Re: Best Anitidepressant for Chronic Insomnia
I'm a lifelong night owl from a family of night owls. I had to use trial and error to find the right medication and the right time of day to take it. I had to stop taking Ambien because it was giving me migraine headaches and daytime sleepiness. I now take my antidepressant, an Ativan and a Benadryl at bedtime. That works the best for me.
If I can control the anxiety I feel about not sleeping, it helps a great deal. I have my little routines for when that happens. I also try to remind myself that I can function without a lot of sleep for a night (though it's getting harder) and I promise myself that I can sleep as soon as I get home the next day.
You probably already know all the rules for developing better sleep habits. You might just need to pick a few to consistently follow. Exercise is the tip that seems to help me the most. It also helps to get out in the sun early in the day. If I stay inside in the semi-dark all day, my insomnia (and depression) get worse.
Experts say that the single most important rule is to get up at the same time of day every day. When my schedule requires me to do that, I suffer at first, but I eventually get so tired, my body learns to conform to an earlier bedtime. Whenever I have a few days off, it's easy to get off schedule. I have a lot of nighttime work this week, so it's working out OK.
I was thinking of buying a light therapy alarm clock before this winter. (I live in the North.) The theory is.. you can reset some of the chemicals/hormones that govern your body's sleep cycle, by getting more light early in the day. It's also supposed to wake you more gradually than a loud alarm clock.
Last edited by lucylucy; 10-01-2008 at 04:09 AM.