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Re: Larry, how is your sleep?

Posted by Larry Hoover on January 1, 2004, at 10:48:37

In reply to Larry, how is your sleep?, posted by mattdds on December 31, 2003, at 13:11:25

> Hey dude,
>
> Glad you're back.

Thanks.

> Is your sleep still screwed up?

In a word, yes.

> I ask because mine has gotten so out of whack recently, that were it not for the fact that I'm on break, I would not be able to function very well.
>
> My pattern is delayed sleep phase, the rhythm keeps getting later and later...pretty soon, I'm going to bed at 6 am and getting up at 2 pm!

It is easier to move to a longer day than a shorter one. One possible "solution", to adjust the phase to something closer to that of the sun, and the normal work day, would be to simply not sleep one day (or sleep no more than two hours), then attempt to get to sleep at a more "normal" hour.

> I feel like such a slob, although I do study (part II dental boards coming up) to make good use of the time.

Negative thoughts about yourself will not improve the situation.

> I sleep well once I get there, it's just that my rhythm is so out of sync with the rest of the working world. Initiating sleep is *always* a problem, as well.

Bright light therapy is also a valid method of adjusting the cycle (and may possibly also solve the sleep latency problem). I've just read about a product called, I think, the Litebook. It uses very bright LED sources, so it draws only something like six watts, permitting it to use battery sources as well as normal electrical outlets.

> Did you find anything that helped? Ambien used to work wonderfully, but seems to have lost its magic.

Not yet. My trial of low-dose Remeron is disappointing. I think I may push to try the tricyclics doxepin or trimipramine. Both have shown efficacy in recent double-blind trials for treatment of insomnia.

> What do you think about bright light therapy for delayed sleep phase? Any other treatments you know of?

See above.

> Hope you're doing better than I am.
>
> Matt

I hope you do better, period.

Lar

 

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poster:Larry Hoover thread:295133
URL: http://www.dr-bob.org/babble/alter/20031218/msgs/295337.html