How can severe anxiety be treated?
Patient: My daughter (19, college freshman) takes Adderrall during the day. But she is also extremely anxious and agitated, like a basket case all the time. The psychiatrist prescribed Zoloft. My daughter took it the other evening, and did not sleep all night and could hardly function the next day because she was so tired. Does this mean that Zoloft has the opposite effect on her? It does not relax her? What are other possible solutions? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.  Zoloft contains Sertraline, which is a antidepressant. It can be used for a number of psychiatric illnesses. Zoloft can cause insomnia in some patient where it acts as a activating agent. Even Adderall is a activating agent and causes insomnia. You can shift Zoloft in day time and observe if it helps; otherwise there are medication available which can be used for short duration to counteract the side effects of drugs.  Hope I have answered your query. Let me know if I can assist you further.