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baratronI am sitting on a train on my way to eat dinner, and I thought I'd “catch up” with all the livejournal entries I've been writing in my head over the past few days. Unfortunately it seems that being on a train inhibits my ability to write about Difficult Things (TM), which rather negates the point of bringing the laptop. Hmm. Also, it seems that the “t” key is experiencing serious issues, in that I hit it and it only registers 50% of the time. I suspect crumbs in the keyboard, not that I ever eat over my laptop or use it in lieu of a plate *cough*...
I have been miserable for a good few weeks now, owing to the severe lack of daylight. This has not been helped by the fact my sleep patterns have completely inverted and I have been falling asleep around 7 am (!) and mostly unable to get out of bed before 5 pm (!!). The problem is that having Delayed Sleep Phase Syndrome, the usual techniques for restoring a normal sleep-wake cycle don't work.
Methods that work for normal people:
1) Go to bed early so you'll wake up early. Ahahahaaa! If I had the ability to fall asleep AT WILL, I wouldn't have a sleep disorder now, would I?
2) Set your alarm for the time you are supposed to get up, and get up then no matter how rotten you feel. Setting my alarm early wakes me up in that I stop being unconscious, but I won't be rested enough to get out of bed. If I somehow drag myself up anyway, then I'll be tired and irritable for the entire day, and start feeling sleepy earlier, as intended. However, this won't translate into falling asleep any earlier. I can go to bed absolutely exhausted and still be awake 4 hours later, until the time when my body has predetermined that it will fall asleep. Yay. If I try to do this for several days/nights running, then I end up severely underslept and my immune system crashes. Back when I used to try to work at normal hours, I would have a cold every couple of weeks.
3) Stay up all night and go to bed at a sensible time the next day. Doesn't work for me, because staying up for 18-24 hours means that I then have to sleep for 15-18 hours, and I end up on the same or worse messed-up cycle that I had before.
The only method that works for people with DSPS is chronotherapy, where you move your sleep-wake cycle forward, rather than backwards as in the methods above. Unfortunately, this means going through a bunch of *really* inconvenient and depressing days, with total phase reversal like getting up at 8 pm and going to bed at 9 am. I really don't want to be doing that, so I've spent the past couple of weeks trying method 2 plus occasional sleeping pills, even though I know it's unlikely to work. Gah.
Through application of SCIENCE to the problem, I've discovered that it's not just my sleep-wake cycle but other circadian rhythms that get messed up. The reason why I can't wake up too much earlier is because my body temperature is too low. Usually, it's spot on 37.0 °C while I'm awake, but “too early” it can be as low as 36.3 °C. Okay, that doesn't sound like much of a difference – but we are homiothermic and our body temperature does only vary within a degree or so. If I am ill and have a mild fever of only 37.5°C, my brain feels “fried” and it takes serious effort for me to think. Clearly my brain is highly sensitive to temperature changes.
I need to get a) a lamp so I can have the abnormally bright “blue” lightbulb above my eyes in the mornings without it also being the main light source in the bedroom (as it bothered EVERYONE else who came to the house while it was installed, and is way too stimulating for me at night time), and b) some yellow ski goggles (research has shown that people with DSPS and bipolar II may be oversensitive to blue light, so should wear yellow filters when watching TV or using a computer in the evenings to avoid the light keeping them awake). This requires a) motivation and b) going into a ski shop. I'm not sure how this is to be achieved, considering that motivation requires... oooh, getting enough sleep and hours of sunlight.
I have been miserable for a good few weeks now, owing to the severe lack of daylight. This has not been helped by the fact my sleep patterns have completely inverted and I have been falling asleep around 7 am (!) and mostly unable to get out of bed before 5 pm (!!). The problem is that having Delayed Sleep Phase Syndrome, the usual techniques for restoring a normal sleep-wake cycle don't work.
Methods that work for normal people:
1) Go to bed early so you'll wake up early. Ahahahaaa! If I had the ability to fall asleep AT WILL, I wouldn't have a sleep disorder now, would I?
