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Why Can’t I Sleep?

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41–50 of 288 posts

Re: Why Can’t I Sleep?

#41
post #31

Always the same old advise. Sleep hygiene, exercise, caffeine. Anyone with chronic insomnia can tell you none of that really works. For me it's always been impossible to fall into a regular day/night routine, it's actually whenever I try to force it I'm starting to rapidly feel worse. So the solution has been to just flow with it, I sleep when I can, stay awake otherwise. It's fine and I feel good, the real problem t…

That sounds like me. Whenever doctors have asked me when I normally go to sleep, I don't have an answer.

I'd say sleep hygiene is necessary but not sufficient. I'm guessing you are aware of the reddit forums for N24/DSPS,that are also pretty intolerant of sleep hygiene talk. But the part about getting up after 30 minutes or so to start over is definitely very helpful for me.

For me, meditation also helps a lot, which I think suggests my main problem is anxiety/stress.

Re: Why Can’t I Sleep?

#42
post #31

Always the same old advise. Sleep hygiene, exercise, caffeine. Anyone with chronic insomnia can tell you none of that really works. For me it's always been impossible to fall into a regular day/night routine, it's actually whenever I try to force it I'm starting to rapidly feel worse. So the solution has been to just flow with it, I sleep when I can, stay awake otherwise. It's fine and I feel good, the real problem t…

My insomnia was a result of a magnesium deficiency (also vitamin d)

Re: Why Can’t I Sleep?

#43

Earlier quoted context omitted.

I can only recommend book by Matthew Walker 'Why we sleep - The new science of sleep and dreams'

I really wanted to love this book, and I was if anything biased heavily towards believing it. I read it cover to cover in less than a week. 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…

I had the same reaction to the book. I love the content and the science behind it but it impacted my sleep for the worse.

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.

Re: Why Can’t I Sleep?

#44

Since about three weeks ago I cannot sleep. It’s very strange. I know the feeling of anxiety and how it leads to not sleeping, it’s something I’ve had in the past at very stressful jobs. I’ve learned techniques to deal with this, like breathing and mindfulness. But right now this feels different. I’m tired, I’m lying in bed, and I don’t have any stressful thoughts. Yet somehow I just don’t fall asleep. It feels like…

Yeah, I have experienced something like this, and ultimately (after trying like every fucking thing, including quitting smoking (the first onset of it was 15 years ago when I still smoked), quitting alcohol, running and weightlifting during the day, "natural" supplements (melatonin, L-tryptophan, 5-HTP), more sex, less sex, vegetarian diet, meaty "paleo" diet, and a bunch of other shit) I indeed started taking zolpidem (Ambien) whenever I'd had a few bad nights of sleep in a row, and didn't feel like I could tolerate another one.

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.

Re: Why Can’t I Sleep?

#45
post #40
post #14

Earlier quoted context omitted.

One thing which has helped me is to listen to a podcast or any audio of your favorite topic while lying down. Initially your mind will try to remain attentive but after 20 min or so it becomes harder. After a while you will feel so sleepy that you would want to stop the audio.

I fall asleep with podcasts all the time, makes for some weird dreams related to whatever is discussed. But I find the sleep quality is not the best.

Does your podcast tool have an "auto-sleep" function to turn it off after a while?

Re: Why Can’t I Sleep?

#46

> Super-sleepers like Joanne Osmond inherited a preternatural ability to thrive on only a few hours of sleep. But this genetic trait is very, very rare, so if you regularly sleep less than 7½ hours a night and suspect you might fall into this category, think again; chances are much higher that you are not only sleep deprived but also so used to living this way you can’t even see the problem. Interesting, I was under…

Elderly people often can't sleep much if they tried. I guess the "sleep pressure" side of the equation just weakens progressively. The average at age 70 may be around 6-7 hours anyway. So 4 hours probably isn't particularly abnormal by that point.

Also wasn't Trump supposed to down diet cokes nonstop?

Re: Why Can’t I Sleep?

#47

Earlier quoted context omitted.

I can only recommend book by Matthew Walker 'Why we sleep - The new science of sleep and dreams'

I really wanted to love this book, and I was if anything biased heavily towards believing it. I read it cover to cover in less than a week. 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…

That is very interesting perspective, my quality of sleep definitely improved by compartmentalisation of sleep.

And when I can't fall asleep I just get up and do something out of bed (for 15mins until I get bored).

Re: Why Can’t I Sleep?

#48
post #20

Since about three weeks ago I cannot sleep. It’s very strange. I know the feeling of anxiety and how it leads to not sleeping, it’s something I’ve had in the past at very stressful jobs. I’ve learned techniques to deal with this, like breathing and mindfulness. But right now this feels different. I’m tired, I’m lying in bed, and I don’t have any stressful thoughts. Yet somehow I just don’t fall asleep. It feels like…

When you say you cannot sleep, do you mean you didn't fall asleep for full 3 weeks a single time?

I end up lying awake until 4 am and then have some very very light sleep for about and hour or two. My Garmin shows me that I get no deep sleep at all.

Re: Why Can’t I Sleep?

#49
post #20

Earlier quoted context omitted.

When you say you cannot sleep, do you mean you didn't fall asleep for full 3 weeks a single time?

I end up lying awake until 4 am and then have some very very light sleep for about and hour or two. My Garmin shows me that I get no deep sleep at all.

Any naps during daytime?

Re: Why Can’t I Sleep?

#50
post #45
post #40

Earlier quoted context omitted.

I fall asleep with podcasts all the time, makes for some weird dreams related to whatever is discussed. But I find the sleep quality is not the best.

Does your podcast tool have an "auto-sleep" function to turn it off after a while?

Oh, thanks, I might try that. I do remember a period years ago when I had the habit of falling asleep in front of the TV. I would put the TV on a timer and at 2-3am the sudden silence when the TV turned off would wake me up.
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