November 09, 2007

Fixing Sleep Problems Without Drugs

I forgot to post this interesting bit from the "Well" blog on the New York Times' website the other day. As most of you know, America seems to have all kinds of problems with getting to sleep these days--goodness, you mean that 48-hour average work week doesn't level us?--and, of course, the pharma companies have rushed in with all manner of newbie sleep aids. Lunesta, Rozarem (with the cute beaver and Abe Lincoln commerical) and so on. These and similar drugs have caused all kinds of problems like sleep driving, spouses beating one another in their sleep and so on.

So is there a way to tend to insomnia without meds? Turns out there is: all kinds of cognitive behavior therapy (CBT) type interventions like reducing stimuli before bed (not being on the computer all night, not eating before bed, etc.) work as well as meds. What a surprise. What's next, a study proving that warm milk helps you get to sleep?

Posted by Philip Dawdy at November 9, 2007 12:01 AM
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Comments

I'm posting this when I am usually asleep--but today, I've been busy and am home late. I can testify here that the computer winds up the mind,so turn it off. Also, warm milk with molasses DOES knock you out. I've learned personally in the last 10 months or so, that silence is golden for sleep. 'Whatever works'.[Trazedone and Seroquel: one gave me night sweats and one gave me torture nightmares].
Once off of those meds, I sleep like a rock.

Posted by: Stephany at November 8, 2007 11:56 PM

I went to see a psychiatrist due to problems with depression. I wanted to sleep all of the time. (I was on the antidepressant Serzone when I showed up at the psychiatrist's office). The pdoc sent me to a sleep lab where they determined I had Periodic Limb Movement Syndrome (only it was a little more than periodic) apparently I was twitching all over the place and this obviously was disrupting REM sleep. I don't know why I, nor my psychiatrist, didn't link the problem to my antidepressant. I wonder how many folks on antidepressants are having sleep difficulties specifically BECAUSE of the antidepressants that they're on. It makes sense that if you're muscles are twitching during the day, that they're also going to be twitching at night.

Once the doctor took me off Serzone and added all kinds of other goodies I was bonkers. I wasn't sleeping at all. I went from sleeping all of the time to staying awake for days and turning cartwheels outside of the psych hospital. If the psych meds are disrupting your sleep (and many of them do) then be ready for more mental problems to come.

Incidentally, I doubt seriously my diagnosis of PLMS. Testing someone for a sleep disorder while they're taking antidepressants seems pretty assinine to me and doesn't give a true picture of what's going on with that patient.

Posted by: Lisa at November 9, 2007 12:33 AM

This raises an interesting thought, during drug medical trials, do they scan/test the people scientifically for sleep disturbances?(Those tests as you sleep) Before , during and after.
No I think not.
I think they test blood pressure and other similar tests. Anecdotel reports/complaints are often dismissed, plus it won't get your new drug approved.

Posted by: mark p.s. at November 9, 2007 04:22 AM

For me, NON-DRUGGED sleep is the single most important ingredient for mental health. After a good night's sleep, I'm brand new. I feel like a plant that's just been watered.

These things I've found help me sleep:

- eating an early dinner
- no alcohol, especially in the evenings
- drinking coffee only in the morning
- no daytime napping
- keeping the room temperature cool
- reading, but nothing that'll make me angry
- getting plenty of exercise during the day

And if I do these things and am still having trouble, I just lie down and concentrate on one joint at a time (a few seconds on my right ankle, then a few on my right knee, etc.) I don't know why this works, but it does.

Posted by: Francesca Allan at November 9, 2007 09:10 AM

Francesca, those same things work for me. I concentrate on the freeway traffic though.

Posted by: Jane at November 9, 2007 11:42 AM

actually, I've read that CBT is better then meds, due in great part to the fact that one becomes dependent upon meds and will slip right back into old sleeping habits while CBT shows much more long term improvement. Additionally, I've seen research citing that meds don't really increase the quality of sleep so your brain isn't actually reaping the benefits of a good night's rest.

Posted by: Ab at November 9, 2007 03:57 PM

I know that some people benefit from psychiatric medicine, but everything I have tried has created more problems than it has solved.

Right now I am finding good results with strong infusions of different calming herbs throughout the day and before bed. Even the ritual of making the tea -- inviting in the calm -- seems to center me and help relieve some stress.

Posted by: cathy at November 9, 2007 04:03 PM

I take Xanax .5 mg. for sleep and it helps, but, with Xanax, you've have to be in a mood for sleep to begin with. So the things that other posters have mentioned are necessary. Of all benzos I've tried (Valium, Klonopin, and Ativan), Xanax works the best.

There's something to watch out for that I've recently discovered: sleep apnea. If you snore, wake up unrefreshed, wake up with a headache, snort in your sleep, etc., you might have a physical obstruction in your throat preventing you for sleeping well.

I'm new to this blog and I find it excellent. I don't know if it has a resource page or if guests can contribute e-books or medical articles in their possession. For example, I have a medical e-book about sleep and a few medical articles about meds and sleep that I'd like to share with others.

Posted by: Red Rover at November 12, 2007 04:37 PM

These days difficulty falling asleep seems to be an everyday occurrence. It’s just that some days are even worse than others. Here are a few things that help me.. First thing I do is walk by myself. It doesn’t have to be an hour walk. Sometimes I’ll go out for only fifteen minutes. I get to think things over without any outside distractions and decide what issues (personal or business), to clear up or resolve first. Just being outside in the fresh air is also very relaxing!

The second thing I do is use an aromatherapy eye pillow. I find it to be extremely relaxing and a terrific way to clear my thoughts and get me in a better frame of mind. The eye pillow blocks out any light and allows me to just unwind. It’s especially great after a tough ride home in traffic. The weight of the flax-seed inside the aromatherapy eye pillow applies the perfect acupressure on my temples and eyes. It’s great for headaches as well. You can find them in a lot of specialty stores and also online. I know that lavender is very soothing and calming but I use peppermint. It just opens up my sinuses and helps me breathe so much better. That fact alone makes it easier for me to fall asleep. The one I use I found online at A Touch Of Satin. Their website is http://www.atouchofsatin.com if you’re interested. I just love the way satin feels on my face. They had a page on their site that talked about the benefits of the different scents. You might want to read what they say about them.

Try flipping your pillow over to the cooler side and when you start to think about things on your mind….just SMILE! Smiling always seems to make things less stressful.

I hope my suggestions help! Let know what you think.

Posted by: cathy fisher at January 12, 2009 09:25 AM
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