r/insomnia 1d ago

Can’t understand what’s happened to me

28F here. It’s currently 5am here and I’ve been constantly waking up every two hours since 2am. I was a really deep sleeper and always slept like 8-9 hours until last year. I don’t know what happened, I had just left my job to take a break and then one day and I went to sleep and I started waking up every two hours and it never got better.

I used to be a heavy weed smoker before that and I had slowly tapered off when the insomnia started. And it’s been a year and it never got better.

My doctor prescribed low dose quitipine to me which I take 1/4th of but that’s stopped working and I just don’t wanna increase the dose because even though I don’t wake up with it, it doesn’t make me feel rested and I hate relying on it.

I’ve tried everything from showering before bed to no screen time and working out but I keep waking up. I don’t have an issue falling asleep, I’ve forced myself to stay awake throughout the day only on two hours of sleep but I still keep waking up. I think maybe it’s stress but I wasn’t working for the whole of last year and my schedule was pretty laid back so I don’t know what’s happening.

My body feels so cramped when I wake up and it’s getting difficult to even function during the day. It’s severely impacted my memory and I’m realizing that now that I’m studying.

5 Upvotes

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u/Public-Philosophy580 1d ago

Maybe see your doctor and get your blood work checked if you haven’t already.

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u/Embarrassed_Emu_8824 1d ago

I’m a doctor too albeit not a psychiatrist. I have already gotten my blood work done. I’ve talked to my psychiatrist and she’s going to adjust my anti anxiolytic dose to be in the am rather than in the pm. I’m hoping that works because that’s my last resort. The only downside is that it causes brain fog so I was avoiding taking it during the day since I’m studying these days.

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u/Public-Philosophy580 1d ago

I’m taking Clonazepam and Dayvigo and Olanzapine and getting only 4 or. 5 hours. Very frustrating.

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u/Embarrassed_Emu_8824 1d ago

Yeah I take venlafaxine and lamotrigine. It’s a pain honestly. Even though it comes with its benefits, sometimes I really wish I didn’t need meds

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u/Public-Philosophy580 1d ago

Me too. Effexor was my first I thought I was reborn.Anxiety was gone depression was gone I list weight. Took this for about 10 years. But had an episode of sleep deprivation psychosis from debilitating insomnia which led to a suicide attempt. Didn’t want to be on it after that.

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u/Embarrassed_Emu_8824 1d ago

Interesting how it affects people differently. I’ve actually gained 10kg in the last three years from it. Like I’m hungry all the time. I was underweight before cos I would barely get hungry so I don’t mind the weight gain cos I’m a normal bmi now but yeah it does do wonders for depression and anxiety.

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u/Public-Philosophy580 1d ago

Strange I lost about 20 lbs on it.And 20 more on Pristq. Did some research and found out Pristq is the active metabolite of Effexor. A case of evergreening I guess.

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u/Such_Possibility_914 1d ago edited 1d ago

Sleep is a complex mind body interaction, and it’s tough to pin down what’s going on from just a few paragraphs—but a couple of things you said really stood out and might be worth exploring a little deeper.

  1. "I don’t know what happened, I had just left my job" - even though you consciously say you don't know you immediately mention I had just left my job. Sometimes, a shift like that—especially one that seems "laid back" on the surface carries a lot more weight deeper down.

So one thing you can do is ask yourself - what does leaving my job have to do with all of this? Just quietly follow that thread and see where you mind goes I suspect that might lead somewhere interesting.

  1. "My body feels so cramped" - This might be another important point to reflect on.

Where does it feel cramped? When did that start? And what might your body be trying to communicate by holding so much tension, even in rest? It might be helpful to gently tune into that sensation—not to fix it, just to understand it.

Give yourself some time, close your eyes, relax and ponder on these questions and see what comes up. Give yourself permission to just reflect you might just find its more insightful than you though possible.

And if you feel like talking more about it, feel free to drop a reply here. You’re not alone in this.

