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Dealing with Insomnia

jacquesmattheij.com

131–140 of 169 posts

Re: Dealing with Insomnia

#131
anxiety about fatigue the next day begets insomnia, which begets anxiety...

So I focus more on coping with daytime fatigue rather than controlling sleep. I find it’s helped my insomnia to focus less on sleep ”performance”

- Instead of rating my sleep, I mentally rate my fatigue during the following day from 1-5. 1, I can’t function at all. 5 I’m full on galaxy brain...

- I’m often surprised how many “bad night sleeps” get me to a pretty good 4/5 the next day.

- I observe my days are usually at least a 3, which helps with the anxiety that creates insomnia

- I use exercise, sunlight, engaging work, rest to cope with the fatigue and get an energy boost

- with this data, I don’t stay in bed if I can’t sleep. I find other things to do, knowing it’s likely I’ll still have a 3 or 4 day...

All in all it helps me a ton to defang the anxiety. I remind myself some of my best days are jet lagged on first day of some fun trip in a new place!

Re: Dealing with Insomnia

#132
post #118

Earlier quoted context omitted.

You're arguing with a lot of thins I did not say.

You've equivocated anxiety with anxiety disorders and dismissed the suggestions on improving environmental factors. I posited even if a person presents with anxiety, fixing environmental factors should be the first thing to consider. Sure I went ahead and criticized pill pushing as a first option which you didn't openly suggest, but you made a vague suggestion of "treating anxiety without changing environmental facto…

When I speak of "environment" I mean it in the most literal sense - temperature, fresh air, sound/noise background, light pollution, mattress firmness. Anxious people get obsessed over those things because they are easily reached, but this obsession only bring temporary relief. I understand you assign a different meaning to that word, so there is some misunderstanding stemming from that.

In light of this clarification, would you like to start over?

Re: Dealing with Insomnia

#133
post #117

I've struggled with brutal insomnia (getting to sleep and staying asleep) my entire life (45 years old now). Over the years, I've gotten pretty good at forcing myself to get to work early and just made due with 4-6 hours on most nights and trying to make it up on the weekends. Early this year I discovered medical marijuana. It's completely game changing. A few puffs from a vaporizer (with flower, not the terrible oil…

> It's completely game changing.

Came here to say this but expecting downvotes, surprised to see this on the top.

I used to have terrible insomnia for around 15 yrs. I had just forgotten how to fall alseep, every night i would go into the same terrible racing thoughts loop. Going to bed was a dreaded chore. I tried everything from counting sheep to ambien. Only marijuana helped me forget my bad thinking loops and taught me to fall asleep.

Now i don't smoke anymore but i don't have insomnia either. I am just careful about not getting into that frenzy thinking habit.

Re: Dealing with Insomnia

#134
post #117

I've struggled with brutal insomnia (getting to sleep and staying asleep) my entire life (45 years old now). Over the years, I've gotten pretty good at forcing myself to get to work early and just made due with 4-6 hours on most nights and trying to make it up on the weekends. Early this year I discovered medical marijuana. It's completely game changing. A few puffs from a vaporizer (with flower, not the terrible oil…

I have followed a similar path. My problem is that I usually wake up at 3am after only 4-5 hours of sleep, and can't get back to sleep. After 2 nights of that I'll feel tired throughout the day.

I discovered that one good puff of marijuana when I wake up too early, helps me to drift off to sleep again. After that I wake up feeling great the next day!

My Oura ring tells me that the marijuana significantly lowers my resting HR, and increases my HRV (Heart Rate Variability). From what I understand both of those effects are beneficial.

Re: Dealing with Insomnia

#135
post #117

I've struggled with brutal insomnia (getting to sleep and staying asleep) my entire life (45 years old now). Over the years, I've gotten pretty good at forcing myself to get to work early and just made due with 4-6 hours on most nights and trying to make it up on the weekends. Early this year I discovered medical marijuana. It's completely game changing. A few puffs from a vaporizer (with flower, not the terrible oil…

> " Early this year I discovered medical marijuana. It's completely game changing. " Not to be a wet blanket or anything but, like any other form of medication, watch out for buildup of tolerance. You may wind up having to "dry out" for several months or so if tolerance gets too high.

yep. usually have to toleate couple of nights of nightmares/stressmares per week.

Re: Dealing with Insomnia

#136

I've been an insomniac my entire life (46 years) and in December started working on a wearable monitor my brain-waves and interact with them using sound in order to induce sleep and optimize sleep states. There are two similar products on the market already (Dreem and SmartSleep) but I have a different approach. I'd be keen to hear who in this community may be interested (I'll be posting our webpage with more info so…

I wrote up my experience with dreem here: https://news.ycombinator.com/item?id=23432243

Re: Dealing with Insomnia

#137

I've been an insomniac my entire life (46 years) and in December started working on a wearable monitor my brain-waves and interact with them using sound in order to induce sleep and optimize sleep states. There are two similar products on the market already (Dreem and SmartSleep) but I have a different approach. I'd be keen to hear who in this community may be interested (I'll be posting our webpage with more info so…

I don't have direct experience with products in this space but I've done extensive contract work for companies in the sleep apnea wearable space, so here are some insights:

i) Strategy wise, for a small startup, it is always better to place yourself in the 'wellness' product space.

