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How to treat insomnia after COVID with racing thoughts at night?
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Sleep-Related Disorders
Question #30797
3 hours ago
15

How to treat insomnia after COVID with racing thoughts at night?

Client_0f0bda

Main complaint: Sleep problems / insomnia I have been struggling with sleep since after COVID. For the last several months I have maintained a strict sleep routine: Same sleep and wake time (around 10:30 pm to 7 am) Morning sunlight Evening wind-down before sleep Journaling/meditation tried I prioritize sleep a lot Pattern: Some nights I sleep normally without problems. Some nights my mind becomes very active before sleep. My body feels tired and sleepy, but my brain keeps thinking and does not allow me to sleep. Thoughts include: worry about not sleeping “what will happen tomorrow?” study/work/gym worries random imaginary/exciting thoughts Recent worsening: Last week I had about 3 bad nights in a row (I still got some hours of sleep, but it was poor). Recently I had a night where I felt like I got almost no sleep (around 30 minutes). After these nights I feel: daytime fogginess tiredness dizziness/lightheaded feeling worse gym recovery/body pain digestion feels affected Lifestyle: I exercise regularly: gym about 5 days/week, around 1 hour I train in the morning. I eat normally, but if I eat too little at dinner I feel hungry at night and sleep becomes harder. Additional pattern I noticed: When I stay awake for several hours, I often become hungry and after eating I sometimes fall asleep. If I feel calm and don’t overthink, I can sleep normally. Main trigger I noticed: Fear of not sleeping makes my thoughts worse. I feel my body wants sleep but my mind stays alert.

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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
4 minutes ago
5

Hello dear See insomnia can be due to many reasons like Medications Overactivity Depression Schizophrenia Trauma Sleep disorders So kindly share the below tests with neurologist for clarity of diagnosis and best treatment and fir safety please donot take any medication without consulting the concerned physician Eeg Emr CBC Esr ECG echo Serum tsh Serum ferritin Serum bradykinin Serum dopamine Serum serotonin Regards

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