Doc says depression, yet I can't rest at all!

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Mike619er
Regular Member


Date Joined Nov 2009
Total Posts : 429
   Posted 12/5/2009 8:28 AM (GMT -7)   
Would anyone like to clarify how it is that my psychiatrist is telling me that I have depression and anxiety but yet I am totally unable to sleep without taking my Ativan and Ambien pills?  I used to sleep a lot during the summer due to boredom, usually get done with work early so I would do that to kill some time in the afternoons and stay up at night for tv shows, or going out etc.  Once september hit, goodbye sleep.  Forget about it, not a chance.  The first 4 days of going through this I didn't sleep AT ALL.  I couldn't concentrate on anything, was in a serious fog and everything sounded differently, any bright lights would irritate me, and pretty much am rendered emotionless.  Even lost my sex drive for the first 2 weeks.  Now that I'm on Cymbalta, Ativan, and Ambien for sleeping some of these have came back to me.  My appetite has returned, my stomach seems to be working with me better now, digesting food a lot better, sex drive is back, able to sleep with the medications.
 
My current complaints...
 
Still find myself to be in a complete fog, still pretty much emotionless, not acting like I normally do (feeling nervous, little jumpy, talking fast), now able to do things that I once enjoyed but still not getting any sense of happiness or enjoyment out of it.
 
I tried to skip a night of the Ativan and Ambien to challenge myself, telling myself that if I've been up for 18 hours I will DEFINETLY sleep without those pills.  No chance, I just laid there wide eyed staring at the tv, shut the tv off for an hour and then just found myself staring at the ceiling/wall thinking about how crazy I've become.
 
Anyone know if depression can do this?  I thought depression made you tired and sleep, and I do not wish for extreme depression, but I do wish for some sleep and relaxation though.

getting by
Forum Moderator


Date Joined Sep 2007
Total Posts : 40568
   Posted 12/5/2009 8:36 AM (GMT -7)   
Depression can cause you not to be able to sleep, or think clearly. There are many others on here with sleep problems. Hopefully they will chime in. Your fog is probably coming from lack of sleep. Have you ever tried meditation to clear your mind? Works great for me.

Best wishes for you to get some rest.

I hope that you feel better.

Hugs, Karen
  Moderator-Depression and fibromyalgia
 
fibromyalgia, Chronic fatigue, depression,allergies


THE HAPPY TURTLE
Elite Member


Date Joined Mar 2009
Total Posts : 18743
   Posted 12/5/2009 2:03 PM (GMT -7)   
yep, part of my mdd, is severe and persistant insomnia. and this goes back some years. for me i would not sleep, part punishment of the severity of the depression and part a form of not wanting to cope with the demented and rapid cycling dreams. still struggling. i have a very over-active mind, it finds it extremely haed to shut down, even after 1500mg plus of seroquel. jamie.
YESTERDAY IS A BUTTERLY WITHOUT WINGS. (ME)
 
DX, MDD, SEVERE BORDERLINE PERSONALITY DISORDER.
 
REMEMBER TO LOVE YOU. BE YOU AND BE TRUE.


THE HAPPY TURTLE
Elite Member


Date Joined Mar 2009
Total Posts : 18743
   Posted 12/5/2009 2:10 PM (GMT -7)   
oh, the severe bordrline personality disorder has it's own complications with sleep. in particular, psychosis, voices, and in particular, dissascciation. disturbed thoughts and being totally withdrawn. other factors as well, but i think this explains it somewhat. jamie
YESTERDAY IS A BUTTERLY WITHOUT WINGS. (ME)
 
DX, MDD, SEVERE BORDERLINE PERSONALITY DISORDER.
 
REMEMBER TO LOVE YOU. BE YOU AND BE TRUE.


serafena
Veteran Member


Date Joined May 2007
Total Posts : 3715
   Posted 12/6/2009 3:31 PM (GMT -7)   
Mike,

You really need to look into a second opinion. You don't seem satisfied with your doc's diagnosis. If he/she isn't willing to discuss it further, than you would do well by yourself to look into what someone else has to say. You're only making yourself feel worse by questioning your diagnosis and stressing about all your symptoms.

