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PhilMC
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Default Jun 05, 2024 at 05:54 PM
  #1
Hi there. I can't seem to find any real sleep support anywhere. So I'll post here.

I've had sleep issues for decades, since I was a kid. I've had a biphasic pattern, which seriously interrupts my life. I've wanted to shake it, and had tests done, which shows sleep apnea. The cpap machine doesn't work for me. I'm finding better sleep at night using mouth tape, but even so, I'm still napping during the day.

I'm currently under stress as my work situation is closing. A company I was starting up isn't going forward, so I'm assessing alternative options. Those get tricky, given my sleeping patterns.

Anybody have any insights? I have looked over CBT-I (insomnia) therapy, but it hasn't gone very far. It's confusing as it's near the normal CBT.

Any discussion appreciated.
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Default Jun 05, 2024 at 07:21 PM
  #2
Maybe very long walks will help. I take 6 or 7 mile walks to tire myself out.
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SquarePegGuy
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Default Jun 05, 2024 at 10:22 PM
  #3
Welcome! I was DXed with sleep apnea in 2006, but I'm sure I had it for at least 40 years. I use the CPAP machine, and my AHI is down around 1 event per hour.

I've been taking Nuvigil to combat daytime sleepiness, and I use a SAD therapy light.

Sometimes I do slip into a somewhat biphasic pattern. It seems that a supper with lots of carbs (and sugar) promotes this.

As well, the full Moon can bring about alertness in me at night. This starts about one week before the full moon and lasts roughly two weeks. I tend to sleep deeply all night during a new moon.

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PhilMC
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Default Jun 06, 2024 at 08:43 AM
  #4
I went for a walk last night. I'd have to see if I can work that into my schedule. I live in Toronto so the winter gets in my way and SAD happens every October.

Ya my diet is highly managed on low carbs, so that's good. Interesting notes on the moon cycle. Thanks for the Nuvigil tips. I will discuss it with my doctor.
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PhilMC
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Default Jun 09, 2024 at 10:53 AM
  #5
And now I'm finding that sleeping is a big part of depression. It also raises cortisol which interrupts nightly sleep, which brings on the daily fatigue. A good video on CBT on all this:

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PhilMC
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Default Jun 14, 2024 at 07:44 PM
  #6
Now I'm thinking this might be a live long disability that will keep me from getting hired, or the ability to focus on much. Isn't that lovely? That means my life is pretty much over.

How the hell do I deal with any of this?
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Default Jun 15, 2024 at 10:26 PM
  #7
Well, try to understand that you'll have some days where you feel energetic and focused as well as days of tiredness with brain fog. Today I think I could've sleep all day and still be tired. I got over 10 hours sleep and felt like taking a nap after I got up.

I know a guy who's on disability based on some sort of sleep disorder. (This is in USA.) If your doctors keep good notes, they should be able to support your case if you're denied.

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PhilMC
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Default Jun 16, 2024 at 04:43 AM
  #8
Oh I don't have energetic days. My schedule is completely messed up. It's 5:40 am Sunday now, and I'm up to do some gardening. Only to probably have 3 naps like I did yesterday. Not because I want to. Because that's what my body tells me. It's turmoil. I woke up terrified yet again, and I get to do some necessary gardening. This is what my life has come to. I'm not looking for disability. I've worked my whole life to achieve something rational, and it feels like I'm being laughed at.
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Default Jun 16, 2024 at 08:54 PM
  #9
Hmm. folks in Florida do gardening at 5:40am -- it's too hot to do it later in the day! But in Canada it does seem unusual.

I wake up with symptoms that suggest terror. It's either the apnea or low blood sugar. (I don't have nightmares.) After a few (or several) rounds of box breathing I can sleep again. But I've also did what you did and get up and putter around on a project.

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Major Depressive Disorder; Sleep Apnea; possibly on the spectrum
Nuvigil 50mg; Effexor 37.5mg; meds for blood pressure & cholesterol
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PhilMC
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Default Today at 07:53 AM
  #10
We have a heat wave coming through. Was up doing gardening again, but sleep will interrupt today. It's just before 9am and I feel it coming. I had a bad sleep last night, and woke up with a sore throat. Couldn't manage cpap over last night.
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