Insomnia and depression
I have noticed after the anti-depressant kicks in my insomnia has been slowly increasing. I feel wide awake for some period and then becoming so tired and thought that I could sleep but then when the light is off and I just slowly back to becoming wide awake again. I usually unable to sleep around mid night, the usual hour that I can fall asleep will moving away from 3 am to later and later. No matter how I tried to tired myself out and go to bed at normal hour, it won't happen. Please help!
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Great idea .... best of luck .... let us know how you make out.
abby
@underedwardstale2018
Have you talked with a sleep doctor or had a sleep study? That's something I did early in my search for what was wrong with me.
Jim
Hi, @underedwardstale2018 -- thinking of you and wondering how your sleep is going these days?
Hello I am 47 years old. Ibe dealt 20 years with pmdd a type of reproductive depression. I had a completely hysterectomy for that. At Mayo Clinic Rochester. I live in Ecuador snd doing fine on cbd oil, zoloft, estradiol patches. My maim concern is sleep. My country is in an economic crisis so it will take some months to find a job. Bc of this I can't return to Mayo Clinic for a psychiatric and autoinmune condition ollow up. I don't trust doctors here so I will do talk therapy for anxiety. I still have my international ihealth insurance. How can I get the care I need ? Is there any way to receive psychiatrist treatment by Skype. I am sure I just need some dosage adjustment. Thanks
Hi, @lorena1egas - that completely makes sense that due to your country's economic crisis and the job situation, it is not possible at this time to return to Mayo Clinic for a follow-up. What I would suggest is to message any physician you've seen at Mayo Clinic before on the patient portal and ask about availability of telemedicine consults.
Will you share a bit more about the insomnia you are experiencing? For example, is it hard to get to asleep or stay asleep, or are you waking up before you'd planned and unable to get back to sleep?
Hi Lisa, thanks for your polite answer. my reumatologist keep tracking my situation every 3 months (I send the blood tests through the patient portal). But a Mayo psychiatrist check me once and he was extreme acertive (neuryl/clonazepam) for rem sleep, and zoloft for my long term condition. No matter what, sometimes there is a need to make adjustments because of external factors or internal (hormone changes) and I can trust a psychiatrist here at my country then they just make prescriptions over prescriptions and thats it I cant trust my mental health to money oriented medical staff. No research, no listening techniques, no patient approach. so my question is if it is possible to have a psychiatric appointment through telemedicine consults? mayo clinic have my clinical history and I still keep my international insurance. About my sleep, it is my big problem, after I did my complete hysterectomy due to premenstrual disforic disorder (also at Mayo) and use excelent estradiol patches, but medication is a must. I also take cbd oil that help with mood and my autoinmune condition (inflamation) and I dont want to stop it. when my sleep suffers I am not a person anymore. Right now I am doing fine thanks to a prescription of clonazepam, but I wont return to that pseudo MD. Do you think there is a chance that I can continue a psychiatric follow up with mayo clinic staff on the long term? That would give me peace of mind. thanks for helping
Hi, @lorena1egas - apologies for the delay in responding. Since here on Mayo Clinic Connect we work with patient and caregiver support rather than appointments and medical consults, what I would suggest is sending a portal message either to the Mayo Clinic psychiatrist who consulted with you about sleep (or to your Mayo Clinic rheumatologist, if not in your list of physicians on the portal) to inquire about long-term psychiatric follow-up.
I can relate to your experience. I hardy sleep when I feel I should. I am only able to sleep from 12 am to 4am. Even so, my sleep is shallow, an insect bite or a footsteps can awaken me from sleep.
Same thing ! Especially when I’m stressed which is almost always!
Hi, @peejayo - that sounds very hard only sleeping 4 hours per night. Do you feel depression or some other factor is contributing to your lack of sleep?