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Sleep Issues (mania or psychotic episodes?) And coping skils

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Sleep Issues (mania or psychotic episodes?) And coping skils

Postby Frozenleaves » Sun Oct 24, 2021 8:53 pm

Hello I'm newly diagnosed schizoaffective bipolar type. I have ptsd and anxiety as well. I'm on meds but still working on the right combo. Unfortunately no sleep meds seem to work (minipress, trazodone, temazepam, lunesta). It often has the opposite effect leaving me anxious, agitated, and unable to sleep. I've told my provider and I'm waiting on her response.

Last night was my second night of 1mg lunesta and when I realized I wouldn't be getting rest I went to the living room so i could turn on a light without bothering my husband. I stayed up for hours with racing thoughts and a pervasive feeling I was being watched. I tried to journal but that set me off writing a bunch of repetitive, paranoid ramblings occasionally getting stuck on rhyming certain words or using too much alliteration in my sentences. I got even more paranoid and felt unreal like the world was fake and I was dead only living in a hell realm or simulation. This has been an ongoing belief usually when I get overwhelmed by crowds at work (retail).

I couldn't ground myself, I felt too watched to feel comfortable with reading or watching a familiar show/ movie. I've posted similar questions on reddit but the answer is always get your meds checked and talk to your doctor. I'm still searching for a therapist so I have no professional help navigating my recent diagnosis or growing paranoia/delusions. Hallucinations aren't bad usually knocking/tapping and occasionally some visual stuff like people without faces or eyes on things that shouldn't have eyes.

Basically does anyone else have the opposite reaction to sleep meds? Is that a manic thing? I'm on lamictal 75mg but we're still working up to a therapuetic dose so I'm not sure it's helping yet. Or is it a psychotic thing? I'm on 10mg of Zyprexa too. And 40mg propranolol for anxiety twice daily.

Aside from sleep I really need coping tools for these episodes. They're very distressing and impact my work and sleep.
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Re: Sleep Issues (mania or psychotic episodes?) And coping skils

Postby Snaga » Mon Oct 25, 2021 9:47 pm

Hello and welcome to the forums!

I've heard of people having opposite effects to over-the-counter stuff, mostly feelings of restlessness and/or quickened heart rate. I know I can't take Valerian Root; and I know people who react badly to Benadryl.

I take half a Trazodone at bedtime and it only rarely makes me sleepy- so that if I have a restless mind it does me no good- but it does help me sleep sounder, when I do fall asleep.

As far as I know I don't have a psychotic disorder, however. I do have bad OCD, which can sometimes get a bit on the delusional side. I only take the trazadone, and escitalopram for general anxiety.

If you've taken so wide a range of meds to help with sleep, I'm guessing it has more to do with mania or psychosis, however again, at least with over-the-counter sleep aids, yes I know of people that it has the opposite or at least, an agitating effect. Sure, Valerian Root made me sleepy, but it's hard to sleep when your heart is pounding...
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