Tips to help sleep: so many of us have that awful withdrawal insomnia

[compsports]

 

Can't answer your question but wanted to comment on the issue of taking meds vs. not doing it because I have experienced the same dilemma.  What finally convinced me to stop looking at meds is the I listened to a pocast of a progressive sleep specialist who said that taking meds does not lead to restorative sleep and when brain are scanned of people on sleep med, they look like someone who is unconcious.   It really made me take note.

When you wake up, you might want to consider finding a fun activity even if it violates every sleep hygiene rule that exists.  Last night, I chose to listen to a beach boys video and ended up getting two more hours of sleep.  So much for the theory that you shouldn't listen to active music.

Thanks for your reply. Honestly, I feel that my sleep problems post withdrawal are psychological and anxiety based.  I do think the anxiety and extreme reactivity and panic is related to withdrawal.  However, once I start using meds to fall asleep, then the fear and anticipation become a self-fulfilling prophecy. Yet, what I don't understand is why is it I can't fall asleep when I feel so incredibly tired and sleepy that I can't keep my eyes open for anything, and yet sleep doesn't come. Even when I'm not worried or anxious about anything else.  I guess I'm just not aware of my anxiety about not being able to fall asleep without drugs?  But it almost feels like the minute I get a drug like Ambien into my system, it creates an immediate rebound affect. All schools of thought say that it's impossible to experience addiction to a drug just after taking it one time. It's hard to tell if it's psychological or physiological.  Maybe both.   

I know that when I quit Lexapro cold-turkey, the withdrawal insomnia started immediately and was purely a physiological reaction to the lack of drug in my system. I wasn't anxious or thinking about some problem. I just couldn't fall asleep. Hypnosis tapes were completely ineffective then.  Now it feels like it's a combination of factors.  What I find really hard NOT to do, is to resist not being able to fall asleep. I get frustrated, upset, annoyed. I do all the things I'm not supposed to, like keep looking at the clock. I hate being awake at night. Hate it hate it hate it!  I resist, and it persists.  It's a vicious circle.

 

Oh, I totally understand about getting frustrated.

 

By the way, I always look at the clock.  When I don't, I am always very accurate as to what time it is so really, not doing it is simply a BS exercise for me. 

 

I know this is easier said than done, but I would say bleep the rules.  Whatever you can do to lessen your insanity is what I would do.   And if that means listening to a tape that the sleep hygiene expert wouldn't approve of, that is what you should do.

 

I would not do well with hypnosis tapes either by the way.

[Meimeiquest]

I don't know exactly. I have much, much stronger reactions to drugs from the past than when I was taking them regularly, totally wiped out on a bit of Zyprexa, wildly activated and anxious on Nuvigil, increased oxazepam 10% and unable to recognize people at a conference. Maybe that's happening to you, I don't know.

[Lilu]

Altostrata, 

How come you don't have this article posted on here or somewhere on this site. I've been browsing Monica's site BeyondMeds and found this article which I find really informative.  Not just because you explain the whole alerting system, but also because there's some background about your own story! I have seen people mention Cortisol here and there on this site, and didn't really understand why.  Then I read your article and I sort of understand. It also explains why when listening to sleep hypnosis tape, my body starts to jerk and get more activated than before.  I still don't quite understand it though.  How did you come to the conclusion that it is the downregulated receptors that cause this dysregulation of the alerting system?  Was this documented anywhere?

 

http://beyondmeds.com/2011/07/28/ssriprotractedwithdrawal/

 

"For some people, it takes a long time for the serotonin receptors to correct. Without adequate serotonergic participation, other systems take over and establish a dysfunctional homeostasis.

With the locus coeruleus reacting with “fight or flight” to the least stimulation, the dysregulated alerting system causes inappropriate production of the “fight or flight” hormones norepinephrine, noradrenaline, and cortisol. Spurts of elevated cortisol cause many symptoms, from muscle stiffness and pain to waves of anxiety, panic, and despair. CNS instability causes “autonomic dumping.”

 

Sleep disorders are very, very common in withdrawal syndrome. Excessive alerting activity and inappropriately raised cortisol at night causes the awful withdrawal insomnia.

 

The brain wants to keep us alert to respond to (non-existent) threats, and wakes us up when we become too inattentive. Tragically, the alerting response is triggered by the relaxation of sleep. This is not a circadian rhythm disorder. It is entirely iatrogenic.

 

Too strong an intervention, even deep relaxation, will cause the meta-homeostasis to increase alerting activity. The paradoxical nature of the condition is particularly hard to understand.

 

Theories of serotonin or dopamine deficiency etc. are particularly stubborn red herrings. The mythology of neurotransmitter imbalance is irrelevant in withdrawal. In withdrawal syndrome, gentle interventions that reduce cortisol are helpful. Noradrenergic medications such as buproprion (Wellbutrin) and mirtazapine (Remeron) are not. Celexa and other SSRIs may be activating. Benzodiazepines and sleep drugs may rapidly go paradoxical.

