Talk to Psychiatry on Persistent Anxiety And Low Mood After Insomnia
Asking for Self, Male, 28 years old, Islamabad
Assalam-o-Alaikum Doctor,
Kindly refer my case to a General Physician (General Practitioner) if appropriate. Based on your advice, I would also like to proceed with an online video consultation for further evaluation and management.
In March 2023, I started taking a Vitamin B12 supplement (Methylcobalamin 1200 mcg), one capsule every 2–3 days. I continued taking this supplement until May 10, 2023.
Initially, I had no problems. However, after April 10, 2023, I started experiencing sleep problems. My sleep became irregular; I would have 2 sleepless nights, followed by about 3 nights of normal sleep. This pattern continued from April 10 to May 10, 2023. At that time, I was not sure whether the Vitamin B12 supplement was the cause of the insomnia.
Between May 10 and May 15, I experienced severe insomnia and was unable to sleep properly for about 5 days. I stopped taking the supplement on May 10. After May 15, my sleep gradually returned to normal and has remained normal since then.
After this episode of insomnia, I began experiencing the following symptoms:
* Mild Anxiety * Low mood * General body weakness * A feeling that my brain is more sensitive or slightly overactive than usual * Stomach issues, especially frequent belching
Even now, in 2026, I still experience mild anxiety and low mood, and I feel that my overall physical and mental health has not fully returned to how it was before this episode.
**My questions are:**
* What could be the reason for my persistent mild anxiety and low mood after such a long time? * Why does my overall health still not feel fully recovered?
Thank you.
Patient
Post Owner
مارچ 2023 میں میں نے وٹامن B12 (Methylcobalamin 1200 mcg) لینا شروع کیا، ایک کیپسول ہر 2–3 دن بعد۔ میں نے یہ سپلیمنٹ 10 مئی 2023 تک استعمال کیا۔
ابتدا میں مجھے کوئی مسئلہ نہیں تھا۔ لیکن 10 اپریل 2023 کے بعد مجھے نیند کے مسائل شروع ہوئے۔ میری نیند بے قاعدہ ہو گئی؛ 2 راتیں بالکل نیند نہیں آتی تھی، پھر تقریباً 3 راتیں نارمل نیند آتی تھی۔ یہ سلسلہ 10 اپریل سے 10 مئی 2023 تک جاری رہا۔ اُس وقت مجھے یقین نہیں تھا کہ آیا وٹامن B12 اس بے خوابی کی وجہ ہے یا نہیں۔
10 مئی سے 15 مئی کے درمیان مجھے شدید بے خوابی ہوئی اور تقریباً 5 دن تک ٹھیک سے نیند نہیں آئی۔ میں نے 10 مئی کو سپلیمنٹ بند کر دیا۔ 15 مئی کے بعد میری نیند دوبارہ نارمل ہو گئی اور تب سے اب تک ٹھیک ہے۔
اس بے خوابی کے بعد مجھے درج ذیل علامات محسوس ہونے لگیں:
بے چینی (Anxiety)
اداسی یا Low Mood
جسمانی کمزوری
دماغ کا معمول سے زیادہ حساس یا اوور ایکٹو محسوس ہونا
معدے کے مسائل، خاص طور پر بار بار ڈکاریں آنا
اب 2026 میں بھی مجھے ہلکی بے چینی اور Low Mood محسوس ہوتا ہے، اور مجھے لگتا ہے کہ میری مجموعی صحت ابھی تک پہلے جیسی مکمل طور پر بحال نہیں ہوئی۔
میرے سوالات:
اتنے عرصے بعد بھی ہلکی بے چینی اور Low Mood کی کیا وجہ ہو سکتی ہے؟
میری مجموعی صحت اب تک مکمل طور پر پہلے جیسی کیوں محسوس نہیں ہوتی؟
شکریہ۔
Dr. Usman Ahmad - Psychiatrist
MBBS, FCPS Psychiatrist | Islamabad
The relapse is more likely related to underlying vulnerability and the insomnia episode than to withdrawal from vitamin B12 itself, although recurrent B12 deficiency should be excluded if supplementation was stopped after treatment of a documented deficiency. It is also possible that the improvement you experienced while taking B12 was partly due to correction of a deficiency, while other factors such as stress, sleep disturbance, or an underlying anxiety or depressive disorder remain present. I wld recommend you to go for a psychiatric review. Help is available. You are never alone.
Patient
Post Owner
میں نے 2023 میں وٹامن B12 سپلیمنٹ لینا شروع کیا تھا، حالانکہ مجھے وٹامن B12 کی کمی کی تشخیص نہیں ہوئی تھی اور نہ ہی اسے لینے کی کوئی خاص طبی وجہ تھی۔
1 month ago
I am a psychiatrist and I will suggest having an online session for consultation. The symptoms you have described are more suggestive of mixed anxiety and depression.
Rizwan Ali Khan - Clinical Psychologist
| MSc (Psychology) | MS (Clinical Psychology) | Certified (Crucial Conversations) | | Lahore
83 Positive Reviews
Treating worldwide successfully Just click on video consultation I will give you a list of possible solutions pick the best one Apply and Enjoy Good Health Forever InshaAllah
Dr. A Z Barkat Ullah - Psychiatrist
MCPS Psych (Pakistan), MRC Psych (UK), MBBS | Lahore
69 Positive Reviews
Hello you are talking about 2 different problems Yes insomnia can be caused by excess of B12 .I am not sure what were ur levels and why u were given the suppliment in 2023. Are u still taking it .Secondly the anxiety and liw mood needs full assessment and then advice. If you like i can help you by online video consultation on marham as i live in uk.
Patient
Post Owner
I started taking the Vitamin B12 supplement in 2023 without having a diagnosed Vitamin B12 deficiency or any specific medical reason. I stopped taking it on May 10, 2023, and I have not taken it since.
4 weeks ago
Farhana Shams - Clinical Psychologist
BS.Hons (Psychology), Post Graduate Diploma (Clinical Psychologist), M.Phil (Applied Psychology) | Mansehra
131 Positive Reviews
You should consult a clinical psychologist for therapy. You can also book an appointment with me for therapy and further guidance. Thank you
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