sleep routine and aim for seven to eight hours of sleep each night, as poor sleep can worsen depressive symptoms.

Avoid tobacco, alcohol, or any kind of substance use, as these can temporarily numb feelings but worsen depression in the long run. Most importantly, remind yourself that your life has value and meaning. You deserve to live fully, not just get through the days. Try to be kind to yourself, take small steps, and believe that things can improve with time and effort.

To better understand what might be contributing to how you are feeling, it would be helpful to get a few basic blood tests done. These include a complete blood count (CBC) to check for anemia or any signs of infection, a thyroid profile to see if your thyroid hormone levels are normal, and vitamin D3 and vitamin B12 levels, as deficiencies in these vitamins are very common and can cause symptoms like low mood, fatigue, poor concentration, and low energy.

If your symptoms continue even after following these steps for four to six weeks, I would strongly recommend consulting a psychiatrist in person for further evaluation and support. Sometimes therapy or medications may be needed, and that is completely okay.

If you still experience persistent symptoms after following this advice for four to six weeks, then you should consult your nearest psychiatrist.

I hope this helps.

Please feel free to reach out in case of further queries.

Thank you.

Medically reviewed byiCliniq medical review team

Published At June 26, 2024
Reviewed AtMarch 12, 2026

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