If you suffer from withdrawal syndrome, avoid psychiatric drugs. If you must try them, experiment with drasticallly reduced dosages only.

[Altostrata]

You can make a new topic for the article if you wish, Lilu.

[Lilu]

You can make a new topic for the article if you wish, Lilu.

In what section?

[Altostrata]

This section, Symptoms and Self-care.

[Lilu]

The last few nights, I have suddenly been able to sleep very peacefully for 6 to 8 hours straight with no substances what's so ever. Please check out my post about using Qi Gong for sleep and anxiety relief: http://survivingantidepressants.org/index.php?/topic/6698-uncontrollable-crying-spells-during-and-after-withdrawal/?p=103590

[alex]

I have found that every time I have a night without sleep, the same terror haunts me:to loose the abiity to sleep..

this "trauma" triggers an awful spiral of neuro fear, and the wave becomes very bad.

Fear, neuro fear about loosing the ability to sleep, even when I have noticed that my sleep is not as bad as it used to be.

Can anybody relate to this??

[Wildflower0214]

Yes!!! Sitting up right now, scared to death that I will have another sleepless night. It seems I either sleep or I dont. No waking up a lot. Either it's there or gone completely.

 

I have bodily sensations that make sleep difficult and that is what is happening right now. Hate it!!!!!

 

How are you doing? You having to use the Benzo?

[alex]

How are you doing? You having to use the Benzo?

 

I use it very rarely, and in avery low dose.

I don't think it makes to much difference.

[Wildflower0214]

Well, I'm up. And honestly I belive this is the fear that drives my WD. I had to take a med for a GI issue and in sure I'm reacting, and I'm only a week away from a reaction to a med given at the dentist to numb me. But, in both cases, it was necessary

 

But now awake and petrified of not sleeping

[Petunia]

I have found that every time I have a night without sleep, the same terror haunts me:to loose the abiity to sleep..

this "trauma" triggers an awful spiral of neuro fear, and the wave becomes very bad.

Fear, neuro fear about loosing the ability to sleep, even when I have noticed that my sleep is not as bad as it used to be.

Can anybody relate to this??

 

I don't have this problem Alex, but I've been looking for some help for you.  This seems to be different from 'regular' withdrawal insomnia in that you are actually sleeping better than before, but that your 'fear' of insomnia, when you have a bad night, starts a cycle of symptoms and more insomnia.

 

I found this, which may help:

 

http://www.sleeplikethedead.com/chronic-insomnia-recovery.html

Nothing more (or less) than a phobia

After a few years, I had a breakthrough of sorts for myself when I realized something important: Chronic insomnia is a phobia. Specifically, it is a phobia of being unable to sleep or sleep well. It even has a technical name: hypnophobia or somniphobia.

A phobia is a persistent irrational fear of an object or a situation that's generally considered harmless. In other words, a phobia is fear that does not conform to the facts of reality. Chronic insomnia does not conform to reality because there is nothing inherent about attaining sleep that should cause fear.

The source of the phobia can usually be traced back to one or more specific triggering event, usually something traumatic that happened, often but not always at an early age. Sound familiar?

In addition, a phobia is characterized by the following:

• An immediate response of uncontrollable anxiety when exposed to the object, activity or situation that causes fear

• A forceful desire to avoid what you fear and taking atypical measures to stay away from what you fear

• An impaired capability to function at ordinary tasks because of the fear

• The fear is out of proportion with the stimulus (that which is causing the fear)

• Alarmed feelings, such as sweating, rapid heartbeat, avoidance behavior, trouble breathing and intense anxiety when confronted with the source of the fear

• Anxiety when simply anticipating an encounter with the source of the fear

 

I don't think this CBT based program would be much help to people suffering from purely withdrawal related insomnia, because its a physiological issue.  But when normal sleep returns, or improves, if there is an underlying psychological fear related to not being able to sleep, then this article may be helpful. 

 

Losing the ability to sleep because of drug withdrawal, I think would qualify as a traumatic triggering event for someone who didn't previously have this phobia.

 

Follow the link above for the complete article.

[elgee]

My psych drug nightmare started because of my phobia of not sleeping. I read this article last year and found it to be the most helpful approach to dealing with my insomnia. When I started "behaving as if I had no insomnia or fear of being unable to sleep" things really started to turn around for me.

[Wildflower0214]

I have insomnia. It seems all or none for me. I can tell the first 10 minutes in bed if I will sleep.

 

It really has little to do with my mind. I have body sensations that make it impossible to sleep. Crawly sensations and feeling floaty, like my limbs are detached, which normally is accompanied by my nerves feeling hair triggered. So, when I begin to doze off, if the sheet brushes my hair on my arm, I jolt.

