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Help, severe insomnia has returned!

Liz Wolf-Spada

TUG Review Crew: Veteran
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:doh: I used to have really bad insomnia for most of my life from teen age years on. It finally left and I have been fine. I use temezapan to help deepen sleep and help treat chronic fatigue and use xanax if I'm lying awake thinking. Now, taking both, I'm still awake. Not necessarily thinking, just not sleeping. I'll go to bed at 10 and 3 hours later look at the clock having not been asleep the whole time, sleep lightly on and off and wake up by 6. I'm worried I will get sick, (which I did Christmas day after not sleeping for two days) and I've got this 4 day trip to Memphis Media Reform Conference coming up. Please, other insomniacs, recommendations for medication needed. I use to take dalmane, but on one seems to want to give me that now, but I feel that's what I need, something to just force my nervous system to stop for a while. I'm also using homeopathic things to no effect.
Thanks,
Liz
 
It sounds silly I know, but what was recommended to my wife - and works - is to turn the clock so that you can't see the face. It seems to work by removing one stimulus to the brain. Normally you lie awake, look at the clock and that stimulates the brain which in turn makes you more awake so it becomes a vicious circle. Without the clock face being visible you do relax more and do drop off.
As I said above - it worked for my wife with the added benefit of no pills to pop.
 
Liz, my heart goes out to you. I think your body is telling you it just can't take all the stress. It is screaming. Even though mentally and emotionally you may have it under control, your body is saying no. It can take a very long time to heal from such emotional trauma so be patient. You may experience one illness after another for awhile. And you may never be the same, ever. I don't say that to frighten you. It can actually be a good thing when our bodies force us to slow down, re-evaluate and cast away the trivial timewasters.

I can't emphasize enough wholesome nutrition and routine, routine, routine. Which of course, may not be entirely possible given the recent events. A daily walk--gentle, not beating yourself up on a treadmill in a crowded gym with loud music (although that is probably better than nothing). Pilates, yoga or some other form of meditative exercise. Cut out all caffeine and alcohol.

If possible, schedule a massage once a week for awhile to deepen the relaxation in your muscles. (even an hour long facial works for me--not the make-up kind that Mary Kay offers but a true spa experience where you lie on a warm table in a darkened room--warning, your hair will be a mess so plan on going straight home :) ) If possible, plan your appointment when you don't have to go somewhere immediately afterwards and ask if you can be scheduled for an extra half-hour just in case you do fall asleep. Ask the massage therapist not to wake you. The goal here is to train your muscles and mind how to relax.

If you have not tried it, at least look into transcendental meditation. I realize it is one more thing to try to fit into your life, but it truly is helpful and has medical studies to back it up. Other forms of meditation can also be helpful. Again, the goal is to train your mind to relax or focus on something non-stressful for 15 to 20 minutes at a time. I like gardens. Looking through beautifully illustrated magazines and books (as long as I am not stressing about how to do it in my own yard) on a regular basis has been helpful to me in the past.

Get some extra help if you can afford it. Once a week cleaning service to keep the main areas of your home presentable (just being in a clean, organized room is soothing). Take one hour a week to clean out a drawer, a closet or a shelf. Just throwing things away is therapeutic for me. It is like throwing away stress and ugliness.

Accupuncture might be helpful if for nothing else, an hour in a quiet, darkened room. Look for someone who has a degree in Oriental Medicine or is otherwise credentialed in your state and ask her/him if s/he has had any experience treating insomnia.

Your medical insurance may pay for accupuncture or massage therapy under certain conditions. It's worth looking into.

To sum up, avoid stressors as much as possible including caffeine, etc. Give your body the tools it needs to handle life's assaults including wholesome foods and gentle exercise. Practice relaxation techniques such as massage and meditation. However, all the healthful things cannot counteract the bad ones if the bad ones are in huge abundance. That is why one needs to eliminate as far as possible the stressors.

Lastly, scripture reading has helped me tremendously. It is one of those daily maintenance things. I usually can't pinpoint one passage or one "ah ha" moment, but rather it is the daily reading that somehow makes my life more manageable. If I skip it for awhile, I find myself less able to handle the day to day things (and we all have them). When I read daily, I can handle things better.

I still have occasional bad nights (nothing like what you describe, however) and it takes me longer to fall asleep than it does DH. Nightly, I am amazed how quickly he falls asleep while my brain is still churning away. Some of that may just be an individual thing and not to worry about. I will keep you in my prayers.
 