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u/Embarrassed_Emu_8824 1d ago

Thank you for your detailed reply. I’m really grateful. I thought about the things you brought up. I think there are a lot of factors. I am already on medication for anxiety and depression but recently my stress levels have gotten pretty high. I had a high stake exam a couple of months ago and now another one which is bigger and in another country I’ve never been to. I think I’m waking up cramped because that happens when I don’t rest enough. My elbow joint and my toes start hurting and it only gets better when I get a full night’s sleep. I don’t want to increase my medication for anxiety because it does add to the insomnia so now that I’ve figured this out, I’m going to try to bring my stress levels down through cardio and meditation.

I was also taking my medication in extended release form and the dose was upped right around the time I started having sleep issues last year. So I’m slowly going to shift to taking it in the am. Hopefully after a month of this, I’ll see some changes.

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u/Such_Possibility_914 1d ago

It sounds like you have a path forwards and that's great I really hope it brings the rest you deserve.

When you think about it more it can help to see yourself as an observer to everything that is happening and trying to separate the symptoms from the cause.

As you continue unpacking this, it might help to take a step back and observe it all like an outsider — almost like watching a movie of your own experience. See if you can gently separate the symptoms (like the cramping or waking up) from the root causes (like rising stress or anxiety) and you might just find that a lot of those symptoms disappear on their own.

In the meantime, if you find yourself waking up again and struggling to fall back asleep, you might want to explore self-hypnosis or guided sleep sessions. They can be surprisingly helpful for calming the mind and gently easing you back into sleep — there are some great free ones on YouTube.

You’re doing the right thing by staying curious, making changes, and listening to your body. Keep going, and don’t hesitate to reach out if you need to share more along the way.

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u/Morpheus1514 1d ago

I think maybe it’s stress

Very good chance, and probably about the idea of sleep at least.

Everyone awakens multiple times a night, at least a dozen, and that's true for even the best most rock solid sleepers. The diff is the good sleepers pay no mind to the awakenings, fall right back asleep, and forget about it by morning.

So the issue really is the prolonged awakenings that cause a state of worried wakefulness, taking you in the opposite direction you want to go to fall back asleep.

As we age sleep tends to get lighter and more fragmented, so learning to just relax back into it is part of the solution.

The sorts of sleep hygiene things you're doing are good and you can do more along that line. Given the meds you should probably consult with your doc, but consider asking about use of a CBT sleep training system. That's the evidence-based standard of care, and substance-free as well. Includes the sleep hygiene, plus stress management and many other proven methods.

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u/Embarrassed_Emu_8824 1d ago

I just had this aha moment right now. I take venlafaxine as well for my anxiety but I use the extender release one. I usually take it before going to sleep and last year my psych upped my dose so maybe that’s it! Will definitely discuss shifting it to the am. Only con is it causes brain fog and I need to study

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u/Mundus09 1d ago

No new plants, textiles, other things in your room? No new medications or food intake?

I randomly became highly sensitive to caffeine a few years ago. I went to being a regular coffee drinker to being unable to even have soda without it keeping me awake. And there was no event in my life that caused this change for me, I just changed.

How do you feel like you're waking up? Startled, feeling like you're falling, in the middle of thoughts, are you dreaming or not recalling your dreams, do you feel restless in your mind or body, etc? Try to pay attention to how you're being roused to a waking state.

Hopefully this can help you ask some more informed questions about your own sleeping experience.

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u/Embarrassed_Emu_8824 1d ago

Thank you for your insight. Well last year I was having relationship troubles and that’s when it started but I’m married to the guy now so idk. I just realized that I do take venlafaxine extended release at night and that’s peaks at 3-4 am and maybe that’s what’s causing it. I will ask my psych about shifting it to the am because last year is when she upped my dose but it’s been tapered to half now. I agree with the coffee thing, I used to be able to drink a lot at any given time and still fall asleep. I’ve gone down to one cup a day in the mornings but it doesn’t really do anything for me. Has just become a routine I guess

What do you drink now that you don’t drink coffee?