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Why Can’t I Sleep?

ucsf.edu

231–240 of 288 posts

Re: Why Can’t I Sleep?

#231
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…

> Anyone with chronic insomnia can tell you none of that really works. True, but that is a self-fulfilling definition. For most people, that advice will work. For the minority for whom it does not work, they have chronic insomnia. It does not invalidate the advice, it just means that some people are out of the norm and need something else. That being said, I agree with you. We all would be healthier if we'd just slee…

> We all would be healthier if we'd just sleep when tired, eat when hungry.

Subjectively, i feel like this is really hard to actually get right in practice.

During the pandemic i had decided to only go to sleep when i actually felt tired. Unfortunately, usually that ended up being at around 2 AM, possibly because using a computer in the evenings/nights was pretty bad for me being able to "listen" to the needs of my body. I noticed that i felt much worse when waking up, than i did when i was following a set schedule. Even with solutions like Redshift/f.lux, people probably still shouldn't use computers and possibly not partake in other activities in the late hours of the night, should they want to better gauge when they are actually tired and when it's time to sleep.

In regards to food and nutrition, it was also a similar situation. For a while, i decided to eat as much as i wanted when i felt hungry. Even though i didn't ever order take out, didn't drink things like Cola/Pepsi, kept myself hydrated to the best of my abilities, i still probably ate too much and that resulted in me gaining about 10-20 kg of weight in total, over a number of months (towards the upper end of a healthy BMI, bordering being overweight). It could have been worse, but if you want to consume food freely, it should probably be mostly veggies or nature products, as opposed to many of the comfort foods.

Now i'm mostly back to a set sleep schedule, limiting what i eat so that i feel a little bit hungry when i go to sleep and also doing cardio exercise every day regardless of how i feel when doing it (which has consistently been pretty horrible so far) and overall my wellbeing has gradually increased.

tl;dr - Understanding the needs of your body can be hard. I certainly cannot trust mine in that regard.

Re: Why Can’t I Sleep?

#232
post #213

Earlier quoted context omitted.

Hey, I have this really bad. Around 7-8pm I feel like I want someone to pull on my legs hard and they get an antsy feeling where I cannot keep them still. When I then go to bed, my legs kick and jerk , my wife has complained about me actually kicking her in the shins and drawing blood from my toenails. I have heard of medication, such as Dopamine agonists, but got concerned they might have other side effects. May I a…

Check your iron levels (or just check your diet). Restless leg syndrome can be caused by iron deficiency.

outuled the iron thing already, had a blood panel and levels were very good.

Re: Why Can’t I Sleep?

#233
post #149

Ironically, I fixed my moderate chronic insomnia succesfully by going to a doctor with a completely unrelated( citation needed ) set of symptoms. My CBT therapist wanted me to fall asleep during the appointment to perform another technique, but obviously I could not. He said to not worry and explained a routine which I’m happy to share to those who didn’t try yet: - lay, relax, comfort^ - do not move further - do not…

[deleted]

Re: Why Can’t I Sleep?

#234
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…

Actually, I had chronic insomnia and sleep hygiene worked for me! The biggest biggest things were a totally dark bedroom, only using lamps in the evening, and switching back to halogen/incandescents for the lamps. And little screen use/activity in the hour before bed, along with having a routine.

I also have had a lot of success with podcasts to fall asleep.

Before this I’d often be awake until 1-3 am. It was terrible.

It sucks it didn’t work for you, but am chiming in to say for others that if you really try sleep hygiene and tinker with it, it may well work.

Re: Why Can’t I Sleep?

#235

Earlier quoted context omitted.

