I’ve been to the doctor and all she did was give me benzodiazepines which I don’t want to try. Has anyone out there ever experienced something like this? I feel so thoroughly broken after not sleeping for nearly a month.
I’ve been to the doctor and all she did was give me benzodiazepines which I don’t want to try. Has anyone out there ever experienced something like this? I feel so thoroughly broken after not sleeping for nearly a month.
About six months ago I herniated a disc pretty severely in my lower back. Initially totally messed up my sleep with real pain…then the pain turned to annoyance and just caused me to wake up frequently and have a tough time ignoring and going to bed. And eventually the pain went away all together…but what was left was a major sleep problem. Couldn’t go to sleep, couldn’t stay asleep. And I have been a perfect sleep through the night sleeper my whole life. Was super rough.
Benzos didn’t really help. But what did was sleep restriction. I must have totally obliterated my circadian rather over months of dealing with the back pain.
So I set hard 6 hour sleep time every night. In bed at 1:30am. Out of bed 7am. Even if you don’t sleep a wink. Up same time. Then immediately go outside and stand in the bright sun. Spend zero time in the bedroom other than to go to bed. Rinse repeat. First couple days were brutal…but then it started to come back. I was tired again at night. My body was begging to sleep. And getting up in the morning got hard. And after two weeks…added 15 min. Earlier bed time. Two more weeks…15 more minutes. Two months later and im totally back to normal.
I recommend trying high-dose magnesium from magnesium chloride, it's easy to dissolve some (up to 15 grams at once) in some water and drink.
Mg orotate doesn't upset my tummy. Determined thru trial & error. I tried reading about the differences, but failed to understand.
Other forms bound to various amino acids like magnesium glycinate are good too, but you can also supplement those amino acids separately.
Magnesium chloride is water soluble so it's great to dissolve in your drinking water and drink throughout the day.
To know your Vitamin D shortage, take a look here: https://vitamind3-cholecalciferol.com/vitamin-d-deficiency-t...
Anecdotal: Around the time that I started my day job, I experienced light depressions during winters. For me it was just a winter-dip. I didn't think much of it but my then girlfriend (now wife) recognised that we got into fights much more often than during summers. She studied something along the lines of "Biology, Food and Health", and she thought I'd have a minor Vitamin D deficiency. I've started taking 75mg every day and after about 3 weeks I started seeing more vividly. I remember very well that when I walked out of the office during winter, even though it was near dark, I saw all colors much more bright and it was like a sort of pressure on my sight was gone.
Now, when I'm not in the sun during the day for at least 30-60 minutes (for maintenance in the garden, or working for clients during WFH in the garden), I take on avg 50mg (2000IU) every day and I've never had a dip anymore.
"Elemental Magnesium (Oxide, bisglycinate, glycerophosphate, malate, aspartate)"
Unclear what ratio of each of the above.
I think we should be more careful about saying this. I've heard both professors and doctors say this, and then I've personally read the (reputable, mainstream) research papers showing that double digit percentages of people have various vitamin deficiencies.
I'll just Google real quick to see if I can find some examples of common vitamin deficiencies, but these are obviously just web articles, not research papers...
https://ods.od.nih.gov/factsheets/Magnesium-HealthProfession...
"Dietary surveys of people in the United States consistently show that many people consume less than recommended amounts of magnesium"
https://pubmed.ncbi.nlm.nih.gov/10357726/
This one recommends 120mg of vitamin C, but I've seen another that recommends 200mg, and I suspect a lot of software engineers are not eating enough fruit on a daily basis to meet the recommended level.
Also, what's the harm in taking a multivitamin? At a cost of under $1/day, if you don't need the vitamins, it's a small cost (< 1% of Bay Area rent), and if you do need them it may have an impact on your health.
I agree that a multivitamin doesn't usually include enough magnesium or vitamin D, but that's an argument for adding additional supplements, not to stop taking multivitamins.
Unless we are talking about some high quality stuff like athletic greens.
Yes but before reaching for benzos maybe try something milder like zopiclone?
GPs & sleep medicine physicians are worthless for insomnia issues. You need to see a psychiatrist. Sleep issues are a huge component to mental health treatment, so they have much better insights. And since you've correctly identified that anxiety is related to sleep loss, psychiatric help is doubly useful.
Talk to a psychiatrist about low dose trazodone, mirtazapine or seroquel. They have relatively good safety profiles and are not habit forming like benzodiazepines. They also act like a safety blanket; I know that if I'm having trouble sleeping they will knock me out and right the ship. That is super helpful at releasing the anxiety around 'I can't sleep'.
