Understanding Circadian Rhythm Sleep Disorders
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- Опубліковано 9 січ 2018
- Circadian rhythm sleep disorders can account for many sleep problems. There are many people who have an irregular body clock and they just don’t know it. Circadian rhythm sleep disorders occur when there is a mismatch between the sleep-wake cycle required by your environment and your own internal sleep wake cycle.
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Why don't doctors ever mention or ask for further tests to see whether one suffers from one of these disorders? My whole life, I've felt guilty for being lazy even though I am not a lazy person, for not being able to get up early in the morning. At many jobs, I'd call in sick because I felt sick, especially on a Thursday morning (true hell, after 3 days of dragging one's body through the social clock) Doctors always dismissed it, until I saved up enough money to go to a private sleep clinic, and finally at age 38 I was diagnosed with 2 different and serious sleep disorders. 38 years of exhaustion, self-hate, loss of social life, career, relationships ...
They’re clueless
My story is totally the same, im just 25. Did you get any good advices or treatments there?
Which disorders ?
My doctor told me today I have bipolar 2 and that is because I have always had issues with my circadian rythme. I’m glad they’re figuring it out now.
I feel you. 28 and recently self diagnosed myself with adhd and sleep disorders after reading several books and monitoring my sleep and energy. Mornings are hell for me and I gain clarity only by afternoon 3.00 pm. My mind would be buzzing with energy by 12.00 am even if I am physically exhausted. My mind would quiet down by about 4 am and I go into deep sleep around 6 or 7 am. Lost so much in life because of this. Was always groggy and lethargic. Thought I was lazy. Trying out different strategies to regulate my sleep. Hopeful that I would be able to lead a normal life one day.
I didn't even know this was a recognised medical disorder. I told my Doctor over 7 years ago that i must have been born on mars because my body clock was set to 26 hours, his reply...? Drink less coffee and set an alarm :(
I manage to 'sync' every 10 days but the cycle starts again. I have pretty much cut myself off from society as it is impossible to operate on their 'normal' clock. Work, family, shopping for groceries, eating, talking on the phone..it all goes out the window.
Gosh I hate it has that big of an impact on you. Have you tried using a light box? The hope would be that the light resets you each day.
Thank you!!! I’m in the worst part of the cycle. Where there is no off button in my brain right now. I’ve had about five hours of sleep in the last four days. I’m totally out of sync with society. A friend had to come help me get myself together for my day.
What makes it worse is the sleep I’ve had is not restful in this phase. I had two sleepwalking episodes, woke up walking into my closet door. And I fell out of bed. Ugh.
I have found non traditional jobs work best for me. I am so grateful for 24 hour businesses.
Belsomra has worked best for me but is so expensive. Things are so bad at this point that I will probably have to pay the 470$ for the rx.
My response is very late but I saw your comment and thought holy smokes someone gets it!!!
I have had the same problem too for years and years where I establish a the perfect bedtime routine and then it start's to slip after a week or two. It's literally destroyed my life. I can't function in society properly it's so annoying! And only recently I've found out this is actually a thing!!! God damn uneducated doctors out there. Anyways I'm going to invest in an SAD lightbox and I pray to god it works
Same
If you think your doctor's therapy and medication ain't fit for you I advice you to consult for another, physicians are different and sometimes when you're too old they're not updated
I’m certain I have delayed phase sleep disorder. Even when I force myself to get up at 6am I still can’t sleep till 4am. I tried to get a diagnosis and was told I had to force myself to wake up early every day for two weeks so I’ll be tired at night. It didn’t work and I made myself extremely ill trying. I’ve been in bed since 9pm trying to sleep and have only just now (at almost 4am) picked up my phone. That’s 7 hours of laying there doing nothing but get pissed that I can’t sleep!
Me too! I've tried staying up for 24+ hours to reset my sleep cycle several times... and it works for a few days, then goes back to normal
Me too. I am so tired of laying in bed for 7 hours and not getting any sleep. My sleep (more lack of) has been so destructive for my life.
This "stay in bed until you fall asleep" is the infuriating, ill-informed, and illness-generating advice my beloved child has received from ignorant clinicians. You just need "sleep hygiene" falls shortly behind. Malpractice.
@@carlsighs3404 I agree. what worked for you?
Yep. You’ve described my life. How many times I’ve made my best effort to lay down and sleep only to lay awake for hours at a time. End up getting maybe 30 min of sleep or if lucky a couple hours. And then having to tackle a full day of work. It’s a terrible position and nobody understands it.
My psychiatrist diagnosed me with delayed sleep phase disorder last year.
I can remember back to age 5-6 not being able to sleep when other kids were, and from that age it only got worse for me. Twenty years later it has impacted my life like crazy. I usually go to sleep around 3 am and wake up at 11am or noon, but I’d happily sleep in until 3-4pm given the opportunity. During the covid lockdown in my city I just let myself fall asleep whenever I felt like it and I was nearly nocturnal after doing that for a couple weeks. Ive used light therapy, sleep deprivation, etc. but nothing is super effective for me. I have a few other severe mental illnesses and it’s kind of a circle of one making the other worse.
