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Audrea's avatar

Congratulations on being item 32, here: https://astralcodexten.substack.com/p/links-for-april-2023

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Karen in Montreal's avatar

Many neuro-divergent people (my experience is mostly w/ADD/ADHD, some ASD) appear to have no circadian rhythm to speak of. I wonder if that's similar to non-24? There are all sorts of negative consequences; the torture of insomnia, chronic sleep deprivation because insomnia + getting up at a reasonable time to be at work/school, social isolation because going to bed very late and getting up very late, or short on sleep during the week so crashing and sleeping through much of the weekend, general feeling of being out of control, and all the consequences of struggling to maintain routines, such as becoming unfit, eating poorly, losing jobs and relationships ...

Using a therapeutic lamp EVERY SINGLE DAY (not just mid-September through mid-April as usual for seasonal mood/energy changes) seems to be helpful for a lot of people with this issue. I encourage my patients (I'm a psychologist) to use it close up (recommended distance) for a half hour or 45 min, in the morning. For those who work at a desk, they can then just back it up and keep it on until lunch time. Some people even have it on a timer so it starts glaring down at them 20 min before their alarm goes off; makes waking up easier, but also makes falling asleep at a more reasonable/regular time easier. (You need a lamp that's not tiny for this, the very small ones have to be very close to your face.)

For people who currently have a vampire-like schedule, the easiest is actually to just stay up; don't sleep at all, use the lamp in the morning, sleep at night. If that nighttime sleep is still too late, get up as early as you can, use the lamp for an hour right away, try moving sleep gradually earlier.

Other interventions can help too, such as a weighted blanket, if the person can tolerate that (seems to work because increases melatonin production). And melatonin supplements, either as needed (such as to get back on track) or frankly every damned night of one's life. For many just a very small dose sub-lingual at bedtime helps, If not, then a small dose 4 to 5 hs before bedtime and another at bedtime can be useful.

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