And of course, if you have other stressful things in your life, you need to focus on working them out. Stress doesn't just 'release itself' because we are going to bed. Having a high base level of stress throughout the day makes sleep difficult for _everyone_.
Now I can fall asleep in 10-15 minutes by focusing that mental energy into imagining a favorite place and once the image is established in my mind I let go of control. Then the image kind of comes alive on its own - I like to imagine a clearing in a forest so all kind of creatures appear randomly. I think all this random auto-generated sensory input overrides the real one allowing me to fall asleep.
Of course, it helps if there are no sudden changes in your real environment (loud sounds, sharp changes in lighting, etc.)
It sounds crazy, but it works for me.
Try the benzos or a mild andidepressent (discuss with your doctor of course). Do not take more than the prescribed dose (maybe even start with half of it). The important thing is to use it along with a solid bedtime routine. Same time, lights out, no TV, etc. I had a bad experience with it when trying to use it as a replacement for a bedtime routine, but its been wonderful in addition to a routine when I needed the help.
But I did want to offer a ray of hope. After trying everything under the sun for months (including benzos), someone told me about CBTI (Cognitive Behavioral Therapy for Insomnia). Rather than go into all the details, just Google it. Its really the only proven successful (non-drug) way of dealing with insomnia (notice I did not say 'cure').
My only advice for those looking into CBTI is DO NOT TRY TO DO IT ON YOUR OWN. Its a very rigorous program that should be supervised by a doctor who specializes in CBTI. If you try it on your own, you are likely to fail - it can be a challenging program to follow through on.
Be careful about the benzos. They are extremely habit forming (again Google it) and can be difficult to stop.
One key point that my CBTI doctor talked about. Sleep is generally a combination of 2 factors. Your natural daily rhythm (day = awake; night = sleep) and how long its been since you last slept (ie. nap at 6PM is bad idea). If either one of these gets out of whack, sleep will be difficult. CBTI helps you align these two factors.
Lastly, in my case, I believe the insomnia was a symptom of a depression that I found myself in. Treating the depression along with CBTI was (literally) a lifesaver for me.
For me atleast it started like 5-6 months ago with VIVID dreams and then around 2-3 months ago the lack of sleep started. It started with an anxiety attack about a health scare.
Went to the doc, got some anti anxiety meds, got some tests done. Nothing looks wrong according to the doc. The meds made me drowsy constantly but did it for 2 weeks. Slight improvement. And now it feels like I am back to square 1
From https://lorienpsych.com/2021/01/02/insomnia/ which also has other advice
[1] https://sci-hub.st/https://www.sciencedirect.com/science/art...
Bad running form (over striding, low cadence), weak core and hips, weak glutes, pelvic tilt, bad desk setup, one body part overcompensating for another, and so on all lead to typical running injuries.
A jog or sprints most mornings, followed by meditation, and a low dose of lexapro (5-10mg). At night a melatonin and mindful breathing usually gets me to sleep within 20 minutes, instead of hours.
Come to find out that the reason was apnea. I'd drift to sleep, have an apnea event and wake back up. I didn't feel like I was suffocating, but more that I just couldn't sleep. After 5 months on a CPAP I'm finally starting to feel like my old self.
Apps that can slowly fade out the sound are great. The Audible app fades out very quickly, but even that quick fade is enough not to wake me if I am already asleep.
(If I am awake, though, I find that it disturbs my "almost asleep" vib, so I wish they had an option to fade out over x minutes.)
I've listened to the episodes of the same production for almost 3 years now; The Ricky Gervais show / podcast. Hilarious and lighthearted, always takes my mind off of anything else.
Otherwise, as other have suggested D3+magnesium, and physical fatigue can really help a lot (as tired muscles can then signal to the brain that they really want to sleep).
For me it was more of a realization it was my diet. I changed my diet to remove some particular types of foods and now I sleep good. If I eat those foods I sleep like crap. Pop a tums and I am good (it is the upset stomach waking me randomly, so the bad sleep). Everyone has different reasons why. But the top ones are typically stress, injury, or food are a good place to start.
[shortened backstory]
- Always had normal sleep, even in stressfull times - 2 years ago, over the span of a few days my sleep went away: from 5 to 3 to 0 hrs. I then was awake for 2 days. And after that only slept max 3 hours for ages (nearly a year). - I couldn’t take naps - I lost all my energy (could hardly walk for 15), thinking etc - had to chase after specialists to check things, and correct them on their assumptions... which was emotionally exhaustive. - It led to them seeing symptoms of an endless list of possible causes, but they never found a culprit. - One hypothesis was that I was struggling with the results of a virus, and basically was left with all kinds of damage. - I was constantly asked about / advised on bed / food / daily routines, even though mine were identical to their advice (perfect) going into this, and I had been stress free.