 

Has anyone else dealt with this?

 

I have tried magnesium and it made me really depressed. So, no go on that.

[WiggleIt]

YES!!!!  This is happening to me.  My dad has been leading me through guided meditation at night and it helps.  It's not perfect, but helps.  Also, my uncle gave me a mantra to repeat as I breathe deeply and try to rest: when you breathe in, think to yourself "Heal."  When you breathe out, think to yourself "Cleanse."

 

The guided meditation my dad does with me is very difficult to explain without an actual guide leading you through, but I will share a story with you.  The other night, my dad helped calm me down in a crisis.  I said to him, "Thank you for calming me down."  He said, "I didn't do anything.  You did it.  Thank you for allowing yourself to calm down."

 

Then it hit me: I can ALLOW myself to be calm.  So, another thing to repeat to myself as I fall asleep is to think,"I will allow myself to be calm.  I will allow myself to sleep."

 

So maybe those are some thoughts you could try to repeat to yourself as you breathe deeply and try to sleep. "Heal, Cleanse." Or "I can allow myself to sleep."

 

Please try it and let me know how it goes. 

[Wildflower0214]

I will give it a try! I normally spend some time in prayer and it calms me. My body just does not want to shut down sometimes. It's like once the "on" switch is flipped, that's it.

[Lilu]

I fell off the feel-good train. For about a month I felt incredibly good. Good mood. No insomnia, except occasionally, which I handled without sleep meds. But then my sleep patterns became eratic due to going out, holiday parties, feeling overstimulated. The insomnia was inconsistent as well. I was falling asleep easily but kept waking up at 5 am. Even if I went to bed at 2:30, I'd wake up at 5. Other times, I'd fall asleep quickly, only to wake up at 1 am or 3 am and then try every non-drug means to get back to sleep. To no avail. I started using Ambien again. And now 2 1/2 weeks later, I'm having massive crying spells again.  How could I forget that is what ambien does to me?  But I felt so desperate. In the past 2.5 weeks I have on average slept about 4 -6 hrs per night.  I need 8 hrs in order to function normally.  I was so anxious and distraught yesterday, crying all day, that I had to take Ativan. I took .5 mg and slept for 10 hrs. Woke up with a massive headache. So emotionally exhausted. 

It seems that even when I take ambien now, it lets me sleep for about 4-5 hrs tops. when I took it at 5 am. It kept me asleep only for 2 hrs. When I've taken Klonopin and now Ativan, it lets me sleep thru the night, but the hangover is bad. And I don't want to take it due to the many problems that benzos cause.  I tried Ambien extended release 6 mg, but it didn't put me to sleep even after 1.5 hrs of taking it.

 

Is there a natural supplement that is GABA - ergic like benzos that would calm me down enough to sleep?

[Meimeiquest]

I have written about inositol on my thread and in the inositol and sleep thread. I do have to do a second dose in middle of night, and I am taking high doses. Also, do you have PCOS? It is a big treatment for that as well. You can also take GABA, but it does not cross the blood-brain barrier if it is working well. But it can help peripherally relax muscles, etc.

[AlasLlama]

Here is an idea I do not see above: 

 

I have always had trouble sleeping, and my insomnia became VERY bad while I was going through the worst of my depression (2006-2009). Sleeping pills did not work for me.  I was desperate and ordered a "light and sound" machine from Amazon--not knowing which one to get, I simply ordered the highest rated system I could afford. 

 

The light and sound machine uses a pattern of lights and noises to put the brain into a different state. It is a form of "neurotherapy," which I knew a tiny bit about because years ago my housemate had been involved with some of the research. I knew it could be used to help sleep...

 

I tried it. The very first night, it worked GREAT...  I woke up feeling like I had never slept so well in my life. The machine just sort of grabbed my brain and said to it "you will go to sleep now" and I did. 

 

(It had one odd side effect... I had been a lifelong nail biter. I bit my nails until they bled and became infected. I had tried everything to stop... I could not stop. After two or three times on the light and sound machine, I stopped biting my nails. Stopped cold. I haven't done it since. It was truly odd.)

 

One tip: If you are using the light and sound machine to sleep, you will fall asleep with the goggles still on, and roll over on them. This is hard on the goggles. After a while, you'll have to buy new ones (duct tape can only take you so far). So don't buy the expensive goggles, or have a buddy come in and take the goggles off after you've fallen asleep. 

[Altostrata]

!!!!!!!!

[cymbaltawithdrawal5600]

Re: Lilu's post above.

 

If there ever was a better reason not to ever try drugs again just to get sleep, that was it. I can see a horror story in the making if one persists in thinking that after suffering wd insomnia, using drugs to try to correct it is a good idea. For me (and only for me, mind you) I'll take some sleepless or short sleep nights before I will ever consider drugs again. This includes OTC stuff like benadryl. I think my poor body has had enough drugs for this lifetime.

