October 16, 2008

It's 4AM and guess what? I Can't Sleep

Posted at October 16, 2008 03:58 PM in Disturbing Stuff , Everything Else , Health Issues , Personal , Rants & Raves , Resources .
I hit the sack tonight at 12:30 PM. I was tired and fell asleep almost right away. But at 2AM after a potty trip I'm wide awake. Sleep has become a major problem for me. I have sleep apnea and use a C-Pap machine but still have problems sleeping! I follow most if not all of these tips and have tried Ambien ER to no avail. Now what? Every article I've read on the importance of sleep and getting enough of it indicates a major health risk. I had a talk with my pain management doctor, his recommendation; "Take your pain meds at a later hour!" Uh, sorry doc, that doesn't help. Now what? I see him again next week.

Can't Sleep? 15 Tips You Can Try

by Connie Saindon, MA, MFCC, CTS

In animal sleep, a sloth sleeps 20 hours a day while a porpoise sleeps half a brain at a time. Birds do not sleep and rabbits and squirrels sleep 10-14 hours a day. People need a wide variation of sleep and can range from 1-10 hours a day. There is more need for sleep at birth, while as we age our sleep needs are less and lighter.

Sleep problems are a common symptom for people who are recovering from traumatic events. One's usual methods for falling asleep may no longer work. Disturbing thoughts of reenactment, rescue or reunion may interfere with one's sleep cycle. Nightmares and sleep terrors occur in response to adjusting to shattered realties.

Practice "Good Sleep Hygiene". Here are some tips for you to try:

  1. No reading or watching TV in bed. These are waking activities. If your insomnia is chronic, it is not a good thing to do, says Dr. Alex Clerk, head of Stanford Sleep Disorder Clinic in Palo Alto.
  2. Go to bed when you're sleepy-tired, not when it's time to go to bed by habit.
  3. Wind down during the second half of the evening before bedtime. 90 minutes before bed, don't get involved in any kind of anxiety provoking activities or thoughts.
  4. Do some breathing exercises or try to relax major muscle groups, starting with the toes and ending with your forehead.
  5. Your bed is for sleeping, if you can't sleep after 15-20 minutes, get up and do something relaxing.
  6. Have your room cool rather than warm.
  7. Don't count sheep, counting is stimulating.
  8. Exercise in the afternoon or early evening, but no later than 3 hours before bedtime.
  9. Don't over-eat, and eat 2-3 hours before bedtime.
  10. Don't nap during the day.
  11. If you awake in the middle of the night and can't get back to sleep within 30 minutes, get up and do something else.
  12. Have No coffee, alcohol or cigarettes two to three hours before bedtime.
  13. If you have disturbing dreams or nightmares add an ending that you want.
  14. Schedule a half-hour writing about your concerns and hopes in a journal every night to free up your sleep from processing your dilemmas as much.
  15. Listen to calming music or a self-hypnosis tape for sleep.

If sleep problems persist, contact your physician or mental health professional. Let them know what is happening in your life. Your problem may have either organic or psychological contributors. Sleep disorders are classified as chronic if they persist more than one month. There are of two major categories of sleep disorders. They are Dyssomnias -- when there are problems with the amount, quality or timing of sleep and Parasomnias -- when there are abnormal events occurring during sleep stages.

Sleep difficulties can mean that their is an underlying problem that needs treatment. J. Christain Gillin, M.D. states that most patients that have a sleep disorder have an underlying psychiatric disorder. The different kind of sleep disorders include insomnia, hypersonmia-excessive daytime sleeping, Nightmare Disorder, Narcolepsy-irresistible attacks of sleep, Sleep-apnea and Sleepwalking. Let us know if these tips help you and also if you have one that works for you and is not listed here.

About the Author:

Connie Saindon, M.A., MFT has been a Licensed Marital and Family Therapist since 1979. In addition to providing services for Individuals, couples and families, Ms. Saindon is among the few specialists in the field of violent death bereavement. Founder the Survivors of Violent Death Program and volunteer faculty at the University of California Medical School Department of Psychiatry, she is author of The Journey, Violent Death Bereavement: Adult Survivors Workbook and contributing author of Violent Death: Resilience and Intervention beyond the Crisis. To reach her, please see this page.

Originally published 4/15/98
Revised 9/01/08 by Marlene M. Maheu, Ph.D.
 
 

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