I never had insomnia until I reached menopause. I have some nights where I sleep 3 hrs or less but thankfully not every night. I don't want to take sleep aids because I am on prescription meds for high bp and don't want to take additional. I bought an mp3 player, put some of my soothing cds on it and put in my earphones and listen to the music until I fall asleep. Sometimes I get up and watch TV, depending on how wide awake I am. The mp3 player seems to get me back to sleep sooner.
 
It sounds silly I know, but what was recommended to my wife - and works - is to turn the clock so that you can't see the face. It seems to work by removing one stimulus to the brain. Normally you lie awake, look at the clock and that stimulates the brain which in turn makes you more awake so it becomes a vicious circle. Without the clock face being visible you do relax more and do drop off.
As I said above - it worked for my wife with the added benefit of no pills to pop.

Yes, it is the little, simple things like this that help. Sometimes we look for the big or one-shot solution when what we need to do is focus on the many, little things. Life is in the details, as they say. (btw, who is "they?" ;) )
 
need to relax, not to sleep

Several years ago before my first international trip, I read a book on "Overcoming Jet Lag". It said that there is not a physical need for sleep, but there is a physical need for relaxing. On the international trip, it told you to relax for the amount of time you could on the plane (having reset your watch and "living" on the new timezone) but not to worry if you didn't actually sleep.

This was immensely helpful to me, not only on the international trip, but for all the times that I would deal with not being able to get to sleep. I would be in a hotel room on a business trip and seeing the time pass 10-20 minutes at a time while I was not sleeping and fret over the fact that I would be useless the next day. Once I read the book, I convinced myself I didn't have to sleep, so I would not worry about how many minutes were passing, but rather just lie there relaxed and not worrying about not falling asleep. Most of the time, that would relax me enough that I actually did fall asleep, but the times it didn't, I would end up refreshed in the morning because I had spent the night relaxed, even if I didn't sleep.

Who knows if the book had its facts right, but it works for me!

Patti
 
It sounds silly I know, but what was recommended to my wife - and works - is to turn the clock so that you can't see the face. It seems to work by removing one stimulus to the brain. Normally you lie awake, look at the clock and that stimulates the brain which in turn makes you more awake so it becomes a vicious circle. Without the clock face being visible you do relax more and do drop off.
As I said above - it worked for my wife with the added benefit of no pills to pop.

Keith, I just read an article in the newspaper that said the exact same thing!
 
Another insomniac here...sometimes it's better than others, but when several nights of 2 or 3 hours of sleep come around and I still have to get up to go to work, it's not a lot of fun...so we try the hot showers, and the relaxation, and not going on the computer (no kidding, sometimes that works!)...but when worse comes to worse, I go to ambien, which usually does the trick, but not always.
I'm feeling your pain, Liz...
 
Lunesta worked for me last year when I had a bout of insomnia. Didn't find it habit-forming either. Full disclosure, no I do not own their stock either. Wish I did though.
 
I bought a sound machine and listen to the slow, crashing waves of the ocean -- works for me 90% of the time. The other method that I am told to use when uptight is to say "one, sleep", two, sleep, etc.
 
What about taking Benedry or Tylenol PM several hours before bedtime. Sometimes that gets it in your system to aid in falling asleep but not making you a Zombie in the morning. Sometimes I take Tavist, an antihistamine that makes me a little drowsy.

I turn a really boring talk show on the radio very low. The monotony of the voices sometimes helps.

My father still gets Dalmane, so its still prescribed.

Read a really boring book.

Otherwise, call me, cause I 'm probably up too.
 
About a year ago I started waking up very early and having difficulty going back to sleep. Was getting desperate enough to go to doctor and ask for pills when I mentioned my problem to a coworker. She suggested taking gravol. I buy the generic type and take one regularly. I find it really helps and hope it isn't as addictive or strong as sleeping pills could be. Probably not strong enough for some of you but worked wonders for me. Cheap too.

Joan
 
Besides turning the clock so that you cannot see the time; make your bedroom your BED room.

No TV, computers or other distractions.

I have fought <successfully so far> for these electronic devices to not live in any bedroom in the house.

A cup of herbal tea before bedtime might help as will a steady schedule if your work and lifestyle permit.
 
