<s>[INST] I am a college student and take 54 concerta during the week and 18 in the weekend. I am having great difficulty in being able to sleep and have anxiety and depression for the last 6 months.  I had my wisdom teeth pulled out last week and stopped taking concerta 5 days ago bc I have not attended school bc of my removal of teeth. I feel like I am going crazy. What do I do? [/INST] Hi. I understand your concern. Depression IA associated with sleep problem and anxiety features. Insomnia is core symptoms of depression. Treatment of depression can help to improve your sleep also. Depression and anxiety can be treated with anti-depressant and anxiolytic.Anti-depressant like sertraline / Escitalopram / paroxetine /mirtazapine etc. can help in depression. It will also help in anxiety with benzodiazepine. Benzodiazapine like lorazepam and clonazepam will help in sleep also. Besides medicines behavior therapy and psychological counselling can help. Consult psychiatrist and get help. I hope I have answered your question. Thank you. </s>