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why do I have such bad anxiety when I am trying to go to bed at night?

I am a 18 year old female with horrible anxiety. i have had really bad anxiety since i was about 14 and its just getting worse. i can cope with it during the day because i constantly have things distracting me, but come time to go to bed, i have the worst anxiety attacks. i sleep an average of 3-4 hours a night because of my anxiety, it keeps me awake and its really taking a toll on me, my body, my mental and emotional health, my physical health as well as my relationships with other people. what is the best way to go about treating my anxiety?
Anxiety is a very common problem encountered both by primary care physicians and mental health professionals. Just as you say, patients will often be able to deal with their anxiety during the day as a result of focusing on other tasks such as work or school. However, many patients will suffer at night as the daytime stimuli are no longer present. The best advice for you would be to seek out the care of your primary care physician. He or she can talk to you about the different stressors in your life and healthy ways to cope with these issues. If needed, you can be referred to a mental health professional such as a psychologist or psychiatrist for more specialized care. Many patients with anxiety find a great amount of relief through therapy and counseling sessions. For those patients that continue to have problems, medication can help. There are a number of medications called anxiolytics (i.e., medications that "break up anxiety") that can help ease the mind and help you to obtain a healthy amount of sleep at night. You should talk with your doctor about these medications, the side effects (such as the potential to cause daytime drowsiness), and if they might be appropriate in your situation.
This answer is for general informational purposes only and is not a substitute for professional medical advice.
If you think you may have a medical emergency, call your doctor or (in the United States) 911 immediately. Always seek the advice of your doctor before starting or changing treatment. Medical professionals who provide responses to health-related questions are intended third party beneficiaries with certain rights under ZocDoc’s Terms of Service.
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