can’t stay asleep

[deadbeef]

Come on man, give CBTi the old college effort

brief reviews from The Sleep Foundation and Mayo Clinic

Source: every study on long-term improvements in sleep quality favor CBTi over any drug

I've been doing it with a professional for 14 weeks. Unfortunately, it hasn't helped my 3am awakenings.

For anyone wanting to try CBTi, download the CBTi Coach app. It was developed by the VA and will guide you through CBTi for free.

 

[k710]

Regarding that last part; I feel like my Lexapro is finally working. I feel happier day to day and definitely have better energy now.

Head meds are definitely underrated haha

Extremely underrated. The impact they have had on my life has been pretty extreme. Most people dont comply with treatment long enough to actually get the benefits of stabalized brain chemistry. Its one of those things that not only take time, but the changes are so gradual you dont really notice them till you have an "epiphany" moment one day where you suddenly realize you are actually feeling good and have been enjoying life.. a feeling that was so far gone you forgot it was even possible.

Took me years of treatment that werent really getting me anywhere till I got my sleep locked in. Then everything started falling into place. Treatments started being effective, pain, digestion, musculature and weight all started moving the way they should and the signs of progress fueled motivation.

Its not all roses and rainbows, theres definitely adjustment periods and "failed" trial and error with meds/dosages that sometimes feels like a step backwards instead of forward, but once you get it figured out it really is a life saving treatment. Not very different to messing with your hormones so I feel like bodybuilding community is much more open to psychiatric meds compared to the general population.

 

[syuri]

Extremely underrated. The impact they have had on my life has been pretty extreme. Most people dont comply with treatment long enough to actually get the benefits of stabalized brain chemistry. Its one of those things that not only take time, but the changes are so gradual you dont really notice them till you have an "epiphany" moment one day where you suddenly realize you are actually feeling good and have been enjoying life.. a feeling that was so far gone you forgot it was even possible.

Took me years of treatment that werent really getting me anywhere till I got my sleep locked in. Then everything started falling into place. Treatments started being effective, pain, digestion, musculature and weight all started moving the way they should and the signs of progress fueled motivation.

Its not all roses and rainbows, theres definitely adjustment periods and "failed" trial and error with meds/dosages that sometimes feels like a step backwards instead of forward, but once you get it figured out it really is a life saving treatment. Not very different to messing with your hormones so I feel like bodybuilding community is much more open to psychiatric meds compared to the general population.

I’m very glad to hear all this brother! I don’t want to push or ask any personal questions; but what treatments or SSRI’s have you tried and how were they for you? Love to read some positive experiences here

 

[k710]

I’m very glad to hear all this brother! I don’t want to push or ask any personal questions; but what treatments or SSRI’s have you tried and how were they for you? Love to read some positive experiences here

I had a neck injury that I was trying to avoid surgery for. Bascially lived with a compromised spinal cord for years, under medical supervision trying all sorts of treatments with no real success. Nerve root compression was real, even though I was handling the pain well, my body was not. CNS started going haywire and fried. Body began reacting physically with changing heart rythms leading to PVC's and some other bad acronyms I cant remember. Pulse was all over, BP was spiking to ER levels and then so low that I would start to pass out trying to get up. Muscle pain was unfathomable and felt like all over from body overcompensating to protect my neck. Couldnt sleep, sit for too long, stand for too long, or lay for too long and wasnt allowed to do anything. This all took a toll of my mental health leading to clinical depression, anxiety, panic attacks and the whole lot of weird shit I've never experienced before in my life.

Couldnt get an appointment with an actual psych that wasnt 6+ months out at the time (Covid times had everyone mentally ill) so had to end up going to clinics and using whomever had an opening while trying to find a permenant Psych. Through that journey I tried every class of anti-depressant, I cant remember them all off the top of my head, but:

Escitalopram, Venlafaxine, Sertaline, Martiz, Bupropion, Fluoxetine, Quetiapine, Alprazolam, Clonazepam, Trazodone, Eszopiclone, Zolpidem, Gabapentin, and Buspirone.

Sertraline, Fluoxetine, Traz, Eszopiclone were the most effective for me. I used Sertraline at first and then changed to Fluoxetine a ~1.5yrs ago.

 

[luanmyk]

Hey, Guys... Does anyone ever tried DAYVIGO (lemborexant)?

 

[syuri]

Sleep has been getting fragmented again. I might try the Lunesta now, roughly getting 7 hours and still feel tired

 

[King_Cnut]

Sleep has been getting fragmented again. I might try the Lunesta now, roughly getting 7 hours and still feel tired

I find I will still occasionally wake up tossing and turning on (es)zopiclone, but it's easy to fall back asleep again fairly quickly. You're less conscious of it happening, but it does still affect sleep quality somewhat

For a hardcore option of staying asleep, take 75-150 mg pregabalin 2-3 hours before bedtime. You will have the most beautiful and refreshing sleep that you can remember in a long time. With the downside that for about an hour after waking you will feel slightly groggy, but it's not debilitating and will pass quickly. No idea if gabapentin has the same effect though

