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When I was in my early teens I was given paxil, the later-found-to-cause-suicide antidepressant, with no medical supervision. I wasn't told it could cause insomnia, so I spent the next quite awhile waking up at 1am and being fully unable to get back to sleep. Dad's office was over my bedroom and he was in there at night moving around and having lights on which bounced off the foliage and into my big glass sliding door, and I didn't (at first) have curtains, so I assumed it was him keeping me awake (which to be honest it might have done anyway, I'm very sensitive to light). I made some curtains out of sheets but still woke up, over and over, at 1am and could not get back to sleep.

It wasn't great for my relationship with my dad, since at sometime between 2 and 4 I tended to get hysterical and go up and ask him to be quieter and mom tried to mediate and dad super refused and I was (in hindsight) in full meltdown.

Since neither that nor the curtains helped, and this was pre-internet, I ended up reading a ton of books about sleep, how to manage the body into sleep, how to manage anxiety, etc. I spent many hours every night, from 1am to 6am, practicing various kinds of meditation, various breathing patterns, basically forcing myself into calmness.

The insomnia stopped when I stopped taking the pills, though I didn't connect the two until over a decade later when I learned about insomnia as a side effect -- as a throwaway line in an article about how it increased suicide rates in teens. If I'd still had a relationship with dad at that point, I would have apologized to him I guess. Or I would have, now.

But it means I have so many tools for insomnia. The first tool is not to panic. Treat it, as much as possible, as a welcome small personal safe space within the day that no one else can see (basically, like the split sleep idea). Don't force anything. Let actions come and go, ideally low energy bed ones. Read a little, pet a cat, and usually eventually tired will come into the body and it can be gently embraced then.

Meditation, breathing, etc make the whole thing a little bit more intense than it needs to be, but the meditative state of noticing thoughts and behaviours and not getting stuck to them, but observing and welcoming and letting them pass when they will is useful.

Getting those skills was so so so brutal. So many nights of full on mental storms for hours. I am however very glad to have them now. Chemical menopause hormones and PEM ("overdoing it") both mess up my sleep, and having things to reach for instead of that old panic is so much better than it was back then.
greenstorm: (Default)
I really dislike the term "brain hack" because of the noncooperative mind/body dichotomy it represents. I prefer to understand and work with systems in a more comprehensive way than the term indicates. However, I've been using a brain hack lately to help sleep and it's been pretty revealing to me about one of the reasons I don't fit into society.

So I guess 85% of Americans use caffeine regularly (not 85% of adults, interestingly) but I had been opting out for the last decade and a half (?) or so because it did bad things to my mind. Caffeine blocks the receptor for your body's sleepiness chemical, so your body can't feel when it's sleepy, which causes your body to build extra sleepiness receptors, so then when you don't have caffeine to block some of them you feel extra sleepy.

I'd been sleeping poorly for awhile and it was messing me up, so I started drinking caffeine many mornings (I think it takes two days for physical withdrawal to finish and for the body to clear out the extra channels, so I'll take it for some days and then do a couple days without, like that). This isn't anything fancy, just a nice cup of tea, which I very much enjoy.

What this does after a couple days is replace my normal circadian rhythms with the rhythm of drinking caffeine. I normally have a bit of a biphasic sleep pattern naturally in the winter, with an hour or two around 2 or 3am that I want to be awake. When I'm stressed or in a bad way I can't get back to sleep after that first wake-up.

With semi-regular caffeine in the morning, 2 or 3am onwards is when there's the least caffeine in my body. The semi-regular use of caffeine is to create extra sleep chemical receptors, so I'm most tired and it's easier to sleep in the morning like that. It's made my sleep a little more solid as long as I time the caffeine correctly.

I also now understand why or how people sleep in. This structure removes the normal way I wake up - going from sleep to waking smoothly and entirely - and replaces it with a bit more struggle to come up out of sleep, and some grogginess even after waking up and going into a lighted place. It also allows me to sleep late in the morning, which I've never been able to do.

I don't really enjoy the feeling; I feel more tired more often than I do on my normal circadian rhythm, and I don't like not waking up cleanly. But I think until I sort out a better exercise and social schedule to support my normal sleep routine, this is what I'll be using. No wonder my normal self doesn't fit in with society properly in the mornings; I've never been correctly drugged to do so before.

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