Have you tried reading fiction? I've always been an insomniac, and I pretty much have to read fiction every night before being able to sleep, otherwise I'd stay awake forever. It can't be non-fiction, can't be a magazine or newspaper, can't be a computer screen, and usually travel guides don't work either. Probably not suspense or mysteries, but other types. Nothing else shuts my mind off so well. (It doesn't always work, but often it does.)

As someone else mentioned, I also have a "wave machine" I turn on right as I'm about to turn off the light, and sometimes I use a mask to block out light. This is because I have a hard time falling back asleep if I'm wakened by sound or light, and very small amounts of either can wake me up.

I can't sleep if I'm hungry, either. Something heavy in carbs, like an English muffin, works best for me.

Also I tend to go to sleep later and wake later than some. I'm lucky in that my work schedule is somewhat flexible. I believe in bio-rhythms - most people who were born at night are "night people", and I was born at 10:30 p.m. Can you alter your schedule so you don't have to fall asleep at 10? I couldn't do that no matter what.

I know you were asking for medication advice but maybe something else can help too.
 
As usual, I can count on Tuggers for good ideas, I already do have the sound machine and my husband has to look at the clock to wake himself up. I actually can't see it without glasses and my watch quit lighting up, which might actually stress me more than before. I like the idea of TM, did Zen in those years and am not sure how one goes about learning TM these days. What is "gravol"? I don't see my regular doctor till February, but I see a local doctor for allergy shots tomorrow and am going to ask him for samples to see if my body may just not be responding to the same medications I have been taking for years, temezepan and xanax. I tend to develop resistance to some medications and don't get addicted, they just quit working. Back to fiction reading, too. And the massage I got at Laguna Beach did help for a few days. I saw a CD at Borders that was supposed to help sleep, but didn't buy it as I don't have a small personal CD player. Maybe I will look into an Ipod.
Thanks,
Liz
 
Pills, drugs, chemicals, prescriptions, ointments......that's a very short term fix. You need to address the underlying issue. I would definitely share your thoughts with others in your family so that they ALL are aware of the impacts to you. Most importantly I would seek professional help to get on top of the psycho-somatic issues.

Principals are important but the long-term toll on mental and physical well being for everyone involved must be taken into account.
 
Kal, the funny thing is that I have had nights where I lie there worrying and taking a xanax worked, even in the past when I couldn't stop doing lesson plans. Now, this is more like many, many years ago, when I just had insomnia. I think it may run in the family as my dad had it for years and years also. I considered seeing a therapist a few months ago when I was feeling very stressed, but found that the idea of having to drive a 90 mile round trip after work to go talk with someone created more stress than it could possibly have resolved. So, I am willing to try meditation, walking and yes, medication, because it feels like my nervous system has just shifted into high gear, leaving me awake too many hours a day. I am relaxing though, as recommended in that Jet Lag book mentioned, so maybe that's why it isn't making me feel as exhausted as it might. So, I am going to make a list of all these great suggestions and begin to try them as soon as possible and hopefully sleeeeep.
Good night, I hope.
Liz
 
My daughter is only 22, but she has had insomnia since she hit puberty and this is what she does. After several nights of insomnia, she just stays up all night, reading, watching TV, online, whatever she feels like doing, but she just relaxes and doesn't try to go to sleep and it seems to reset her clock. Then she goes to bed and sleeps fine the next night and starts sleeping normally for a long time. I don't know if this is good or bad, but it works for her.
 
Liz, you poor thing.

I find that when I can't sleep, the worst thing I can do is continue trying. I get up, get a glass of warm milk (really) go either downstairs or into the guestroom and read or watch a movie on TV. I may wake up on the family room couch freezing cold at 6AM, but at least I've slept.
 
I have been having a lot of problems with insomnia, too. In my case, over-activation due to my thyroid problems may be part of the problem.

Give all of the stress that you are under, do you think a beta-blocker might help? Beta-blockers block some of the adrenalin receptors (the beta-receptors, hence the name.) They are typically given for high blood pressure, but they do tend to reduce many of the physical effects of adrenalin.
 