It was hugely helpful to be diagnosed though, because I was so sick of being guilted by morning people like I’m a lazy pos when I am actually very driven, creative, and productive… just not at the same hours as most people.
Living with delayed sleep phase has been more shameful to me my entire life than my depression, anxiety, and even my periods of psychosis.
“you fall asleep between 1am and 6am”
Me watching this ar 2am after a week of being tired during school zoom meetings: huh.
Mate I can't sleep until 12pm in the afternoon and I wake up at 8pm. It's so bad that there isn't even any help material for it.
I'm pretty sure I have delayed phase sleep disorder. I can't sleep until early morning hours and I wake up in the afternoon. I'm just more active at night.
It sure is pretty common The Midnight Mage.
Same
Same, I’ll fall sleep at 2-4 but my thing is, I can easily wake up from 8-10. I think mines just bad insomnia, but I’ve tried everything
Same. For me it is because of chronic lyme. My sleep disorder started at the same time all my lyme symptoms (all kind of pain in my body) started, and since they somehow ease up at the evening and night, I am up and feeling more alive at night. But it is tough because I hardly see sunlight and my body needs a lot of vitamin D.
I have Advanced Sleep Phase Disorder. I sleep from about 4 pm until midnight. It is very frustrating because I can’t go to parties, dinners, etc.
I have for the longest time suspected that I have non 24 hour sleep disorder. In highschool it was a big problem, I had trouble falling asleep, sometimes I slept right after school, sometimes I slept normal. I was almost always tired and would sleep basically when I could and was sleepy enough. Now I have been two years doing nothing with my life, on "early retirement". Now I can sleep, I'm not tired all the time, but my sleep goes forward all the time, usually by 2 - 3 hours a day. It feels so much better to be able to sleep, but it makes getting back to studying very challenging
I'm glad you had plain language and cannot sleep.It does make a difference to have the flexibility to wake up at different times and not have a strict schedule.
So glad to have come across other sufferers. I am having a problem with my GP giving this disorder any consideration. My gp would like to treat me for depression as opposed to listen to the explanation that the sheer exhaustion & stress induced from trying to maintain an ‘unnatural’ schedule for so many years is a huge factor in said depression & anxiety. After years of what I labelled insomnia I started to do my research and it’s lead me to DSPD. It is my life on a page. My natural rhythm is 4am - 12pm but owing to work responsibilities & school etc I have to wake at 7am most days. I am beyond exhausted and have felt this way for as long as I can recall. I’ve always had problems keeping jobs and maintaining friendships due to my erratic sleep pattern. The problem has been catapulted ten fold since having a child and losing out on even more sleep than what I used to. Does anybody have any information on sleep clinics/doctors in the UK who will accept self referrals? Thank you in advance!
Thank you Dr. Marks for mentioning that sighted individuals can have this. It is rare that someone in the medical community will acknowledge this.
You're welcome Erica. Thanks for watching.
Sighted individuals with non-24 are often mentally ill. And it isn't difficult to believe that they started out not as severely mentally ill but this disorder completely unraveled their functional abilities. It can be deadly. I treated one sighted client with non-24 disorder. He had not received enough treatment and had spiraled into a non-functional state. Unable to work, chronically physically ill, needed aides to come to his home. One step away from being sent to a nursing home. Severe mental illness and now severe physical illnesses (multiple).
Its 430 am and I found this video 🤔 I usually cant shut down until about 5am. Off days I sleep until 12pm. Otherwise have to force myself to wake up at 8am to got to work smh everytime I tell my doctor they say try to shut down earlier in the evening. Now this video just confirmed i have a sleep disorder.
Yes. i’m glad this gives you a better understanding of what’s going on. I think body clock problems are a bigger source of sleep disorders than people realize.
@@DrTraceyMarks thank you for dropping knowledge!
I have delayed sleep phase disorder with occasional noncircadian days. I do believe I've had this since birth, so most likely hereditary for me. Apparently I was a bit of a curiosity in the maternity ward as a baby, because when the other babies were sleeping I was wide awake and fully engaged with my environment (and I slept very little). Right from early childhood I was fatigued and ready to sleep during the day, but come nighttime I was wide awake and had all the energy in the world. Christmas time was interesting, most children are up at the crack of dawn to open their presents, I was still asleep past lunchtime because I hadn't actually gotten to sleep until around 2 in the morning. I very rarely sleep before 2-3am, sometimes later, and regardless of how little sleep I've had the day before once it hits around 10/11 pm I am awake, focused and energised (and still not sleeping 'til at least 2 am or later). I've tried light therapy, a controlled forward shifting of sleep time by 1-2 hours a day, various types of sleep therapy (including CBT-Sleep), sleep hygiene, sleeping pills, and so on - and nothing has worked. These days I just let my sleep/wake cycle work how it works and I structure my day/life/work around it. Took me a while to stop fighting the body clock I was born with, but I find I'm much less stressed and actually have better sleep quality (albeit during the day time mostly) than I did when I was trying to force myself into a 'normal' sleep pattern.
