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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by stavros on January 9, 2004, at 0:57:37
My question is when it's all quite and most people are sleeping i seem to think clearer and get more done? I do feel like I should get to sleep but also have to make up for the misserable day i just had.
I have the Dx of GAD/recurrent/depression/ Ruminaition about nothin and generally not being able to make sense of life. I cannot shut my mind off. (my mind just is going in circles)I have no ability to compartmentalize and my feelings become global rapidly. I have a good team of people to work with, pdoc and a Phd but do not feel like I am getting anywhere? Basically i cannot get away from me and engage into any activty. It's sort of like having a case of global cancer of consciousness. My mind is drawn to this and it demands my attention. I am in constant battle to engage in things. e.g. Return of the Kings L.O.T.R. was a great Movie but it took almost and hour of pusing away this problem so that I could give my undivided attendion to the movie. I want to sleep but since i am so improductive during the day i just take the energy i get at around 10 PM to put my life in some order. I workd from home so i can somewhat afford this but i was wondering if this is common for others? ( I am on 100 mg of Lamactil and Klonopin prn) I can stay awake through Ambien and 1mg of Klonipin. Sometimes I take 7.5 mg of Remeron to knock me out but then i have a Remeron hang over which brings on other problem.
I appreciate others ecsperiences,
Stavro
Posted by polarbear206 on January 9, 2004, at 8:13:27
In reply to Does anyone begin to feel better around 10:30 PM?, posted by stavros on January 9, 2004, at 0:57:37
You are not taking a routine antidepressant? Lamictal is not a potent AD. I take it as a mood stabilizer with effexor. Chronic anxiety is an underlying symptom of depression. In the past, I would have anxiety upon awakening and it would somewhat lift or get better as the day went by. I felt best and more productive in the evening. I think you should discuss a routine AD being added to your present meds.
Posted by crazychickuk on January 9, 2004, at 10:41:57
In reply to Re: Does anyone begin to feel better around 10:30 , posted by polarbear206 on January 9, 2004, at 8:13:27
I feel good for the first few hrs of being awake then slip ... then about 10 pm when is all quite i can do things, and i must say i am 50% better... i suppose it is because the kids r in bed, no noise, and we know we will be in bed soon too!! thats it for me anyways..
Posted by stavros on January 9, 2004, at 10:53:43
In reply to Re: Does anyone begin to feel better around 10:30 , posted by crazychickuk on January 9, 2004, at 10:41:57
> I feel good for the first few hrs of being awake then slip ... then about 10 pm when is all quite i can do things, and i must say i am 50% better... i suppose it is because the kids r in bed, no noise, and we know we will be in bed soon too!! thats it for me anyways..
That is exactly the same for me. I woke this morning and had a phone interview and feel good but now my mind has no distractions. This is when i get caught up in my shorts and totally slip into the abyss . In the afternoon and evening I usually feel terrible and then around 10:30 the emotional fever breaks? So i am a bit different in that I need distraction but I cannot get away from myself long enough or have intense things to get me not aware of what i am feeling and thinking. Thanks for your feedback
Posted by simus on January 9, 2004, at 21:44:12
In reply to Does anyone begin to feel better around 10:30 PM?, posted by stavros on January 9, 2004, at 0:57:37
> My question is when it's all quite and most people are sleeping i seem to think clearer and get more done? I do feel like I should get to sleep but also have to make up for the misserable day i just had.
>
I am exactly the same way, but I thought it was just me. I am at my clearest mentally at around 10:00PM-2:00AM, and I am drowsy/foggy all day long. I am on Lexapro, but it was the same way with Effexor, Zoloft, Paxil...
Posted by Psychopoppy on January 10, 2004, at 2:31:51
In reply to Re: Does anyone begin to feel better around 10:30 PM?, posted by simus on January 9, 2004, at 21:44:12
Yup
Effexor or not, 10.00 to 4.00 AM is more like it for me. Can ya tell ? I'm writing this mesg at 3.25 AM my time !
During the day, my brain is numb and dormant and I too feel like I live in an abyss. Its almost impossible push start anything in me to even get some simple errands done. They keep getting put off till the next day...and the next after that. The only things that get me out and about during daytime are my doc appointments.But night time rolls around and my mind awakens as if my eyes have just opened wide. It lasts till about 3-4 AM when its bed time and the thought of struggling through another screwy day gets me anxious to go sleep and get some rest.
I guess we must be vampires :-)
I just wish there was an alternate world out there for the irregular 9 to 5 people (I mean 9PM to 5AM ). Wouldnt that be cool.
Posted by SLS on January 10, 2004, at 9:00:43
In reply to Re: Does anyone begin to feel better around 10:30 PM?, posted by Psychopoppy on January 10, 2004, at 2:31:51
I'm at my best (which really sucks) in the morning up until 10:30am. I am at my worst between 1:00pm - 3:00pm. I then pick up again at 10:30pm.
If you want to try something pretty cool, go to sleep at 9:00pm and wake up at 3:00am. It's called phase advance, and some people get a mild antidepressant effect through much of the next day. It is sort of like sleep-deprivation.
- Scott
Posted by Kacy on January 10, 2004, at 13:46:30
In reply to Re: Does anyone begin to feel better around 10:30 , posted by polarbear206 on January 9, 2004, at 8:13:27
Eleven pm to two am. I call those the witching hours. You seem to get a lot done in that time, Polarbear. That seems great. Mine were not productive hours–just mentally stimulating.
Reaching my forties seem to have changed that. It's still there, but less so.
Effexor takes away the excessive ruminating for me. That's the only thing it does for me, but I'm glad for it. I hadn't tried any treatment for a long time when I started it, and it took three or four months to show that effect.
Posted by CraigD on January 11, 2004, at 2:13:19
In reply to Re: Does anyone begin to feel better around 10:30 » polarbear206, posted by Kacy on January 10, 2004, at 13:46:30
This is all so interesting b.c. I found waking to be hard when I was depressed but not even half as hard as getting out of bed when on ADs. When they are working well, I feel good in the morning but can't motivate myself to get up at all. When they are not, I wake up with the most empty, desparate feeling I have ever endured - far worse than when I wasn't on anything. Once I am up and going, then I am very productive. It is just so hard to motivate while I'm still in bed. I am late for work ALL the time.
Anyone else with similar experiences?
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