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[personal profile] vaneramos
Grand Valley cedars


I may have solved the insomnia. Apparently I need music to put me back to sleep in the morning, specifically CBC Radio 2 Morning and Bob Mackowycz's trivial homilies.

For most of the year the clock radio would go off at 5:45. Ideally that provided 15 minutes of Classical music to wake me up gently, then the 6:00 news and weather. Bob's arrival on the air at 6:10 was supposed to annoy me out of bed.

Instead it put me back to sleep. I would normally doze another 45 to 75 minutes before finally rising to begin the morning routine. It wasn't ideal, but I still usually had time to shower, do some knitting and writing, eat breakfast and arrive at the shop before anyone else most days.

I didn't realize how deeply I had become conditioned to this routine. When we gained an hour on November 7, my body did not accept it. I started waking at 5 a.m., period. No radio greeted my agitated mind. By the time the music started at 5:45, apparently it was too late.

After a few days of inadequate sleep I shut off the clock radio in hope of sleeping late. It never happened. For a month I averaged five hours a night. I would stay in bed until 7, tired and restless, just not sleeping for the last two hours.

Something was wrong. I had to lie awake and worry about it. For a whole stupid month I had to lie awake brooding about every annoying little problem to figure out what detail was out of place. Exhaustion set in. Apparently reptile brain kept waiting for the music.

Sunday night, for some reason I can't recall, I set the alarm for 6:00. Monday morning, I woke at 5:00 as usual and lay awake for an hour.

The news came on.

I fell asleep.

For an hour.

Last night I set the alarm for 5:45. This time reptile brain knew what to expect. I slept until the music started, listened a few minutes, then went back to sleep and dozed until 6:45.

I always have trouble adjusting to time changes, but this was the worst I recall. Why? There are a couple of reasons. One, I'm on a lower dosage of mirtazapine, which tends to limit insomnia (going back to 60 mg a day is not a good option, but that's another story). Two, over the past year I have established a more ambitious morning routine, beyond crawling out of bed and going to work. This is important to me, but I'm still experiencing different levels of resistance, as indicated by the past month's ordeal.

What have I learned? Daylight Savings Time might change overnight, but I cannot. My Circadian rhythm is relentless. I need to be gentle and tricky. Next March and November I will try changing the alarm by 15 minutes per week over the course of a month.

Date: 2010-12-15 04:13 am (UTC)
From: [identity profile] jwg.livejournal.com
Trying the gradual clock change at time change season sounds like a good idea.

Have you tried taking Melatonin? It works pretty well for me when I have trouble getting to sleep which happens infrequently but when it does it lasts for a few days and taking the Melatonin seems to shut down my brain enough so I can fall asleep. I don't know how it interacts with your other medications though.

Date: 2010-12-16 01:24 am (UTC)
From: [identity profile] vaneramos.livejournal.com
I seldom have trouble getting to sleep. My insomnia usually happens after three to five hours of sleep. Unfortunately all the usual sleep aids (such as melatonin) only seem to enhance the pattern, so I am more likely to wake up and become restless after not enough sleep.

Although it's rare, I had two nights in the past month when I could not get to sleep in the first place. The second time, when I was still awake at 1:30, I took a melatonin. At that point I figured getting four hours was better than staying awake any longer. I slept from 2:15 until 6:15.

Mirtazapine is the only drug that ever enabled me to sleep well. I probably will never be able to go off it entirely.

Date: 2010-12-15 04:27 am (UTC)
From: [identity profile] apel.livejournal.com
Congratulations on figuring it out! That must be such a relief.

Date: 2010-12-16 01:24 am (UTC)
From: [identity profile] vaneramos.livejournal.com
Oh yeah, I'm beginning to feel human again.

Date: 2010-12-15 05:09 am (UTC)
From: [identity profile] artricia.livejournal.com
What a victory! I'm so happy to hear you figured it out.

Date: 2010-12-16 01:27 am (UTC)
From: [identity profile] vaneramos.livejournal.com
Me too. Thanks for your support. :)

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