Check your hormones
@@galpinklilyempire6905 I've had them checked several times over the years, they've always been in a normal range, so no issues there. I am approaching menopause now and haven't noticed any drastic changes in my sleep patterns. I probably should have also mentioned that my having Sleep Phase Disorder is something that was diagnosed by an actual sleep clinic/sleep doctor. But thank you for the suggestion, I do think it's important that things like hormone level tests are carried out in situations like this. :)
Which hormones would you suggest checking? I'm quite sure I've had DSPD my whole life, and likely non-24 sleep as well, as when left to my own devices, my sleep time moves later and later each day.
Once again, you're brilliant. Thank you, Dr. Marks
3:41
OMG I'm LITERALLY this person. Thank goodness that I know this now. I used to think something is wrong with my sleep. Now I get it. Thank you 4 sharing information.
👏👏👏👏the best explanation i found in youtube. New subscriber right here🤗
Thank you for making your videos and being consonant for us !
I can see fine with glasses but I am completely convinced I have Non-24-hour sleep-wake disorder. My doctor foolishly told me I have insomnia. I showed her a sleep journal, which looked IDENTICAL to all the ones you see when you look the disorder up on google. It's not that I have trouble sleeping, it's that I get tired and tired later and later each day no matter when I wake up. I have had this issue since I was 13-15 years old and nobody has ever diagnosed me. It is completely debilitating. I missed SO MUCH college because of it, and no matter what I do, I can't seem to fix it. I did have some success at slowing it down quite a bit, to where over 3 weeks back in September, it only moved ahead 3 hours (whereas normally I would've already gone around the clock at least once), but it still wasn't enough.
I'm a registered nurse work full time shift work. I am missing too much work because I just cannot sleep when I need to and I'm switching my circadian rhythm so quickly- every 2-3 days. I'm feeling so frustrated because I'm trying everything to produce healthy sleep hygiene. Exercising, exposing myself to sunlight early in the day, eating healthy, not eating late, not using electronics 2-3 hours before bed.. . I keep going to my doctor every 5 months or so for benzodiazrpines, I know they are addictive so I take them very sparingly. One 30 day prescription lasts me a few months, hence visiting my doctor every 5 months or so. I'm so frustrated, I feel guilty for calling in but I don't feel safe working on my feet for 12 hours,rarely taking a break when I don't sleep for 24 hours before work.
Beautiful, intelligent sister doctor? Subscribed!
Thank you Cynthiaholland13!! 🤗
Great video thanks for sharing!! My delayed phase is OK because I mostly work late but those random days I have to be up at 6am its a sleepless drag and can mess my cycle for a few days afterward. Looking forward to breathing disorders!
Stay tuned next week!
Hi Dr Marks! I love your videos. Thanks so much for your work on UA-cam. I have had sleeping issues since I was a kid. Later in life was diagnosed with bipolar disorder. I focus on making sure I get as much sleep as I can. I’m currently OK about falling asleep but staying asleep doesn’t happen very often for me. I take a couple of natural sleep aid but nothing keeps me asleep. Once in a while I get lucky and sleep maybe 7 hours
Is there a way to fix delayed sleep disorder?
Very interesting. This sheds light.
This is amazing!!!! Thank you. This explained so much.
You’re welcome and thank you 😊
Dr. Tracey Marks besides lifestyle changes..does medication help?. Is it possible to overcome this disorder and have a 9-5 lifestyle?
I saw you comment about a video about how Canada is shitty now i see you comment here hahaha wtf we have the same issues o_o !
Great explanation. Further discussion on treatment and effects would be appreciated. My daughter was just diagnosed with N24 and is sighted. Two months of a to gigaton y confirmed it. She recently turned 18 but has struggled with it since age 11. She has been literally unable to attend school since 5th grade. Depression due to isolation and occasional suicidal ideation as a result. No one took her seriously as she and we described this shifting sleep cycle. We just got endless lectures on sleep hygiene. She eventually got her GED and started college online. Once she turned 18, finally doctors gave her a referral to a sleep specialist and she got her diagnosis. From what we under, treatment options are limited and not always very successful. If they do succeed, they require significant dedication and work to maintain or you’re back to square one. And it is lifelong. So many aspects of life are affected by this. I would appreciate a deeper dive. Thank you.
Nope; you got all the info on non-24 there is out there. The drugs are limited, and the effort is lifelong even with the drugs. She has a chronic brain disorder. No cure, few treatments. Left untreated, she will have no life at all and she is at risk for severe physical illness. There is no deeper dive unless you want more information about how badly her health will become if she doesn't adhere to the treatment. There is a lot of information about that, but none of it is good.
Just ignore this wannabe medical professional, she doesn't understand what she's talking about. All fear-mongering, no truth.
i see your bipolar video and after that i start the wathing your videos . ı start first video of you and now im in 2018's videos. Greetings from Turkey
I have the "24 hour cycle" one PLUS hypersomnia. I need at least 12 hrs of sleep a day. When I do manage to switch to what I call "normal people hours", it lasts for a week tops, but then it physically hurts to be up in the daytime.
I am so tired … pun intended.. of people telling me to set alarms, go to bed one hour earlier each day, etc.
I am absolutely cut off from society. It’s miserable because I don’t choose to be this way.
Have the doctors found out about it??