2) Set your alarm for the time you are supposed to get up, and get up then no matter how rotten you feel. Setting my alarm early wakes me up in that I stop being unconscious, but I won't be rested enough to get out of bed. If I somehow drag myself up anyway, then I'll be tired and irritable for the entire day, and start feeling sleepy earlier, as intended. However, this won't translate into falling asleep any earlier. I can go to bed absolutely exhausted and still be awake 4 hours later, until the time when my body has predetermined that it will fall asleep. Yay. If I try to do this for several days/nights running, then I end up severely underslept and my immune system crashes. Back when I used to try to work at normal hours, I would have a cold every couple of weeks.
3) Stay up all night and go to bed at a sensible time the next day. Doesn't work for me, because staying up for 18-24 hours means that I then have to sleep for 15-18 hours, and I end up on the same or worse messed-up cycle that I had before.
The only method that works for people with DSPS is chronotherapy, where you move your sleep-wake cycle forward, rather than backwards as in the methods above. Unfortunately, this means going through a bunch of *really* inconvenient and depressing days, with total phase reversal like getting up at 8 pm and going to bed at 9 am. I really don't want to be doing that, so I've spent the past couple of weeks trying method 2 plus occasional sleeping pills, even though I know it's unlikely to work. Gah.
Through application of SCIENCE to the problem, I've discovered that it's not just my sleep-wake cycle but other circadian rhythms that get messed up. The reason why I can't wake up too much earlier is because my body temperature is too low. Usually, it's spot on 37.0 °C while I'm awake, but “too early” it can be as low as 36.3 °C. Okay, that doesn't sound like much of a difference – but we are homiothermic and our body temperature does only vary within a degree or so. If I am ill and have a mild fever of only 37.5°C, my brain feels “fried” and it takes serious effort for me to think. Clearly my brain is highly sensitive to temperature changes.
I need to get a) a lamp so I can have the abnormally bright “blue” lightbulb above my eyes in the mornings without it also being the main light source in the bedroom (as it bothered EVERYONE else who came to the house while it was installed, and is way too stimulating for me at night time), and b) some yellow ski goggles (research has shown that people with DSPS and bipolar II may be oversensitive to blue light, so should wear yellow filters when watching TV or using a computer in the evenings to avoid the light keeping them awake). This requires a) motivation and b) going into a ski shop. I'm not sure how this is to be achieved, considering that motivation requires... oooh, getting enough sleep and hours of sunlight.
no subject
Date: 2010-01-03 11:21 am (UTC)But with the extremely blue light of extreme blueness making you all happy is it like a good idea to be cutting it out? Or is it like too much caffine for you? (you do seem to get a bi spacey with the BLoEB)
no subject
Date: 2010-01-05 02:47 am (UTC)Unfortunately buying of lamps requires spoons that I do not currently have. It's possible though that the bulb may fit in the one spare lamp I already have, but that requires Richard being free (see above comment to
no subject
Date: 2010-01-07 12:01 am (UTC)no subject
Date: 2010-01-11 08:02 pm (UTC)Supposedly people with Delayed Sleep Phase Syndrome and Bipolar II are differently sensitive to the light spectrum than "normal" people. Most people are able to wake up in the morning because of natural daylight, and get sleepy when it gets dark even sitting in a room with artificial light. This doesn't work for people with DSPS.
The idea is to use bright "blue" lights in the morning (or when you want the morning to be), natural light during the day, then dimmer "yellow" light in the evening, a few hours before you want to go to sleep. The "blue" light stimulates production of chemicals in the brain that wake you up, and absence of those frequencies of light is supposed to make other chemicals get produced to make you sleepy.
Different types of light also affect mood. Apparently, if you get the type of light right and have the correct periods of light and darkness for your brain, it may be possible to be happy and mentally stable without any mood stabilising drugs! I'm not sure that I want to try that, but certainly I'd like better functionality in the winter.