> Anyone with chronic insomnia can tell you none of that really works. True, but that is a self-fulfilling definition. For most people, that advice will work. For the minority for whom it does not work, they have chronic insomnia. It does not invalidate the advice, it just means that some people are out of the norm and need something else. That being said, I agree with you. We all would be healthier if we'd just slee…

I found something that works for me. One of the things that prevents adults from sleeping is worrying about life problems. Getting your brain to shut up about problems that you cannot fix at night is the problem. My trick is to listen (not watch) to old television shows ...all night. I selected a few hundred hours of old television that'd I'd seen many times before, got a pair of very comfortable ear buds to sleep wi…

7 years ago I woke up at 2AM to a commotion outside. It was my neighbors home - on fire - and by the time I got outside to check what was going on, the fire jumped to my home. Had I not heard the noise, I would've probably died in my sleep.

Given that situation or any other possible emergency that may occur in the middle of the night, sleeping with earbuds playing old TV shows seems like a very bad idea...

Be careful.

Re: Why Can’t I Sleep?

#236
post #149

Ironically, I fixed my moderate chronic insomnia succesfully by going to a doctor with a completely unrelated( citation needed ) set of symptoms. My CBT therapist wanted me to fall asleep during the appointment to perform another technique, but obviously I could not. He said to not worry and explained a routine which I’m happy to share to those who didn’t try yet: - lay, relax, comfort^ - do not move further - do not…

I've discovered something similar myself. But I think you can remove most of those steps actually. They don't hurt but they aren't necessary. The necessary steps are:

- lay still - no really, lay still - I'm not kidding. Lay still. - don't move at all - obviously don't make noises and don't open your eyes

I discovered this when trying to make my daughter go to sleep. Disciple and the silent-closed eyes-still rule is sufficient.

Re: Why Can’t I Sleep?

#237
post #198

Earlier quoted context omitted.

There are a few things that actually make things worse that lead people to get stuck in a negative spiral. Basically alcohol makes you drowsy and helps you fall asleep. But you wake up dehydrated, not very well rested, and in some cases hungover. People drink coffee to fix that, which makes it harder to sleep. Stress levels feed into that as well as it leads to drinking and other ways for people to relieve stress. So…

for item 4, one has to have limited responsibilities towards society.

Not necessarily, I find it pretty easy to get into routines, waking including. After about a week on a given schedule (assuming its regular) I will generally wake up on my own 5-15 minutes before the alarm.

Re: Why Can’t I Sleep?

#238

Earlier quoted context omitted.

I try this but occasionally I mentally "wake up" as my body is asleep and I start freaking out mentally. It's a form of sleep paralysis I suppose, but without the hallucinations that other people tend to have. The feeling of being mentally alert but not being able to control my own movements or even my breathing is terrifying, and I usually try to move as much as I can and can wake my body up within a few minutes.

Sleep paralysis is only frightening when you fight it. Instead, you can simply direct your attention inwards and daydream about something pleasant. Think of it as taking a little break from your everyday reality. Nothing bad is going to happen -- everything you experience in that state is a smoke scroll drawn from your imagination.

[deleted]

Re: Why Can’t I Sleep?

#239

Earlier quoted context omitted.

I try this but occasionally I mentally "wake up" as my body is asleep and I start freaking out mentally. It's a form of sleep paralysis I suppose, but without the hallucinations that other people tend to have. The feeling of being mentally alert but not being able to control my own movements or even my breathing is terrifying, and I usually try to move as much as I can and can wake my body up within a few minutes.

Sleep paralysis is only frightening when you fight it. Instead, you can simply direct your attention inwards and daydream about something pleasant. Think of it as taking a little break from your everyday reality. Nothing bad is going to happen -- everything you experience in that state is a smoke scroll drawn from your imagination.

Whenever I have sleep paralysis it's not just the not moving, it's being half awake and KNOWING that there is someone in the house and I need to wake up my wife but I can't even move my hand enough or make a noise to do it. It's very hard to rationalize at those moment.

Re: Why Can’t I Sleep?

#240
My problem is that I can't sleep for a long period straight. The maximum I can sleep is 5 hours, then I wake up fully refreshed. After 12 hours I feel sleepy again and I need a 2 hour nap. I tried to force myself to sleep for a long straight period but it ended up worsening my depression and anxiety.
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