I work myself into anxiety over this quite often... as I write this, I am feeling the anxiety in my upper stomach. It's 3:54am, and I am kinda sleepy, but not at point where I can lay down and go to sleep. I am at the 8pm ish for day walkers... best way to put it. If I go lay in the bed I will experience, mild form of anxiety, I will have hot flashes, I will toss and turn, constantly waking my wife, because I am trying to force the sleep to happen when I am not fully sleepy. (because I don't wanna be up at this time and I know things I have to done tomorrow!, its outta my hands) She is a engineer and her job is quite mentally exhausting and it gives me anxiety even more to know I am waking her up but I can't help it. I took melatonin past couple night, it made me so tired but still I couldn't sleep until 5-6am. Next week I will be staying up until 9am, then couple weeks after that I will be passing out at 2pm, it's FOREVER rotating. My wife understands because we live together, my family does not understand nor do friends, they think I am just lazy and want to sleep all day.
I still get up and do house chores, tend my children. I wake up before they get home from school, right now, but soon I will be passing out after they get home. I will force myself to stay up when that time comes until my son is off the bus in the house and I make him a snack until my wife gets home. I try my best work my sleep cycles around my 2 kids life, luckily my daughter is 16 and can fend for herself, my son is now 11. My son tells people ya my dad he sleeps all day! Its so embarrassing he is getting better now at understanding but I honestly can not help what my body is doing. I feel lucky to be married to successful woman whose beautiful and willing to put up with my retarded sleep patterns. I have tried everything, I have forced myself to stay up until I am so tired I pass out... just sit like a zombie waiting for evening to finally sleep to try to get my sleep on track. Sure its on track for about 2 weeks (sometimes less) then it starts rotating! I can't sleep until I am sleepy, and nothing I can do about it! I wanna be sleepy at 10pm, wake up at 6am and go about the same and even when I get to that time frame from my rotating sleep I can't keep it there... my body just won't, sadly its completely out of my hands.
I am 35 and I have battled this since I was 15 years old... and I beat myself up every day over it. I want to get my CDL's and drive semi, I love traveling, and being able to work alone but its impossible because of my wonky sleep pattern... I have had jobs and it didn't change anything! I was staying up getting 3-4 hours of sleep and going to work, working jobs where I am walking poles and beams 100ft in the air (apart of the job) so exhaust I am a zombie... dangerous in that line of work. I tried some night shift jobs, but I can't do em because my sleep ends up rotating back to daytime. Even working exhausting jobs I couldn't keep my sleep stable, as in work hard as hell all day then go to bed at night, doesn't work with me. I always work myself into a bit of a panic too when it rotates... am I ever going to be sleepy again? this is it, I am going to finally die from lack of sleep. Its freaking terrible, at times you just need someone to tell you its normal and it will be just fine. However I know I am not normal but I long for a group where people are just like I and we can discuss this topic. Even doctors do not understand, they just say have to turn off TV, computers etc. and get ready for BED at same time every night. Nah that doesn't work, and computer don't keep me up any longer when my sleep hits it hits, its out of my hands its out of the computers hand. I am victim of my own biological clock right now, and probably will be forever.
I am new to your channel, I will be watching a lot of your videos maybe I can find out more information. I will say when I do go to sleep its for 7ish hours, and I wake up ready to go! I am mentally replenished, feel wonderful. I am remodeling a room in my house, that's on hold because of my current sleep pattern but once it rotates back to me being up in daylight hours I can get to work finishing it. Yea this is my life, and people do not understand it... I don't even understand it.
Hi John. I be interested to see how you do using bright light therapy.. You would use it within the first 30 minutes to an hour of waking up each morning. You have to set your alarm clock to wake up then use the light. That's how people use it to advance your sleep. (move it forward).
@@DrTraceyMarks I found a bright light on amazon, and blue light blocking glasses. I just have to wait for my sleep to rotate around to morning before I can try it. If it works, I will let you know.
Okay great. BTW - Not sure if you saw my video on strategies for bipolar disorder. I discussed dark therapy. I plan to do another video on dark therapy because there's a growing body of research that supports its use in regulating sleep in anyone not just people with bipolar disorder. I've been experimenting by wearing the glasses in the evenings even if I'm not using a mobile device. The recommendation is to use them at least two hours before your desired bedtime. Here's the video where I first mention it ua-cam.com/video/awPP5YrVGyY/v-deo.html So far my one person result is if I start wearing the glasses around 7pm, by 9pm I'm super tired. Not sure yet if it's coincidence, but I like it so far.
All this to say for you, maybe a combination of dark and light therapy will be what you need. Good luck.
Have you tried to read Dr. Michael Brews' book The power of when? You should take his quiz and determine what is your sleeping chronotype... You will love to learn you are not alone and in his book and website he will suggest how to overcome this! May God bless you and good luck!
I've had Delay phase sleep disorder since I was a kid and I wasn't one of the lucky ones that grew out of it lol.
It wasn't until I went to college and had an afternoon class schedule that I learned I could be a motivated and normal functioning human being because when I was a kid/teenager I didn't give a &#$@ about school. I was definitely pleasantly surprised that it was that simple.
