Sleep Restriction or ACT for Insomnia

This topic contains 188 replies, has 10 voices, and was last updated by Mac0908 11 hours, 19 minutes ago.

Viewing 9 posts - 181 through 189 (of 189 total)
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  • #28452

    delv-x
    ✘ Not a client

    A sleep aid can help through rough patches and sleeping even if it’s less restorative is better than consecutive nights of no/poor sleep which can result in more issues. You have a strong sleep knowledge and a plan to get on track. You’ll get back on track.

    Hope the family matters has subsided and hope all is good there.

    #28456

    Deb
    ✓ Client

    Thanks, Delv.

    How are some of you other guys doing like Dragon and Steve?

    #28560

    Deb
    ✓ Client

    Delv – I have a question for you. You seem to be doing better. For awhile there you seemed to be stuck, having 3 days a week or so with just a few hours of sleep. What do you think made the difference that now your sleep is improving? Have you done something different? Thanks, Deb

    #28561

    delv-x
    ✘ Not a client

    Hi Deb,

    I am hoping I don’t jinx myself and start spiraling down again but each night is what it is. Good news is the past week or week and a half I’ve been averaging 6.5 hours and hoping it stays and I am  generally quite happy about it.

    I haven’t been doing anything too different. What I can say is that I am doing CBT-i but not “intensively” and religiously. I do stick with a rough bed and a rise time that’s consistent and only implement SC if I know sleep won’t happen and too alert. I’ve been keeping somewhat busy in the evenings to take my mind off things but still make time to relax, watch a bit of TV and meditate. When I do have higher daytime anxiety I find it tends to translate into my sleep. What I’ve been doing is trying to address things during the day rather than in the bedroom. For example, if I have a worry thought even if it’s not a big deal but affects how I feel and gives me a little “worry shock”. A worry shock to me is a thought that pops into my head that makes me go “oh.. yeah that” and then I am alert and more tense for a brief moment.  I pretend I am a board floating in the ocean and just ride with it rather than get too concerned about it. In other words try not to fight but rather just let it pass or even welcome it (like Guy Meadows says). But when it comes to passing and welcoming, not trying too hard. More like observe and know the feeling is just there and being aware of it or even try making that uneasy feeling last longer. “Oh here it is again, welcome back”. Having a good productive day with fun, stress reduction and laughter helps. Like all of us even good sleepers, we will have poor nights and I hate when it’s in a row (like a wave). I hate it and makes me worry even more the next day. I am hoping meditation and addressing things during the day will translate into my brain being more calm at night. Also, I listen to my body. If I am genuinely tired during the day and able to lie down for a bit, I will for 20-30 minutes. I often don’t know if I’ve fallen asleep but I get up and feel a bit better and less sleepy and I think sometimes that helps relieve some pressure.

    Hope that all makes sense.

    #28563

    Deb
    ✓ Client

    Thanks, Delv. Yes it makes sense. By the way, I’ve given up on ACT. It was too hard to implement without any guidance. I actually met with their sleep doctor online last week. It was good, but then there was no other appointment available for 3 weeks. That’s way too long when you’re trying to learn something new and it’s confusing and tricky. You can get way off course in 3 weeks, which is what happened to me. They only have one sleep doctor and she meets with people only on Thursdays. That’s so inadequate when you got a bunch of people needing help. They said on their website that Guy is training therapists now, but there’s no link to any of them on the site. And when I emailed them about it, asking for a list of therapists, they completely ignored me.

    Unfortunately, I reached a really low point and was despairing. I got an emergency prescription of Ambien because I was so desperate for sleep. My husband begged me to get on an antidepressant because my moods have been so severe when I couldn’t sleep. I started on one a few days ago, although it takes a few weeks to kick in. Then I remembered that I could always go back to CBT-I. So I contacted Martin yesterday and will start working with him to hopefully get back on track. My sleep is a mess. Sorry I can’t report more positively about ACT. It was a great idea that I really believed in, but just impossible to implement. Also, that Sleep Clinic is completely useless.

    #28568

    delv-x
    ✘ Not a client

    When you mean sleep doctor I assume the sleep school? I agree that 3 weeks is long when we really need to get started sooner than later. It is also crazy that she meets only on Thursdays. You would think if the money was good and there was demand, she would be working mon-fri. I am sure you will get back on track. You’ve had some good sleep streaks in the past and know it will come again.

    Speaking about lack of therapists, I am actually contemplating writing a book on this to help others. I don’t have a PhD but I do have experience. Thankfully *knock on wood* it’s not extreme as some I’ve heard.

    #28569

    Deb
    ✓ Client

    I meant the sleep school. I met with the doctor there, the only one there who is doing therapy and only on Thursdays, which is pretty pathetic.

    Sounds like a good idea to write a book. I think there needs to be more discussion on how insomnia is a real mental health issue, just like depression, and you can’t just “chill out” or “relax” or just deal with your anxiety and it will go away. I’ve been frustrated talking to a couple counselors here who really don’t get it at all. One told me I need to take a bath and drink some warm milk before I go to bed. Another thinks I just need to deal with my anxiety through medication. I think only if you’ve experienced it or been close to someone and seen their misery up close (like my husband) you really can’t get it.

    #28570

    delv-x
    ✘ Not a client

    It 100% is a mental health issue. Lack of sleep plays a huge part in how we feel and function. There is a bidirectional relationship with insomnia and depression. The good news is some practitioners and therapists are starting to see that if you address one, it can help with the other. If you can address sleep, anxiety and depression subside and vise versa.

    Quite a bit of the frustration is that nothing seems to work consistently. That’s why the sleep book seem appealing because every pill, potion or routine kind of worked for a few days and then didn’t and then some days I would do nothing and sleep well. We have to trust in our ability to sleep. I just don’t know why there are “flare ups” other than just brain chemistry or moon phase? All I can seem to do is muddle through those and say to myself that there will be better nights. And there are much better nights.

    #28607

    Mac0908
    ✘ Not a client

    Well said Delv. It’s tough. Very tough. But I honestly am still optimistic in that there is hope for a 100% recovery. It just make take a much, much longer time for certain people such as ourselves.

    I am now over 4 1/2 months into my “stricter” routines of trying to get better and I can tell you that while I am better than I have ever been, I still struggle significantly sometimes. I had a day just under two weeks ago, where I swear it felt like one of those days where I belonged in a hospital bed I was so shot and exhausted. Then, in about the last week  or so leading up to this weekend things were fine. Probably my greatest week in the last 4 1/2 months. Big part of the reason I’m posting right now. Then, beginning this past Thursday night, I’m not sure what happened, but I had a bad night and now both Friday and Saturday I have had poor nights. 3 sleepy days in a row and a weekend pretty much ruined. Very unusual for me on the weekends where I tend to do better but make no mistake have struggled in the past with many times.

    I thought rough weekend sleeping was completely behind me, but apparently it isn’t. I still try and stay optimistic and still try and be happy knowing that my overall anxiety has gone from 95% to probably 5% with regards to bedtime fear, but I can’t shake that feeling knowing that I may have some sort of brick ceiling in all of this that I may never be able to truly breakthrough. It’s tough.

    Happy Easter to all who celebrate.

    • This reply was modified 11 hours, 18 minutes ago by Mac0908.
Viewing 9 posts - 181 through 189 (of 189 total)

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