Is having a long-term reversed day-night cycle considered a disorder? Is there a way to return to a normal sleep schedule?
Hello, doctor: I have been living a nightlife for a long time, going to bed late and waking up late.
Initially, I worked night shifts for a year (from 12:00 AM to 8:00 AM), which caused my sleep schedule to be reversed.
Although I later switched to a day shift, I still feel very alert after getting home around midnight and often don’t fall asleep until around 5 or 6 AM.
Sometimes, I try to go to bed earlier, around 3 AM, but I often end up with insomnia and don’t feel sleepy until around 7 AM.
This means that I can only sleep if I feel sleepy; otherwise, the longer I lie down, the harder it is to fall asleep.
I often experience tearing and dizziness.
Currently, I am unemployed, but my routine remains the same.
I have tried to get some beauty sleep, such as lying in bed around 11 PM watching TV until I fall asleep, hoping to sleep through the night, but I often wake up around 1 or 2 AM and then feel very alert again, making it difficult to fall back asleep.
This issue has been troubling me for a long time, and I feel like I look older than other women my age.
I have maintained this sleep pattern for at least eight years, making it difficult to change.
Therefore, I would like to ask: 1.
Is this a mental illness, or just a long-term habit? Is it serious? Do I need to see a doctor at a hospital, or would it be sufficient to consult a pharmacist at a drugstore for sleeping pills? 2.
If I visit a psychiatrist, are there any quick solutions? I have hepatitis B and gastrointestinal issues; would taking sleeping pills be more harmful? Will the treatment effects be long-lasting? Is there a risk of increasing side effects with prolonged use of medication?
Jia Ling, 20~29 year old female. Ask Date: 2007/04/06
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter.
Long-term night shift work can indeed lead to irregular sleep patterns.
However, most people tend to recover without medication once they return to a normal schedule.
If sleep disturbances persist even after normalizing your routine, it is advisable to consult a psychiatrist.
Please avoid purchasing sleeping pills from a pharmacy without a prescription.
Under the guidance of a specialist, you may be prescribed medications that are less harmful to the liver, which can also help prevent issues related to drug misuse.
Thank you.
Reply Date: 2007/04/06
More Info
Your situation reflects a common struggle with sleep patterns, particularly for those who have experienced significant lifestyle changes, such as working night shifts. The irregular sleep pattern you describe can indeed be classified as a sleep disorder, specifically a form of insomnia, which is characterized by difficulty falling asleep, staying asleep, or waking up too early.
1. Understanding Your Condition: The symptoms you’re experiencing—difficulty falling asleep until the early morning hours, frequent awakenings during the night, and feeling unrested upon waking—are indicative of insomnia. This condition can stem from various factors, including lifestyle habits, stress, and even underlying medical issues. Given your history of night shifts and the subsequent adjustment to a more conventional schedule, it’s understandable that your body’s circadian rhythm has been disrupted. This disruption can lead to a cycle of poor sleep quality and daytime fatigue, which can further exacerbate feelings of anxiety or depression.
2. Is It a Mental Disorder?: While insomnia can be associated with mental health disorders, such as anxiety or depression, it is not classified as a mental disorder in itself. Instead, it is often a symptom of other underlying issues. Your long-standing habit of staying up late and sleeping during the day has likely conditioned your body to this pattern, making it challenging to revert to a more typical sleep schedule.
3. Seeking Help: It is advisable to consult a healthcare professional, particularly a sleep specialist or a psychiatrist, who can provide a comprehensive evaluation of your sleep patterns and overall health. They can help determine if there are any underlying conditions contributing to your insomnia. Self-medicating with over-the-counter sleep aids may provide temporary relief, but it is not a long-term solution and can lead to dependency or other side effects, especially considering your existing health conditions like hepatitis B and gastrointestinal issues.
4. Tips for Restoring Healthy Sleep:
- Establish a Sleep Routine: Aim to go to bed and wake up at the same time every day, even on weekends. This helps regulate your body’s internal clock.
- Create a Sleep-Inducing Environment: Make your bedroom conducive to sleep by keeping it dark, quiet, and cool. Consider using blackout curtains and white noise machines if necessary.
- Limit Screen Time: Reduce exposure to screens (phones, TVs, computers) at least an hour before bed, as the blue light emitted can interfere with melatonin production.
- Mindful Relaxation Techniques: Engage in relaxation techniques such as deep breathing, meditation, or gentle yoga before bed to help calm your mind.
- Physical Activity: Regular physical activity can help you fall asleep faster and enjoy deeper sleep. However, try to avoid vigorous exercise close to bedtime.
- Dietary Considerations: Avoid large meals, caffeine, and alcohol before bedtime, as these can disrupt sleep.
5. Professional Treatment Options: If lifestyle changes do not yield improvements, your healthcare provider may suggest cognitive-behavioral therapy for insomnia (CBT-I), which has proven effective in treating chronic insomnia. Medications may also be considered, but they should be approached with caution, especially given your health history.
In conclusion, while your sleep issues are concerning, they are not insurmountable. With the right strategies and professional guidance, you can work towards restoring a healthier sleep pattern. Remember, it’s essential to address both the symptoms and any underlying causes to achieve long-term improvement in your sleep quality.
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