The only time DPSD was helpful was when I was in the military. It was like having a plus 5 alertness skill. I also didn't have a problem with staying awake for long periods of time and only getting a few hours of sleep. I definitely do now.
Iam also this desoder dr please say what is the treatment and it will curable
Random question, but do you consider melatonin paired with light therapy effective for these types of disorders? I had to shift to days for medical training, and I'm having insomnia. Didn't sleep really at all last night; and the day prior to that I maybe got 3-4 hours. I've just begun melatonin and light therapy, and I've decided to start going to bed now at the same time every night.
So there are no problems with delayed phase as long as the schedule of activities allows it?
Dr. Marks - do you have a video on how to correct delayed phase disorder? Thanks
so glad I found your video. I'm studying the DSM5 and this was very helpful "painting a picture" so to say. The DSM 5 lists six subcategories. Is there another source that lists/identifies five?
Hmmm - without watching this video again I have 2 possibilities. I shot this video in 2012 when we were using the DSM4. The nomenclature was different then, in fact I believe in DSM5 it's under the general category of sleep wake disorders along with a lot of other sleep disorders. The other possibility is that even using the DSM4 I may have left one out to keep it simple, but I think it's more likely that DSM5 has reorganized how we label the disorders.
perfect. I think 5 has an "general" category to catch leftovers. I'd need to check, but I think jet-lag falls under the general category now. No matter...your video was great. You have a new subscriber! Thanks!
Thank YOU for watching and subscribing!
Does the circadian rhythm timing change according to your sleep pattern, or is it fixed...regardless of when you sleep or wake up?
Some hormones follow your biological clock (circadian rhythm) - being high in the morning and low in the evening...but I'm wondering if they'd change to being high in the evening and low in the morning if you're sleeping in the morning and waking up in the evening.
So... there are these kind of disorders but what about being a night owl? It's like my brain has reversed the signals from daylight.
I tend to always become more active when it's dark and I get more tired and sleep better when it gets brighter outside.
Like a year late, but according to my neurologist the difference is Night Owls do it by choice, choosing to stay up and still feel tired at the right times. If it’s a disorder you don’t get the right signals at the right time, you’re not staying up because you want too, you’re staying up because even if you feel tired and you want to sleep, your body will not let you rest because those signals are hours late
Same these day I sleep at 8 am and now it's 10:30am
Maybe you have a reason that you are fatigued during the day? You should talk to your doctor about it. When I was diagnosed with lupus it explained to me why I was more tired during the day. The sun is draining to me so much so I started carrying a big black umbrella when I was in fifth grade decades before I was diagnosed. I always preferred the graveyard shifts at work when I had a job that offended them.
@@mikehunt6107 Wow, that sounds rough. Glad you found out what was the cause eventually! I've forced myself to have a regular sleep schedule now, but I'm still more active during night times, like now... Half past 11 and I'm restless and not really sleepy. Well, I've gotten great at meditating myself to sleep so that's good... X)
@@idahagglund524 its good you are getting sleep more. I have found sleep masks help sometimes. 🕊have a good night.
Hi can the doctor go into more detail regarding shift work disorders?
Thanks DR Tracey .You Video reveals i have a Circadian rhythm sleep disorder. I have been an insomniac for 10 years and its been very distructive . I cannot sleep at night (11PM-7am) at all as my brain feels very stimulated and alert. However i feeling sleepy in the mornings from 7AM to 11 AM.I want to sleep at night between 11pm -7am.I want To reset my circadium rythim in sync with the environment using the light box and the blue light blocking eye glasses. Question ?At what time (morning) ,for how long( minutes) should i use a light box so my melatonin can be released by 11pm to start feeling sleepy ? .What time sould i start wearing the "red" glasses in the evenings?.How long do i have to wait for results?PLz advise.Thanks in advance.
I stopped smoking weed for about a month and I stay up till 7 am now. when I was smoking regularly I had a no nonsense sleep routine from 10 pm to 6 am I loved it. I miss it
I think Im on a Non- 24 hour sleep wake disorder. and i Hate it. this make my body so unhealthy. sometimes I decide to not to sleep just to get it back in nighttime.
same
Hello Dr Tracey. I have a really weird question... I was coming out off a short period of little sleep. I had really much stress and anxiety because of all the sleep loss. I did everything to sleep better like fasting, sleeping pills, sleep music, meditation, exercises, daylight. The only thing that now works a bit is daylight to fall asleep faster.. So now i sleep a lot better and longer, and i sleep really deeply now. I know sleep 10 minutes shorter than the average person (7 hours) I know that sleep loss is wortheless, but it it irritating me. They say how better the sleep quality the less sleep you need. But thats not what i want. So my weird question is why can't i sleep longer and how do i sleep longer? (I dont have stress, anxiety, depression or other things like that)
I can never fall asleep at a regular time it’s been like this since I was about 14/15 (I’m now 21) I go to bed later and later adding hours before I sleep to then waking up later and later I constantly go though day night to night day cycles like a loop over and over. It’s annoying because I want a job, a life but I can never seem to keep a regular sleep pattern.