Do not stop taking your meds. You're on them for a reason, and you only do yourself harm by thinking you should be able to do something you're not able to right now. You will sleep soundly again, but for right now, while you're unwell, you need a little help. That's not a big deal.

Take care of yourself,
serafena
Serafena
Co-Moderator, Bipolar and Depression Forums
Bipolar II

"Bipolar disorder can be a great teacher. It's a challenge, but it can set you up to be able to do almost anything else in your life." - CARRIE FISHER


Mike619er
Regular Member


Date Joined Nov 2009
Total Posts : 429
   Posted 12/6/2009 5:55 PM (GMT -7)   
Thanks Serafena, the only thing is I feel bad switching to another doctor.  I've seen 3 different primary doctors, a psychologist, and a psychiatrist within the last 3 months and they all tell me it's just anxiety that I'm feeling.  I don't know what I can really gain from going to another psychiatrist for a second opinion really.  But I have thought about it, the initial psychiatrist that my primary doctor recommended me too was on vacation until December so  didnt use him, I might give him a call now and see if I can set something up for a second opinion maybe.  He swore this guy was one of the best in the area that he knew so it's worth a shot.

Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2279
   Posted 12/6/2009 8:53 PM (GMT -7)   
Hi Mike,
I agree with the others about needing to either talk with your doc or seek out another opinion. I'm a little bit confused. It sounds like you sleep okay when you take your meds, but feel a bit anxious & otherwise like a zombie.

For the zombie feeling, I'm wondering whether you're getting 8 hours of sleep every night when you take the Ambien. I know for me that when I get only 6-7 hours on sleeping meds, I go through the next day feeling like I'm in a haze. The label itself even says it's really important to get a full night's sleep. It's also important to try to always take them at the same time every night -- and right before you close your eyes.

If you're already doing all that, maybe try talking to your psych. Mine wrote me for Provigil for a while until I got used to anti-anxiety meds I was on a couple years back. It definitely took me out of the fog. My boss commented on day 2 that I seemed much more alert & asked if anything was different with me (I just smiled & shrugged).

As for the nervousness, your psych really is in the best position to help with that. If you talk to him & he doesn't listen to you, then it really does seem a good idea to seek out a second opinion. If psych #2 agrees with him, you can always keep seeing the one you're seeing now. If not, maybe you can find something that will help you feel completely better, rather than just feeling better in some ways and worse in others.

best wishes,
frances

THE HAPPY TURTLE
Elite Member


Date Joined Mar 2009
Total Posts : 18743
   Posted 12/6/2009 9:32 PM (GMT -7)   
  1. frances makes good sense. i would look into a second opinion. and a worthy psychiatrist is worth the wait, mine was, 3 months, and he was the best and most renowed in my country. all the best, with compassion, jamie.

YESTERDAY IS A BUTTERLY WITHOUT WINGS. (ME)
 
DX, MDD, SEVERE BORDERLINE PERSONALITY DISORDER.
 
REMEMBER TO LOVE YOU. BE YOU AND BE TRUE.


Mike619er
Regular Member


Date Joined Nov 2009
Total Posts : 429
   Posted 12/7/2009 2:55 PM (GMT -7)   
Hey Frances I appreciate you posting and trying to help out.  I am definetly going to go for a second opinion i just have to find that number of the psychiatrist that my primary doctor had referred me to.  In response to your question about how much sleep I'm getting with the pills, no its not 8-9 hours.  It seems I'm unable to get that much sleep, as soon as I take my Ativan and Ambien at night I head right to bed and fall asleep normally within an hour, but only for about 4-5 hours.  Then I'll be awake and just lying there for an hour and maybe catch another 20-30 min nap if I'm lucky.

