Excessive Sleep: the Impact on Mental Health - Psychiatry

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Excessive sleepiness?


I usually sleep for over 12 hours, and sometimes even longer, which often leaves me with a headache upon waking.
I prefer not to take headache medication, so I tend to go back to sleep.
There was one time in middle school when I slept for 27 hours straight.
However, if I only get 8 hours of sleep, I feel like I haven't rested well.
On the other hand, waking up after 7 or 8 hours usually doesn't result in a headache.
I frequently experience migraines, and during work, I often feel very sleepy and lack energy, which has led to my boss reprimanding me.
Could you please tell me if there is something wrong with me? Thank you!

MLII, 20~29 year old female. Ask Date: 2005/01/22

Dr. Ye Baozhuan reply Psychiatry


Hello! Hypersomnia may be a condition, and your issue seems to be excessive sleep duration rather than narcolepsy.
However, the problem of prolonged sleep duration needs to be compared with your original (normal) sleep hours, as individual standards vary.
Some people may sleep only two to three hours a day, while others may sleep over ten hours a day.
Therefore, it is important to first understand your average sleep duration and whether there has been an abnormal increase in sleep hours (not counting just one or two days).
If you do not feel refreshed upon waking, it may be advisable to consult a physician to evaluate any potential psychiatric or internal medical issues.

Reply Date: 2005/01/22

More Info


Excessive sleep, or hypersomnia, can significantly impact mental health and overall well-being. While sleep is essential for physical and mental health, consistently sleeping for more than 12 hours a day can indicate underlying issues that need to be addressed. Your experience of sleeping excessively, coupled with headaches and feelings of fatigue, suggests that there may be more than just a simple need for sleep at play.

Firstly, it's important to understand that sleep is not just a passive state; it plays a crucial role in various bodily functions, including cognitive performance, emotional regulation, and physical health. The recommended amount of sleep for adults is typically between 7 to 9 hours per night. Sleeping significantly more than this can lead to a range of issues, including headaches, as you've experienced, and can also affect your mood and energy levels.

One potential explanation for your excessive sleep could be a sleep disorder, such as hypersomnia or sleep apnea. Hypersomnia is characterized by excessive daytime sleepiness and prolonged nighttime sleep, which can lead to feelings of grogginess and headaches upon waking. Sleep apnea, on the other hand, involves interruptions in breathing during sleep, which can result in poor sleep quality and excessive daytime sleepiness, even after long hours of sleep.

Another factor to consider is the quality of your sleep. Even if you are sleeping for long periods, if the quality of that sleep is poor—due to interruptions, discomfort, or other factors—you may still wake up feeling unrefreshed. This can lead to a cycle of excessive sleeping in an attempt to compensate for the lack of restorative sleep.

Mental health issues, such as depression or anxiety, can also manifest as changes in sleep patterns. Some individuals may sleep excessively as a way to escape from stress or emotional pain. If you find that your mood is often low or that you experience feelings of hopelessness, it may be beneficial to speak with a mental health professional.

In your case, the headaches you experience upon waking could be a result of several factors, including dehydration, poor sleep posture, or even the effects of oversleeping itself. It’s interesting to note that you mentioned feeling fine after 7 to 8 hours of sleep, which suggests that your body may be signaling that this is the optimal amount of rest for you.

To address your concerns, consider the following steps:
1. Sleep Hygiene: Establish a regular sleep schedule by going to bed and waking up at the same time every day, even on weekends. Create a relaxing bedtime routine to signal to your body that it’s time to wind down.

2. Limit Naps: While napping can be beneficial, excessive daytime napping can interfere with nighttime sleep. If you feel the need to nap, try to limit it to 20-30 minutes.

3. Evaluate Your Sleep Environment: Ensure that your sleeping environment is conducive to restful sleep. This includes a comfortable mattress and pillows, a dark and quiet room, and a cool temperature.

4. Monitor Your Diet and Hydration: Pay attention to what you eat and drink, especially before bedtime. Avoid heavy meals, caffeine, and alcohol close to bedtime, as these can disrupt sleep quality.

5. Seek Professional Help: If your excessive sleeping continues or worsens, consider consulting a healthcare professional. They can help assess for any underlying sleep disorders or mental health issues and provide appropriate treatment options.

In conclusion, while sleep is vital for health, excessive sleep can be a sign of underlying issues that warrant attention. By improving your sleep hygiene, monitoring your mental health, and seeking professional guidance, you can work towards achieving a healthier sleep pattern and overall well-being.

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