I have delayed sleep phase disorder. I was diagnosed very young (around 9 or10). It runs in my family. We’re all vampires. I’ve managed to work my career around my sleep schedule, but its increasingly become a problem in my relationship over the years. My partner and I have been together for almost a decade, but recently he’s becoming more and more frustrated that I’m not awake to have a day hike with him or brunch with friends. I feel like I’m failing him in that regard, like he deserves someone who can do those things with him. We are happy in every other way in our relationship, but I feel like maybe he wants someone to enjoy those things with. Does anyone have any advice?
So whats the solution ? Its all very well telling us but is there a way that it can be improved somehow
I like it when I'm going to sleep around 7PM I get in bed and have a full 8 hours waking up around midnight. It's living with other humans that Screw that up on me.
I'm pretty sure I'm in the non 24 hour category where it moves ahead every hour.
Oh and I"m Not Blind!
Advanced here, which makes me sick if I cannot sleep when tired. Most people have no idea.
I can relate to all of these at the same time and I’m not even that old. And my whole family has this same thing. Having to always deal with this has made me very flexible but the lack of structure can be exhausting on it’s own. I’m atleast happy I know what to call this. But still confused as to why I have all three of these, is it possible?
Hi Dr. Marks. My problem is that I "fight" sleep. I don't want to go to sleep, I do anything and everything on planet Earth trying to avoid sleep. At 10 pm my eyes pop open, I'm wide awake, and actually, I'm looking forward to the night (or the rest of the night/early morning) because I consider that "me time" - when nobody bothers me, all that time is just for myself. When the evening and bedtime approaches, I become "uneasy" about the thought of having to go to bed. What is this condition? I've been googling it but haven't really come across anything that could help me. (I'm writing this at 6:13 am, I haven't gone to sleep yet, must get up in 2.5 hours and I'll have a meeting at 10:30 where I have to speak. Not looking good.) Thank you!
I hope you have found treatment with CBT-i. you are the perfect candidate for this treatment.
Does this has a relation with the 4 chronotypes people have?
Is there a difference between delayed sleep phase disorder and delayed sleep phase syndrome?
Here’s my sleep schedule for the past few days: I’ll go to sleep around 9 pm and I will wake up every hour throughout the night. I can usually fall back asleep within 5-10 mins ( sometimes it takes longer ) and decide to get up either at 7 or 8am. But I never feel fully rested cause I wake up every hour... throughout the day I’m very tired and just want to go back to sleep... this has caused me so much anxiety cuz I always fear I’ll have the same problem the night.. it’s rlly made me depressed and I don’t know how to fix it and sleep like a normal person
You could try some relaxation activities before bed. You also have to take a look at what your day is like. Because what you do during the day affects how you sleep at night. there are lots of things that affect your sleep and make it broken like anxiety, stimulating foods, needing to urinate, being too hot, hormonal changes etc. There’s lots I could go on...
all this to say if you want more specific help for overcoming this you may need to speak with a doctor or a therapist to get help on sleeping without interruption.
I wanna know more about advanced phase sleep disorder seems like I’ve been suffering from this since I was 10
What can I do against it? I would love to be tiered at 1am or 12 and sleep like a normal person :-( right now its 6am. Is there already a video to it?
I think I have one of these because I have trouble falling asleep; I've had it for about a few years, i didn't think much of it, but it started off as 10 minutes to fall asleep, then 25, 40, 1 hour, and now it's hours. Sometimes I don't want to fall asleep, and sometimes it's where my mind won't shut off or be tired. I also realized I have trouble staying awake. But it's not insomnia because it's not thoughts that keep me awake. I've tried counting sheep, thinking about just nothing, all lights off, that kind of stuff.
Hi Julia. Some people with this can get total day night reversal if they don't fight it. The light box really can be helpful. The one I use is a Phillips Golight. Here's an older video of mine showing you how to use it ua-cam.com/video/ksf7Q9pZxig/v-deo.html
Dr. Tracey Marks Thanks!
If you have non-24 sleep disorder, wouldn't the ideal option be to live according to YOUR length of day? Sleep for however long you need, then stay awake until you feel tired. Of course, I get that it would be unrealistic with many work schedules. Since I was a child, I always wanted to stay up late and had extreme trouble with maintaining a consistent schedule. There are so many times when I've had to completely reset my sleep time to exist in society and I end up feeling sleep deprived most of the time. Over the past couple of years as I've worked from home my sleep/wake times have literally circled the clock as I go to bed later and later each day. Recently tried polyphasic sleep to see if it would help, but the periods of sleep in those schedules seem to be way too short for me as I need a fairly long block of uninterrupted sleep and hate taking naps. Trying to figure out what to do next🤔
What does it mean when you don't get tired until after 6am? Like, I really don't get naturally tired until the sun is bright, 7-8am. When I try to sleep during the night, even with medication, my body does the non-24 hour day until I'm sleeping during the day again.
This is me since I got diagnosed with a vitamin D deficiency and been feeling shitty. I end up sleeping of falling asleep around 6-8 am and end up waking up 4-5 pm and I sleep during the day becuase I'm bored and everyone is working so I'm alone. How do I fox this????
