bpcyclist, do you think your crazy sleep problems could be tied to the combo of meds you take for your depression? I found that anytime I took those types of meds my quality of sleep disappeared and made my life miserable until I got off those meds.

The only time where I wake up confused about the length of time I've been asleep is after I've been awake for days due to stress or my stupid woman hormonal shifts in my late 40s messing with my circadian rhythm. I'll go to sleep, think I slept for 8 hours but nope, it was only 3 or 4. Or vice versa. I guess it did happen when I slept in my mother's empty apartment, and when I first move into a place and don't sleep on a regular schedule.

I'm still wondering if the weighted blanket isn't the correct weight for you. Yes, 20 pounds is 10% of 190 pounds but maybe you need a blanket that weighs less than 20 pounds and has a more "cool" fabric that you can pull up to your shoulders. Maybe 20 pounds is too much and since it makes you sweat like crazy, that will disrupt your sleep too.

Sorry you are struggling with your sleep issues. That sucks so bad. I wonder if a sleep doctor could help you with these issues, esp. if you have to take the meds you're on and can't change the combo of those meds. Hmm.

Also, what is your bedroom like? Does it stress you out? Anything about it that you could rearrange? Feng shui it maybe? I know that sounds silly, but maybe moving your bed to another part of your bedroom will help. Oh, also, try a sleep mask if you don't think having something on your face will keep you awake. When I was struggling to sleep this summer in my mother's empty apt. after she got moved to her nursing home and I had to be there for the last month of her lease, on a crappy day bed with nothing else in the apt., it stressed me out. So, I went to Walgreens and bought a sleep mask and that actually helped me calm down and sleep. I also used earplugs and put a cool wash cloth on my face and neck. And, I also took a bath about an hour before bed to calm me down. I know you're a guy so maybe a shower would work better? Maybe try it?

Hopefully the problem isn't your meds combo. This will also sound hoakey, but what about doing some relaxing stretches before your bed time routine? You need to create a night time routine for yourself and stick to it, and try to "train your brain" and your body to follow that routine to improve your sleep.

I feel bad for you. I hope you can sort this sleep problem out.