Edit: this is for very occasional one off use though. A nuclear option, so to speak, for that night you know you just must get a good night's sleep. It will stop working if taken habitually, and there are risks of physical dependence long term

 

[syuri]

I find I will still occasionally wake up tossing and turning on (es)zopiclone, but it's easy to fall back asleep again fairly quickly. You're less conscious of it happening, but it does still affect sleep quality somewhat

For a hardcore option of staying asleep, take 75-150 mg pregabalin 2-3 hours before bedtime. You will have the most beautiful and refreshing sleep that you can remember in a long time. With the downside that for about an hour after waking you will feel slightly groggy, but it's not debilitating and will pass quickly. No idea if gabapentin has the same effect though

Edit: this is for very occasional one off use though. A nuclear option, so to speak, for that night you know you just must get a good night's sleep. It will stop working if taken habitually, and there are risks of physical dependence long term

I use Gabapentin as my “nuclear option” lol, definitely interested in seeing how Lunesta does. I deal with awakenings and being unable to fall back asleep. Going to try 3mgs and hope for the best

 

[k710]

Sleep has been getting fragmented again. I might try the Lunesta now, roughly getting 7 hours and still feel tired

Yeah I go through cycles like this. Currently been dealing with some extra fragmentation and sleep scores taken a hit. Nothings really changed on my end so it can be a little confusing. This is where the tiny details come into play.

Did you eat something different, eat too late, train too early or not train at all, cardio, sleep hygine, meds/vitamins, posture, late anabolic pin, stress?

I dont worry about it too much unless sleep scores are terrible and extended. Feels like I get waves of good sleep and then some okay sleep. But dont get too stuck on hitting a certain sleep score or metrics, you can get in your own head that way.

I swear there are times where I feel like I got my sleep down perfectly and then for no obvious reason ill struggle a little even maintaing the same routines.

I noticed this last weeek my sleep schedule shifted back a few hours. Trying to see if that change is throwing off my sleep. Forcing mysaelf to get back on regular bedtime tonight at 9pm. Been falling asleep around 12-2am and was even up to 4-5am the other night which is pretty rare for me now days llol

 

[k710]

I use Gabapentin as my “nuclear option” lol, definitely interested in seeing how Lunesta does. I deal with awakenings and being unable to fall back asleep. Going to try 3mgs and hope for the best

Goodluck brother, you got this. Is this first time with Lunesta? Let us know how it goes on 3mg!

 

[syuri]

Yeah I go through cycles like this. Currently been dealing with some extra fragmentation and sleep scores taken a hit. Nothings really changed on my end so it can be a little confusing. This is where the tiny details come into play.

Did you eat something different, eat too late, train too early or not train at all, cardio, sleep hygine, meds/vitamins, posture, late anabolic pin, stress?

I dont worry about it too much unless sleep scores are terrible and extended. Feels like I get waves of good sleep and then some okay sleep. But dont get too stuck on hitting a certain sleep score or metrics, you can get in your own head that way.

I swear there are times where I feel like I got my sleep down perfectly and then for no obvious reason ill struggle a little even maintaing the same routines.

I noticed this last weeek my sleep schedule shifted back a few hours. Trying to see if that change is throwing off my sleep. Forcing mysaelf to get back on regular bedtime tonight at 9pm. Been falling asleep around 12-2am and was even up to 4-5am the other night which is pretty rare for me now days llol

Honestly not much has changed lol, that’s the kicker. I assume it just happens naturally, and besides, I’ve been itching for a reason to try Lunesta

 

[Civdiv]

I've posted in the thread before but I've been fighting fragmented sleep. Seems like I wake up 2 hours into sleep and at 3am. Wide awake and struggle to get back to sleep. Seemed like a perfect candidate for quviviq or Dayvigo but they didn't work. Been taking 50mg trazodone and 15mg Mirtazapine. I still wake up but can get back to sleep better now.

I got a continuous glucose monitor yesterday and my alarm went off for low BG 2 hours into sleep and at 3am. Was below 55. There's a good chance I just discovered my issue is metabolic and not mental. I think my current sleep meds are just sedating me through the low glucose cortisol spike. Going to see if it repeats tonight and then try eating more before bed. Just throwing this out there in case others might have a similar problem.

 

[Ateam2023]

I've posted in the thread before but I've been fighting fragmented sleep. Seems like I wake up 2 hours into sleep and at 3am. Wide awake and struggle to get back to sleep. Seemed like a perfect candidate for quviviq or Dayvigo but they didn't work. Been taking 50mg trazodone and 15mg Mirtazapine. I still wake up but can get back to sleep better now.

I got a continuous glucose monitor yesterday and my alarm went off for low BG 2 hours into sleep and at 3am. Was below 55. There's a good chance I just discovered my issue is metabolic and not mental. I think my current sleep meds are just seating me through the low glucose cortisol spike. Going to see if it repeats tonight and then try eating more before bed. Just throwing this out there in case others might have a similar problem.

When I was wearing a CGM I was getting hypoglycemic events also and I started eating a bowl of oatmeal and a glass of milk before I went to bed and that seemed to fix my problem and kept my blood glucose level stable throughout the night