Is there a video with tips how to manage delayed phase sleep disorder or non 24 h sleep disorder?
not specifically. But this video may have enough information about it. How Light Works For Sleep ua-cam.com/video/ymlRotCO4gU/v-deo.html
im awake at 8pm from sleeping at noon, this is bad for me, i think bad orthopedic ergonomic furniture that doesnt relax the sitter and take pressure off is making me tired while sitting
I was curious about the shift work one...
I really want to sleep early at this night, my sleep quality is always poor two months until now. There are these sleepless nights.
Any tips how to get on sleeping
I just am myeyes and my brain is just talking to me then, I just realize that it is 6 am in the morning
All I just feel is that I am at a competition: close your eyes for 10 hrs without sleeping
Hi please help
I'm 26 years old guy who gone through major depression and anxiety last year. My doctor prescribed me "Remeron 15 mg+ sertraline 50 mg+ Clopramin 25.
I'm taking these medication
Note that before take those medication also dream everynight. I have been facing this for 1.5 years everything okay except Sleep. Cause i have meaningless dream every night which made me tired and effect my temper.
And day time if i feel sleepy i go to bed but i can not sleep. I get shivering in my body and wake up.
How to solve this please help.
Doctor I don't know if what I have is a sleep disorder, I can't go to bed before midnight even when I want to sleep, it feels like 24 hours are not enough for me, I can't shutdown, sleep is boring, but I want to change that, I wake up tired, is there a name for this and can I fix it?
yes, i have Non-24
doc please help me how can back myself in my ordinary sleeping time i have that disorder what is the solution in that problem 😥 last 3 months i sleep at 3 or 4am in the morning im 21 yrs.old now
I can fell asleep any time my prob is just that I wake up after only 5 hours and cannot fell again and this is since 6 years, before that I used to sleep like a baby for 9 hours daily even if I was drinking or whatever, this is destroying my life if anyone know anything about my case or he could fix it please help
i suffer from anxiety,palpitation, first i use to think it is thyroid but it is not, i don,t know what to do now? and i suffer from anxiety whole day exept after sunset, after sunset i become normal and more nothing happens and this repeats next day, please help me i am fed up from this cycle 😭
Yo not me never hearing of this and always having sleep issues cos I never feel rested/my sleep cycle is consistently changing 2-3 every few nights so I got (what I call) a ticking sleep schedule that’s constantly moving around the clock and then I randomly see it mentioned in a Reddit post, come here and now I’m like wtf- this is it!
(Still gonna go to my M.E. appointment but jeez this clicks)
Doc thinks I might have non 24 hour sleep disorder and I’m a sighted person!!!
Whoa that's pretty unusual for a sighted person. You must know exactly what I'm talking about in this video. What is your doctor wanting to do to help you?
Dr. Tracey Marks never expect a reply
Get my full medical history, keep a sleep diary, and wear a device for 2 weeks at first.
We are thinking it was delays sleep disorder but moved toward non 24 hour sleep disorder
I have autism- which we think might be linked.
We think mums side have delayed sleep disorder as they don’t fall asleep until 4/5am - he said it’s doesn’t normally run in family’s
So he said my case is very complex and rare if it is
What's the device?
Dr. Tracey Marks I can be asleep some time 10-13 hours and awake some times up to 30 hours
Yesterday I was awake 22 hours asleep 12 hours
Oh good grief. Are you tired when you're up that long or are you wide awake and making good use of the time?
im afternoon into evening, because the whole night was spent trying to procrastinate sleeping till it felt natural, I suppose the reason I procrastinate was thinking how I can convey that to youtube if that makes sense, and in the span of the 25 hour day I've began, I suppose I just did, and know it'll be different now.
Yap... its happened to me...my sleep time getting further everyday, yesterday i sleep at 23, today at 24 and tomorrow will be at 01, also the wake up time...this week i sleep during the day and perhaps next week I'll sleep at night... And it happened since i move to the big city 3 years ago to start college...i tried to sleep earlier but I can't, evntho i shutdown all electronic stuff in my bedroom...
I have all of these. I never know when the heck I'm gonna sleep. It's so random everyday. Fml
I always ebd up sleeping later, and later the next day till I reset my sleep by staying up for more than 24 hrs once a week
Why is "irregular sleep-wake rhythm" not listed as a 6th circadian rhythm sleep disorder?
When I come back from school I go to sleep from 11am-8pm, and when I wake up I stay up allll night studying and doing homework
sleep 11pm, then 12mn, then 1am, its a pattern where one time I sleep 3am on a regular basis, then next couple of weeks it 5am, then reverses completely. Or what I need to do is wait for night time again the next day. But when I wake up i feel tired and the cycle continues :(
Chronotherapy is a behavioral treatment for sleep where you move your bedtime back an hour or 2 each night until you get back to falling asleep at night. It's pretty hard to do, especially when you're sleeping during the day. But the idea is that it's easier to stay awake than to make yourself fall alseep earlier. Fortunately bright light therapy can help pull your sleep forward or help keep you regular.
Thank you!! @@DrTraceyMarks
I use to sleep between 10:30pm and 12 midnight but when lockdown happened i messes up sleep by going to bed late by 1-2am and waking up at 6 or 7am. Now i know. Just go back to sleep normally as i did before
you look took really pretty In that blouse. your videos are great!
