It’s been like 3 weeks now that I’ve woken up at 4am without good reason. Have tried physical activity, melatonin, going to bed earlier.. nothing seems to work. Any advice is appreciated.
It’s been like 3 weeks now that I’ve woken up at 4am without good reason. Have tried physical activity, melatonin, going to bed earlier.. nothing seems to work. Any advice is appreciated.
13 Comments
LaLuzDelSol@lemmy.world · 17 pts · 1y
I dealt with this for a while, although I don't think that it was depression related. I think it was more to with stress from work/ moving.
Exercise is good, I think going to bed earlier is counterproductive. You may want to look at sleep restriction therapy- the idea is that you are trying to minimize the time you spend in bed while not asleep.
What do you do when you wake up? Keep in mind that waking up in the middle of the night is completely normal- everyone does it, it's just normally you fall right back asleep and don't think about it. Are you scrolling on your phone, getting up or just laying there? Definitely don't look at your phone at all, that's probably the most important aspect of sleep hygiene.
Ultimately I think for me what helped me get over this was just becoming "zen" about waking up early. When it first started happening to me I was thinking "ah shit not again! I need to relax right now to fall back to sleep! Oh no another 30 minutes have passed and I'm still awake!". But over time I would just wake up early and be like "eh whatever, hopefully I can get back to sleep." Being okay with not falling back asleep makes it easier to fall back to sleep, it's kind of a catch-22.
Other things that have helped:
-Going back to the being chill about waking up early, try taking magnesium glycinate. Again I wouldn't treat this as a long term fix but it might help short term. It's a mild sedative, I find it helps me sleep more deeply and relax.
-Are you getting cold? I have a high metabolism and I get colder as the night goes on. Adding an extra blanket when you wake up might help you fall back to sleep by lowering your metabolism.
-if you're laying awake for more than an hour it's time to get up. That goes back to the sleep hygiene thing as well. You want to make your bedroom a sleep sanctuary. During the day keep your time in the bedroom to a bare minimum and don't go to bed until you feel properly tired.
I hope it gets better for you m8. Improving sleep is tricky because it's not something you can actively try at, at least not the same way you exercise or something. I should add that there are super-short-duration antidepressants that you can take to fall back to sleep. There mentioned to me by a doctor although I never took them so I don't remember the name of the drug.
dhcmrlchtdj__@lemmy.world · 3 pts · 1y
All sounds like workable advice, thanks bud. Appreciate the long reply
ganymede@lemmy.ml · 11 pts · 1y
Below is my general sleep guide.
From your post these points sound the most relevant:
General
Late Evening
Before Bed
In Bed
Sound
Falling asleep to sounds can sometimes help. Different people like different things on different occasions: music, YT, movies, TV, audio books, ambient soundtracks (rainforest, crackling fire), even boring monotone talking can be good. Avoid any ads if streaming or TV as they're designed to grab your attention.
There are music genres almost designed for sleep, various ambient genres can be great especially if they employ low frequency variations and alpha, theta and delta wave type transitions ^5^. There's a bit of bs around this, but also some legit bio-entrainment science too. In general find what works for you.
If listening, consider using your phone & use a sleep timer app on your phone to automatically gradually lower the volume and switch off after a scheduled time, this can help avoid being woken up by it later in the night. Find the timer periods which work for you. Also ensure your alarm will still wake you.
References
^1^ https://academic.oup.com/jcem/article-abstract/88/9/4502/2845835
^2^ https://justgetflux.com/
^3^ https://www.flordis.com.au/products/redormin-forte/
^4^ https://www.youtube.com/watch?v=7JyE47-Ykjo [Download rather than stream to avoid interrupts/ads during the night.]
^5^ https://en.wikipedia.org/wiki/Electroencephalography#Wave_patterns
dhcmrlchtdj__@lemmy.world · 1 pts · 1y
This is fantastic! Thank you kind stranger <3
some_guy@lemmy.sdf.org · 6 pts · 1y
It’s not the healthiest idea, but I find that I can fall back asleep after a snack and changing my location. If I wake up at 3am, I might eat a bit of cheesecake (or hopefully something not so fattening, but heavy foods work best, for me) and relocate to the sofa. I put on a podcast that I don’t care too much about (comedy or something that isn’t super cerebral) and I’m usually out again.
Get treatment. Depression is solvable. Therapy and (sometimes) medication can work. They both may require multiple attempts before you get a solution. Creds: bi-polar and frequent depression victim. Currently living a happy (mostly) life.
ultranaut@lemmy.world · 6 pts · 1y
Listening to an audiobook helps me in those situations. Ideally something a little boring but still engaging enough to keep me distracted.
interrobang@lemmy.blahaj.zone · 3 pts · 1y
Yes, i have a sleep disorder and when i have trouble, i listen to podcasts on my phone with it under my pillow. Its slightly muffled and very effective, but if it doesn't work at least i dont have that awful tired eye feeling
cheese_greater@lemmy.world · 1 pts · 1y
Music and audiobook is even better but any audio thats relaxing for you is the name of the game. Just keep volume low
dillydogg@lemmy.one · 5 pts · 1y
In medicine we are taught that the first line treatment for insomnia is treating the underlying illness—in your case, potentially depression— otherwise, CBT-i (cognitive behavioral therapy - insomnia).
So my first recommendation is to seek care from your physician for your depression.
Otherwise, there are well described self taught classes for CBT-i. I have told patients to check out the VA's website for this: https://mobile.va.gov/app/cbt-i-coach
It is a lot of the sleep hygeine described in another excellent post hew.
evasive_chimpanzee@lemmy.world · 5 pts · 1y
I'm not a medical doctor, nor am I in your exact situation, but I do know a little bit about sleep. There's a broad category of things known as sleep hygiene that are basically supposed to be the "best practices" around sleep. Evidence is good for some things, and inconclusive for others, but in lieu of going to an actual sleep specialist, these sorts of things shouldn't hurt to try.
Stuff like only being in bed to sleep (no watching TV from bed, etc.), avoiding alcohol and caffeine, and giving consideration to your circadian rythym (low blue light prior to sleep, coupled with increased blue light upon waking, it's apparently the contrast that matters more than the actual amounts).
There's also plenty of people who have undiagnosed issues affecting sleep. Obviously you said, for you, it's depression, but that doesn't mean there couldn't be something else at play that could be addressed. If you have the means, something like a smartwatch or an oura ring (which is hsa/fsa eligible if you are in the US) could help tell you if you are moving around a lot in your sleep, or could have something like apnea. Again, not the same as going to an expert, but that's not an option for everyone.
dhcmrlchtdj__@lemmy.world · 1 pts · 1y
realcaseyrollins@thelemmy.club · 5 pts · 1y
This takes me back to the bad old days!
I will say depressive naps I took probably contributed to this more than anything else. When you're getting 4+ hours of sleep during the day, you'll only sleep so much at night. When I stopped doing that this problem almost entirely went away.
timmytbt@sh.itjust.works · 1 pts · 1y
I do suffer from depression. Two things that made a big difference for me in terms of sleeping through the night were regular exercise and wearing earplugs. YMMV
intensely_human@lemm.ee · 0 pts · 1y
Magnesium. I take 400 mg/day of magnesium citrate and it makes it much easier to sleep.
Also, getting rid of depression helps. For that I do therapy and I exercise.