Review of Current Medications and Effects

• Paroxetine and Amitriptyline can affect sleep and cause vivid dreams. Ensure adherence to prescribed doses and timing.

Assessment of Sleep Hygiene and Lifestyle Factors

• Evaluate habits like caffeine intake, screen time, and stress. Improve sleep environment and routines.

Possible Side Effects and Need for Medical Evaluation

• Persistent sleep issues may require a medical review. Consult your doctor to assess medication effectiveness and side effects.

Alternative or Adjunctive Treatments

• Consider adjusting medication, switching drugs, or adding therapies like CBT-I. Discuss these options with your healthcare provider.

When to Seek Immediate Medical Attention

• Seek urgent care if experiencing worsening mood, suicidal thoughts, or severe insomnia affecting daily life.

Relevant Medical Specialties

• Consult a psychiatrist or sleep specialist for comprehensive evaluation and management.