Thanks Mary!! 🤗
I have this disorder
The profound narrative of this content is a source of immense wisdom and personal growth. A similar book I read provided transformative insights and strategies. "Better Sleep Better Life" by William Brook
Those dog got me tho lol I have noisy dogs.
I have advance phase sleep disorder. Thank you I didn’t know what the fuck was wrong with me. How do i fix it? I need help
Everytime I try to fix my sleep, I fall asleep later and later each succeeding night. I'm frustrated. I lie in the dark for hours waiting to feel sleepy but it won't come an hour later than my last night's sleep. 🙃
Since I was 13 I have only ever been able to fall asleep past 2am. But every now and then like now it gets worse. I can not sleep at night nor do I want to because I am so awake its not funny. Yes sometimes Ill pass out around 3 or 4am but usually im tired in the afternoon and get better sleep then anyways. But if i have been keeping myself up all day trying to get tired enough to sleep around 1 or 2am each night I wont be able to make it and ill pass out at 4 and wake up at 8 or pass out at 10 and wake up at 1 like normal. Its like no matter how hard I try or what I do my sleep pattern will not change. So I have a feeling its DSPD ?
It sounds like it could be. With delayed sleep phase disorder you can’t fall asleep before 12-1am
What if you wake every hour?
I have delayed phase sleep disorder and it's ruining my life.
Im 21, im a student, last days or 1-2 weeks i feel sad and, i sleep 8 hours and i still feel tired. I have change my sleep schedule a lot of times.Some times i sleep at night,other times i sleep at day time. Do you have any suggestion please? (sorry for my english,im greek)
The first time it would be establish a regular sleep schedule. When your sleep shifts around it has a negative affect on your body clock. Then you can get wacky sleep and have trouble sleeping when you want to. A disrupted circadian rhythm can also result in you Feeling tired even when you do sleep.
@@DrTraceyMarks thanks for the answer doctor, so what I have to do is to force myself to sleep and wake up the same time every day and keep doing this till I fix my circadian rhythm?
I'm an 8th grader and I have delayed sleep disorder, my parents and teachers tell me to go to sleep earlier but like they do not understand thats not how it works 😭
normally i can only sleep 2 hours a day. if i sleep more than 2 hours than i would stay awake for 2 days. can't fall asleep no matter how hard i try
Wow that’s pretty extreme. I’m surprised you can keep that up for extended periods
Dr. Tracey Marks yup and i think its getting worse. That's why i'm looking for more information regarding sleep disorders cause in my country there's not much info on it
@@DragonKing3354 How are you now? Is your sleep improved?
I stayed up multiple times ți-l like 4 5 at night and now I cant go to sleep no mo
I have a non 24 hours sleep disorder, I'm watching this at 7:51 am and haven't slept yet
I'm 23 years old
I have a severe problem, I can't sleep on time, My sleep cycle keep moving 24 Hour, Like if I sleep today at 10PM., then I will get sleep 12 AM tomorrow, Next Day 2 AM --- Like I move 24 Hour
WELL EXPLAINED, THANKS FOR SHARING, PLANET AYURVEDA'S SLEEP NATURALS CAPSULES RELIEVES STRESS AND ANXIETY
I'm a middle school student who might have DSPD, I cannot get to sleep intill 1am to 6am. This is a problem because I have to wake up every morning to go to class at 6 am. I am still unsure on what steps I should take to fix this problem. :( anyone have any advice?
Early morning bright light therapy can help pull your sleep forward. You could start doing it was in the first 30 minutes of waking up for 15 minutes to 30 minutes
Sleep three to 830. Take a nap. Even when I don't same at night. I don't get it.
is it me or did I totally miss the jet lag part...
Lithium can affect circadian sleep rhythm.
I'm 99.9% sure that I have Dsps (delayed phase sleep disorder) I literally can't fall asleep until 3:00am - 4:00am and then I wake up at 2:00 in the afternoon, my mom says I'm just being dramatic and trying to stay up but it's the complete opposite. She actually gets mad at me for "self diagnosing" but I'm just saying
I can only sleep every other night. I can't sleep when I get good sleep, and it continues. I don't know how to get out from this.
That's anxiety related, when you are concerned about falling asleep and how tomorrow will be a crappy day as a result of not sleeping.
I was a night person but fell asleep easily at any moment, recently i got hit with an episode like yours - the key is to let the mind go and reset the clock.
Cannabis oil is amazing, tart cherry supplement is supposed to be good and of course Melatonin.
Resetting the clock and keeping a strict schedule is key.
@@adama2511 im struggling with kinda the same issue except I get decent or good sleep with melatonin I don't know if I should rely on it all the time. I took b1 and it helps with anxiety the whole day and I'm more relaxed at night. I get rem sleep mostly without melatonin what should I do I might have dspd.
She doesn't mention how to fix it.what was the point
Wake up 30 minutes earlier each day until ultimately wake up at the time you want. Takes about 10 days. But it is tough. The hardest part is not falling back to old habits. Always wake up the same time
i sleep like mid day and wake up 7 am, shit...