Judy, that's interesting. I take other meds for hbp and have for many years. I am taking adrenal supplements and natural adrenal supplements for adrenal fatigue, long term, not just due to stress. Definitely something to ask both the nutritionist and my doctor. The worst I had insomnia was in my teens and twenties and thirties. People would say, "Well, when you get tired enough you will sleep." BS. I would get so exhausted all my muscles would tense to keep going and sometimes I would have to stay in bed for a day before I could relax enough to sleep. Last night I tried a sample of a different med and it worked for about 4 hours of sleep. When I couldn't get back to sleep I was thinking this time and took a xanax after a couple of hours, plus ate a banana and got a couple more hours sleep. So that''s a big help!
Thanks,
Liz
 
Liz,
I,too, understand the frustration and exhaustion of not getting good sleep. Mine also started during menopause and I used many of the mentioned things to try to get rested. Eventually my family MD put me on a low dose of Prozac saying that it was a seratonin uptake medication and some people that have problems with sleeping, but are not clinically depressed, respond to it with improved sleep patterns. It has worked well for me. If I'm under increased stress, then occassionally I will add Tylenol PM. for a couple of nights. After doing some reading and taking some classes about fibromyalgia, (my dad had this problem) I found there was some evidence that many people with fibromyalgia were poor or light sleepers. In one of the studies, they gave the people a seratonin uptake med and found improved sleeping also improved the fibromyalgia symptoms. So, about 4 yrs.ago, we tried this with my Dad and his symptoms and pain have decreased about 75%.
As an aside, I also got up, when I found I was having a problem sleeping, and had a glass of milk and a cracker and tried to read until I was tired. The milk and cracker (or some kind of carb)are supposed to release a natural hormone that helps with sleep. Works better than tossing and turning and getting more anxious!
Hoping you can find something that works for you. Massage therapy and a warm bath might also help.
Sherry
 
Prozac (fluoxetine) is an SSRI, a selective serotonin reuptake inhibitor. SSRI's increase the effective concentration of serotonin at the synapse. Neurons (brain cells) do not directly touch one another. There is a small space--synapse between them. They communicate with each other by releasing neurotransmitters such as serotonin. The neurotransmitters travel across the synapse and "plug into" receptors on the adjacent neuron. This in turn stimulates the second neuron to relay information to the next neuron and so on. Having done it's job of "turning on" the second neuron, the neurotransmitter then detaches and goes back to the first neuron to be reabsorbed or destroyed. That is called reuptake. SSRIs block the serotonin from this reuptake process thus keeping the serotonin available to keep stimulating the neurons around it.

Serotonin is a neurotransmitter associated with calm, peaceful, satisfied feelings. It may help with pain control which is why anti-depressants are sometimes prescribed for people with chronic pain and also why people with depression seem to experience more pain than non-depressed people.

Of course, it is not all that simple and there are hundreds of neurochemicals. The amounts/mixture of this chemical cocktail is constantly changing and highly influenced by thought. We can actually change our brain chemistry by changing our thoughts. This may be why TM, biofeedback techniques, and cognitive therapy work.

Our hectic, frantic modern lifestyle (as well as our extremely poor diet) is not serotonin supportive. Until we change our lifestyles and thinking patterns, I am concerned we as a society are doomed to more violence, unrest, depression and general malaise. We can take drugs (and there is good reason to take them sometimes--I am not against medication when used correctly) but the brain has a huge capacity to adapt to them and rearrange itself to go back to old patterns--and then the meds aren't effective any longer and we have to find new ones. Genetics also plays a part. "Know your limits" is a good philosophy.
 
I am taking adrenal supplements and natural adrenal supplements for adrenal fatigue, long term, not just due to stress. Liz

Do you have Addison's? If it is "just" adrenal fatigue, you need to do more than take supplements. I don't mean to lecture, please don't take me the wrong way. The lifestyle changes that are supportive of adrenal function are just as critical as the supplements--and probably more so. I am afraid modern medicine has put us in the "take a pill and call me in the morning" mindset. As I said in my first post, I think your body is demanding you make these changes. It is shutting down and saying it is going to force you to make these changes or face a life of debility or even death. I don't want to go into my personal history but I had to face my own demons. I knew if I didn't change I was going to die. It's been a long, long road and it's not over yet but I am doing much better. I truly feel for you and wish you the best. Love and hugs.
 
Well, it's nothing that shows up "medically" but has shown up in nutritionally testing (24 hour urine test) and hair analysis. Don't have Addison's. Do have 20 kids I need to go pick up.
Thanks,
Liz
 
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