[ on improvement ]
+ It’s hard to say if it helped me improve my sleep, since I continued to struggle, but a very strict (though fairly standard) bed routine did make me feel more in control: * same time to bed every day, pre-bed routine of stretching the body, cooling my hands and feet, while in bed stretching the face muscles and ‘yawning’ * no exciting media or social meeting / discussions in the evening (or close to bed time) * using an app to play the same comforting / funny podcast every night, and having it fade out after a set time (the Ricky Gervais show / pilkboys yt channel) * For a while I developed my own meditation routine in bed
+ asked people to not ask about my sleep, just how I’m doing + be very open, forward, non apologetic about your condition + there might have been an influence of some gut problems I had, which were eventually treated by antibiotics + I’ve been prescribed temazepam and diazepam to at least calm my body down, and it made me feel closer to sinking into sleep – but never really went all the way. I got semi addicted to them, and hated the desperation I had to at least have some control over my body. After I got off them, and my twitches had declined, I only used temazepam if im on my way to a second sleepless night in a row. So I don’t reach for them on th occasional setback, but I’m glad they are there if it escalates.
+ I focus on daily activities, and excused myself from existential worries + I’m now up to 5 / 6 hours on a night, not necessarily of quality, but I don’t feel terrible every day
What a hack. Have you tried melatonin?
No effect.
Sadly, I found that book made my sleep worse. (A quick Google will show I'm not alone).
Also there is a lot of debate around the quality of the research underpinning the book, this is the most prominent article: https://guzey.com/books/why-we-sleep/
Also I really do not love his subsequent rebranding as "The Sleep Diplomat" https://www.sleepdiplomat.com/
I'm glad if it made your life better, but I cannot recommend it, and won't see it recommended without comment.
The link above has a section on the possible negative effects.
So yes, just reading it had a negative impact. I'm over it now. Just don't recommend it.
Once I stopped worrying about whether I was having enough sleep every night, I got back to my previous, not ideal but better, sleep patterns.
Being a night person I just wish I could wake up late rather than having to be up early for work but it's better to sleep well for 5-6h than really badly for 3-4h.
And when I can't fall asleep I just get up and do something out of bed (for 15mins until I get bored).
https://sleepdiplomat.wordpress.com/2019/12/19/why-we-sleep-...
It did work, for over a decade, for me. I also didn't want to take it though, so I seldom took it more than four times in a month, and often went a few months without any.
In my case, bouts of this kind of insomnia (tired, feel like I might be able to sleep but just can't) happen seemingly at random, every few months, and not connected to any identifiable stressor. (I feel like it might be more likely to experience another insomnia episode when work is too hectic or I have some kind of stressful situation going on, but it definitely also happens when everything is fine). They last days or weeks.
I'd never been able to fall asleep easily (was a night person from high school onward) but I was able to sleep in late once asleep. This changed about 12 years ago, in my early 30s, where I had the first episode of real insomnia. I couldn't sleep well for a week, laying in bed from 23:00 to 3:00, 4:00, finally 7:00 AM.
I visited over 10 sleep specialists and doctors (this was in Tokyo, Japan). They gave various conflicting advice, all of which I tried, but nothing worked for me but the drugs. (I tried a bunch of different drugs, but ultimately zolpidem was the one that, of those that pretty much guaranteed I would be able to sleep, had the fewest noticeable side effects.
Recently my doctor instead prescribed me etizolam, which is a thienodiazepine (but basically, a benzodiazepine), and this also works. I prefer this one because, for me at least, zolpidem causes a kind of drunk/high/bad-judgement "I'm on drugs" feeling and has scary stories about people doing stuff they don't remember later.
Etizolam (1mg for me) relieves the insomnia without the druggie feeling. (It does make you feel good though, and I suspect there is a high risk of dependency if you take it every day.)
After taking a keen interest in this topic over many years (just for the obvious, selfish reasons) I think there are probably many reasons this can occur, and YMMV. But I have never gotten any of the non-drug "remedies" to work.
Even months/years of a heavy exercise regimen, like barbell weight-lifting — which definitely helps me sleep longer and better in general — doesn't seem to have any effect on these episodic bouts of insomnia.
From that standpoint, the drugs have helped me manage it. I never have a full week of bad sleep any more, and eventually each episode of insomnia goes away on its own.