Saw a 42 years lady 3 months ago ,who’d been suffering for 12 years with complaints of poor sleep- only 2-3 hours / night ,with severe tiredness and mood changes during the day . She had been on anti-depressants for a long time with not much relief but had gained weight significantly. I evaluated her – along with a psychologist and advised her good Sleep hygiene measures plus dietary advice for weight reduction.
It was a pleasure to see her today -she had lost 12 kg weight, was more cheerful, able to sleep 5-6 hours at night and the day was much better for her.
This proves that a good evaluation with good counseling can work wonders, of course needs a patients co-operation