Struggling with Sleep and Dreams: A Journey Through Mental Health Challenges

Humility, humility, and more humility?

Dear Dr.
Ding,
I apologize for reaching out to you again, but my condition has been quite poor lately.
I previously mentioned my desire to take a civil service exam, but you were not optimistic about it.
Now I can somewhat understand what you meant.
I have been experiencing excessive daytime sleepiness, especially during my afternoon naps, and even after waking up, I still feel the urge to sleep.
Sometimes I sleep through the night or into the next afternoon, waking up briefly but then falling back asleep.
I occasionally think about taking my nighttime medication or showering, but I just don’t feel like it, so I end up sleeping again.

Perhaps I should inform my attending physician, but I have already discussed this issue with him before, and the outpatient consultation time is limited.
I believe my lack of self-discipline is a contributing factor.
Currently, I am working in cleaning, but I do not adhere to a specific schedule for my cleaning tasks.
No matter how I try, I always exceed the allotted time.
I cannot complete one building in an hour.
Throughout the day, from 9 AM to around 4 PM, I can only manage to finish cleaning four buildings.
I am starting to dislike this job because it affects my time for studying and other activities.

I still want to take the civil service exam, even though I only have one chance to try.
However, considering my current situation and work, it feels quite discouraging.
This job does have its advantages; at least it allows me some time to study and provides a little financial support each month.
I really do not want to return to my past life of scavenging, which you are aware of.
I genuinely do not know if I am pursuing my dreams or just wasting time.
I feel so unwell that I have lost the ability to solve problems.
I truly believe that living this way is a waste of time, and my dreams seem to be drifting further away.

The occupational therapist told me that if I do not pass the exam, I could learn a trade.
However, aside from basic plumbing and electrical repairs, I do not have any other skills.
I do not even know what my interests are; I just know that I do not want to be an electrician.
Additionally, I am getting older, and finding work will only become more difficult.
In my last letter to you, you mentioned that if that person does not show up again, there is no need to waste time on it.
The grievances I have created for myself should be resolved by me, but I cannot harm them.
There is also an elderly woman living across from my house who contributes to my distress, so I find myself cursing at them daily, hoping they will face some misfortune.
Thank you for taking the time to read this, Dr.
Ding.
Perhaps you could offer some advice, but I leave it entirely to you.
This will be my last letter, and I will move forward with my own plans, whether good or bad, I cannot control.
After all, as a person with a disability, I feel that I am not in control of my own life; rather, others and fate dictate my circumstances, including whether I am given opportunities.
Lastly, I appreciate this platform for providing a reference for people like me.
Thank you.

Jason, 30~39 year old female. Ask Date: 2016/03/17

Dr. Ding Shuyan reply Psychiatry

Hello, each of us has dreams and hopes for a better and happier life.
However, we all face certain limitations that make it challenging to achieve those dreams.
Individuals with mental health conditions, despite being physically healthy, experience significant barriers due to their mental illnesses, which greatly impact their pursuit of dreams.
From my experience, the nature of mental illness can make it difficult for us to understand our current standing, which has changed considerably compared to before we became ill.
For instance, you mentioned having excessive sleep and issues with self-discipline at work.
These may be the most direct obstacles hindering you from achieving your dreams.
Even if you succeed in securing a public position, these issues could make it difficult to sustain a fulfilling career.
Occupational therapists specialize in this area and have a deep understanding of your situation; I believe they can provide you with practical and actionable advice.
I am just a stranger you encountered online, and I have forgotten what I previously told you, as I face many people alone, and online inquiries are not categorized like medical records.
Therefore, discussing these matters feels somewhat superficial.
The doctors and therapists you are currently seeing are your best consultants for such personal and practical issues, and there is no need to seek advice from others online.
As for those who have harmed you, I believe they are not worth your time.
Everyone encounters both supportive and unsupportive individuals in their lives.
If you only feel that they are harming you in thought without any actual harm, I suggest focusing more on improving your self-discipline and adjusting your daily routine, as that is more practical.
Wishing you all the best.
Sincerely, Dr.
Ding Shuo-Yan.

Reply Date: 2016/03/17

More Info

Hello! Thank you for sharing your concerns with me. It sounds like you are going through a challenging time, and I appreciate your openness in discussing your struggles with sleep, dreams, and the pressures you are facing in your life.
From what you’ve described, it seems that your sleep issues are multifaceted, involving not only the quality of your sleep but also your mental health and emotional well-being. Sleep disturbances, such as excessive daytime sleepiness and difficulty waking up, can often be linked to underlying anxiety, stress, or even depression. These conditions can create a cycle where poor sleep exacerbates mental health issues, leading to further sleep disturbances.

Understanding Sleep and Mental Health
Sleep is crucial for cognitive function, emotional regulation, and overall health. When we experience poor sleep, it can lead to a range of problems, including difficulty concentrating, irritability, and a lack of motivation. This can be particularly challenging when you are trying to prepare for exams or pursue career goals, such as your desire to take the civil service exam.
Your mention of feeling overwhelmed by your job and the pressures of studying suggests that you may be experiencing a significant amount of stress. Stress can lead to a heightened state of arousal, making it difficult to relax and fall asleep. Additionally, if you are feeling dissatisfied with your current job, this can contribute to feelings of frustration and hopelessness, which can further impact your sleep quality.

The Role of Dreams
Dreams can often reflect our waking life experiences and emotions. If you are experiencing vivid dreams or nightmares, this may be a manifestation of your anxiety or stress. Dreams can serve as a way for our minds to process emotions and experiences, but they can also disrupt sleep if they are particularly intense or distressing.

Strategies for Improvement
1. Sleep Hygiene: Establishing a consistent sleep routine can help improve your sleep quality. This includes going to bed and waking up at the same time every day, creating a relaxing bedtime ritual, and ensuring your sleep environment is conducive to rest (dark, quiet, and cool).

2. Limit Stimulants: Avoid caffeine and other stimulants in the hours leading up to bedtime. These can interfere with your ability to fall asleep and stay asleep.

3. Mindfulness and Relaxation Techniques: Consider incorporating mindfulness practices, such as meditation or deep breathing exercises, into your daily routine. These can help reduce anxiety and promote relaxation, making it easier to fall asleep.

4. Physical Activity: Regular physical activity can help reduce stress and improve sleep quality. Aim for at least 30 minutes of moderate exercise most days of the week, but try to avoid vigorous exercise close to bedtime.

5. Seek Professional Help: Given the complexity of your situation, it may be beneficial to discuss your symptoms with a mental health professional. They can provide tailored strategies and support to help you manage your anxiety and improve your sleep.

6. Set Realistic Goals: It’s important to set achievable goals for yourself, both in your studies and your job. Break tasks into smaller, manageable steps to avoid feeling overwhelmed.

7. Talk About Your Feelings: It can be helpful to express your feelings of frustration and hopelessness. Whether it’s through journaling, talking to a friend, or seeking therapy, processing these emotions can be beneficial.

Conclusion
You are not alone in your struggles, and it’s commendable that you are seeking help and looking for ways to improve your situation. Remember that it’s okay to ask for support, whether from friends, family, or professionals. Your mental health is just as important as your physical health, and taking steps to care for both can lead to a more fulfilling life.
I wish you the best on your journey toward better sleep and mental well-being. Don’t hesitate to reach out for help when you need it.

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