instruction: hello doctor I am not sure what I am feeling I struggle with self confidence and low self esteem I am in a management position at my work place yet this has been my struggle for a long time now I am a single mom and my previous partner was a narcissist I think it pushed me further into fear of relationships I am scared of failing even as a parent I hate socializing yet I need friends I just do not know how to break from this when a guy shows interest in me I get so overwhelmed and clingy and never works I have isolated myself from my family and friends I do not know how to build relationships and I have to fake my friendship I cannot sleep at night fully and I wake up every two hours losing at least two to three hours of sleep a night or more my boss in the office has already noticed and given me feedback I need help I feel like I am losing it
output: hello you seem to have an anxiety type disorder mixed with depressive episodes you will need to visit a psychiatrist and he will prescribe you sari selective serotonin reuptake inhibitor type of medicines which will help with your problem it basically happens when some neurotransmitters such as serotonin reduce in your brain leading to a problem with handling the day to day stresses of life medicines are usually given for two to four months and then tapered off slowly and stopped the medicines I have mentioned are usually prescribed by psychiatrists apart from those you can take melatonin or 10 my it is available in any decent pharmacy over the counter and does not need a prescription you can try taking that daily at night apart from that you can try some sleep hygiene methods like maintain good temperature no noise or light one hour prior to bed wind down and try reading or music do not use the laptop to or phone one hour prior to sleeping avoid caffeine alcohol or tobacco two hours prior to sleeping avoid exercises three hours before sleeping and take warm milk at bedtime go to bed only when sleepy and avoid other activities on bed use bed only for sleeping or sex if you do not get sleep do not toss and turn get up go to another room walk about for 10 15 minutes and come and lie down see for 10 minutes if not sleepy go out again try deep breathing exercises progressive muscle relaxation techniques or yoga or meditation it will also help