For a startup business selling directly to costumers it is _always_ better to frame your product as wellness/lifestyle or 'life-improvement' wearable.

As soon as you make any claims of clinical benefit it becomes classed as a Medical Device, at which point you have to go through the very long and expensive process of getting it approved for each major market (FDA, CE, etc.).

You should only aim for a 'medical device' if:

1) You're able to secure VC level funding to carry you through expensive clinical trials and more expensive hiring with medical staff that can sell your product and convince other doctors and key opinion leaders.

2) You are able to build enough patents around the product that give it uniqueness as a competitor in this space. Realistically the only exit strategy in the medical device industry is to get acquired by a major Medical Device company. The key thing for these companies is usually competitive advantage through IP more so than talent acquisition or acqui-hire.

ii) When selling directly to costumers anything that can happen will happen.

Having a product that works as intended is great but it is simply not enough once you release it out in the open for a wide enough cohort. People will find every possible way of misusing/abusing your product or misinterpreting instructions etc. There are a multitude of failure modes that will occur in the 'real-world' that you likely didn't plan for.

iii) (Related to the previous point) User 'compliance' exponentially drops as soon as they have to physically 'wear' something in their sleep.

Looking at the competitors you mentioned, they are trying to get some form of EEG info, at which point they _need_ a headband with electrodes to be worn.

Immediately things start going south, people in warmer climates will probably report that it makes them sweat, users with hard pillows will refer discomfort if the headbands wedge on there skull, some users will report that they repeatedly remove the headband in their sleep and can't get a full night of data, some users will not tighten the band enough resulting in poor electrode contact, resulting in bad data, etc, etc.

All of these will likely cause users to stop wearing your device after a few trials and likely reviewing it poorly both online and as word-of-mouth.

So your ideal product would be:

-Something that address a user problem without making a 'medical claim'

-Something that requires minimal user setup and user input

-Ideally a wearable that is not worn (very zen), a 'wearable' that is on your mattress, or inside a pillow case or near the bed but not directly worn by the user during their sleep

Edit:formatting

Re: Dealing with Insomnia

#138
Also an insomniac. I’ve ran into “sleep anxiety” over the past few years which, for me, means becoming anxious when I think I’m supposed to go to bed.

Things that have helped:

- Minimum of 10K steps per day

- Weightlifting and HIIT

- 0 light in my room (windowless room)

What has helped most:

- Letting go of a rigid schedule and just letting tiredness dictate when I go to bed.

My lifestyle is a luxury I can afford because I don’t have kids. I imagine being a parent would really make dealing with insomnia much more difficult.

Re: Dealing with Insomnia

#139
post #117

I've struggled with brutal insomnia (getting to sleep and staying asleep) my entire life (45 years old now). Over the years, I've gotten pretty good at forcing myself to get to work early and just made due with 4-6 hours on most nights and trying to make it up on the weekends. Early this year I discovered medical marijuana. It's completely game changing. A few puffs from a vaporizer (with flower, not the terrible oil…

I was born not to sleep. Newborns typically sleep 22-23 hours a day. I was sleeping for 1-2 hours. I almost destroyed my family. If you have children imagine your child only sleeping 1-2 hours day.

From birth until I was about 12 I lived on 1-3 hours sleep a day, but I slept every day.

When I hit puberty I started having days and days of no sleep, my record is 11 days without sleeping I was 15. From 14 until my mid 50's my routine was get 2-3 hours of sleep, then be awake for a 3-8 days, then get 2-3 hours of sleep, then be awake for 3-8 days, wash rinse repeat, over and over again.

I once was working a trade show setup in my late 40's, round the clock prep, my company had 3 shifts of people doing all the prep work, I was there for all 5 days every shift. That's when my co-workers realized that I was actually awake, most people think that I was sleeping and didn't know it, or get cat naps, lied etc. Because nobody can even consider being awake that long but the thing is that when I get sleepy I actually fall asleep, it just rarely happens and when it does happen, it doesn't last very long. Usually I'm just awake.

Yes I went in for sleep studies but I needed to be wired up at all times, and it's a real drag being wired up and then trying to sit in a room for 6 days until I get sleepy. I did it twice, once for 5 days another time it was 4 days and both times I didn't fall asleep what they learned is that the normal cycles that people go through to fall asleep didn't happen for me. When I die they can try examining my body to see if they can figure it out.

When I was in my mid fifties I found a iphone app called BrainWave is a Binaural beats program that will actually allow me to sleep on nearly a daily basis. It's been a godsend, because being awake all the time really can wear you out intellectually, emotionally, and spiritually.

Re: Dealing with Insomnia

#140
post #21

After decades of trouble falling asleep, I've found a simple technique that works for me. The goal of this technique is to replace words/monologue with images in your stream of consciousness. I do this by picturing three shapes, each engulfing the previous one. Start with a sphere. Just imagine a sphere and nothing else. Then picture a 5 sided pyramid that perfectly engulfs the sphere so that the sides are tangential…

I've noticed words are the problem too. Thinking in words seems to engage something in my brain that just won't let me rest. Images are better. I'll have to try this trick.

For whatever reason though, I sometimes notice myself falling asleep which jerks me wide awake (different to restless legs which I sometimes also get). I would love to drop that habit.

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