For an example of how bad my sleep has been lately, I take my Ativan and Ambien pills around 8 pm.  I'm in bed by then and normally fall asleep by 930-10.  I'll wake up at 1-2 and lie in bed for an hour waiting to go back, I'll maybe sneak in another half an hour nap and by then it's normally 4 am and I am unable to go back to bed at all, have to be up at 530 which is when I have work in the AM.
 
So in the month with my battle with this anxiety/depression I got nearly no sleep, and now in these sleeping pills I seem to get on average about 4-5 hours a night, and can't even lie down and take naps during the day even though I feel like Im so exhausted that I need to.  My mind and body wont let me rest.  And lately my yawning has really picked up and its been very frequent and uncontrollable.
 
It's the strangest thing in the world to be so exhausted but unable to sleep.
 
~Mike

Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2279
   Posted 12/7/2009 7:45 PM (GMT -7)   
Mike,
Have you ever had a Continuous EEG run? Not saying you necessarily need it, but maybe something to ask your doc about. In my case, I also become less able to sleep the longer I am awake. When I miss a full 48 hours of sleep straight, I usually can't fall asleep on my own at all. I need a lot of medical help to even get an hour or two of sleep when things get that bad. It would get to the point where I would be at 4-5 days of no sleep at all (okay, maybe nodding off for 5-10 minutes a couple times a day, but that was literally it) and then would start hallucinating.

My neurologist ordered a 48-hour Continuous EEG & we found out I was having a disruption in my brain that was kinda like a seizure, but without the twitching limbs. It was a simple test where they just glued the leads onto my head & sent me home. They did it over the weekend so it didn't disrupt my work schedule, though even they said I could work as long as I wasn't doing any heavy lifting or working around electrical fields. Now when I'm really struggling a lot with sleep, they double or triple the anti-epileptic meds & things a good again within a day or two.

If you are getting worse, please call a second psychiatrist or neurologist & let them know that this is an emergent issue. Sleep deprivation can become very serious, even life threatening. It sounds like you are getting some sleep, but since you sound like you are from the US, you shouldn't have to wait long to get into a doctor (course all us Americans are jealous that Jamiee doesn't have to take out a 3rd mortgage on his home to see a doctor, but gosh! three months is a long time to wait). Probably a couple weeks tops if you let them know that it is seriously affecting you & getting worse.

feel better,
frances

Mike619er
Regular Member


Date Joined Nov 2009
Total Posts : 429
   Posted 12/8/2009 10:52 AM (GMT -7)   
I don't think I've had that done, I've never been to a neurologist yet actually.  I had bloodwork done and a cat scan (can't have an MRI due to alloy bolts in my jaw from when I had to have it repaired), ekg, and other heart related tests.  Nothing came up out of the ordinary.
 
One thing that did show up repeadedly was that I had low levels of testosterone.
 
But the primary doctor recommended I see a psychiatrist and never mentioned anything about a neurologist.  I've actually been performing better at work lately and have been able to focus on things a bit more recently as well.  I just have this tingling on the top and back of my head sometimes that weirds me out.
 
Also, I'm having A LOT of trouble remembering things from the day before lately.  I often forget people I call, txtd, or even talked to and when I realize it by looking at my phone it makes me pissed and mad at myself for not remembering.  Hopefully that will come back with time, my long term memory is great but my short term memory is so fried.

Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2279
   Posted 12/8/2009 8:42 PM (GMT -7)   
Only a doc could say for sure, but definitely sleeping meds plus only a partial night's sleep can cause all those symptoms. It sounds like the Ambien really isn't working -- little benefit, but all the side effects.

I know there are other posts in this Forum about natural remedies for sleep. I use lavender pillow spray, drink passion flower tea, keep a regular bedtime routine & make sure my bedroom is cooler than the rest of my home -- plus I wear loose pj's. There are a lot of other members who have shared their techniques. These won't necessarily replace the meds (I still am on Lyrica & Lunesta), but they might combine with them to help you get a full night's rest. You can also try googling "sleep hygiene".

Wishing you a good night's sleep,
frances
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