[Wildflower0214]

There are a hundred diffrerent options to help you sleep at night that are natural.

 

Sounds like your schedule just got off. You may just not be able to handle going to bed at 2:30 for a long long time.

 

But, you ARE sleeping. I used to feel I needed a certain amount of sleep, but now anything consistant is a blessing.

 

Using Rx drugs to sleep sounds like s disaster waiting to happen.

 

Sounds like you just might have pushed too hard with all of the socialization, and will have to do some self care to get back on track. May take a while though to correct.

 

Good luck.

[compsports]

I will be brutually honest.  If I had found a sleep med that I was comfortable taking at least on a short term basis, I would take it in a heartbeat.    Suffering from chronic sleep deprivation for months has literally made my life hell.

 

Unfortunately, the only med that seems to work is Temazepam and I am only comfortable taking it on a PRN basis.   Even my sleep doctor doesn't like it which is quite telling.

 

It is not an issue of correcting something but an issue of sanity at least for me.

 

Obviously, the preferred goal is to get off all meds and start sleeping naturally.   But there is also reality.

 

CS

 

PS - OTC remedies have not worked.

[cymbaltawithdrawal5600]

CS,

 

Yours and others like you who suffer from sleep apnea have that issue complicating your ability to sleep 'naturally'. I imagine it is quite a production at bedtime - getting the equipment ready, adjusting the mask and your position in bed and then waiting for sleep to come. The noise of the machine, the foreignness of all the stuff invading your comfy cozy bed. After months of this it is no wonder you still suffer. The single biggest thing that helped me was reading long ago about the importance of 'getting rest' if sleep refuses to come. Lying there quietly even though everything in me was screaming for the peace and oblivion of sleep. Knowing that as soon as 6:30 am rolled around I would have to get out of bed whether I had slept or not and begin the endless days of suffering. But I survived on 'rest' until sleep started coming in longer and longer intervals. I always felt the lack of sleep physically as a sort of 'rough edge' around me, we all know that feeling. Some days I can still feel it, especially if I do not make myself stay in bed long enough. But it was a neat trick of mind knowing that my body would survive on 'rest'. I made myself believe it until it came true. I can't believe the stuff I made myself do to recover, I was that desperate. It was either that or die.

 

I calculated (from your sig) you were on meds for about 11 years and you have only been off going on 5. For some, recovery (including the ability to sleep well) takes a lot longer to happen. I think you are right on schedule.

 

Alto started her recovery in what was it, 2004? And here it will soon be 2015, eleven years later and we are eagerly awaiting her recovery story. (Personally, I do not think we will ever see it).

 

It takes what it takes.

[Wildflower0214]

I will be brutually honest. If I had found a sleep med that I was comfortable taking at least on a short term basis, I would take it in a heartbeat. Suffering from chronic sleep deprivation for months has literally made my life hell.

 

Unfortunately, the only med that seems to work is Temazepam and I am only comfortable taking it on a PRN basis. Even my sleep doctor doesn't like it which is quite telling.

 

It is not an issue of correcting something but an issue of sanity at least for me.

 

Obviously, the preferred goal is to get off all meds and start sleeping naturally. But there is also reality.

 

CS

 

PS - OTC remedies have not worked.

 

I am very empathetic to your situation as a fellow sufferer. I have been in sleep deprivation going on a year now, with stretches of days on end with zero sleep. In the last week, I've already had three of those nights.

 

But, I believe I will get better. I have to.

 

I'm sorry about your situation, very difficult. I'm sure the machine makes it uncomfortable and difficult.

 

I hope it changes for you. For all of us...

[Wildflower0214]

CS,

 

Yours and others like you who suffer from sleep apnea have that issue complicating your ability to sleep 'naturally'. I imagine it is quite a production at bedtime - getting the equipment ready, adjusting the mask and your position in bed and then waiting for sleep to come. The noise of the machine, the foreignness of all the stuff invading your comfy cozy bed. After months of this it is no wonder you still suffer. The single biggest thing that helped me was reading long ago about the importance of 'getting rest' if sleep refuses to come. Lying there quietly even though everything in me was screaming for the peace and oblivion of sleep. Knowing that as soon as 6:30 am rolled around I would have to get out of bed whether I had slept or not and begin the endless days of suffering. But I survived on 'rest' until sleep started coming in longer and longer intervals. I always felt the lack of sleep physically as a sort of 'rough edge' around me, we all know that feeling. Some days I can still feel it, especially if I do not make myself stay in bed long enough. But it was a neat trick of mind knowing that my body would survive on 'rest'. I made myself believe it until it came true. I can't believe the stuff I made myself do to recover, I was that desperate. It was either that or die.

 

I calculated (from your sig) you were on meds for about 11 years and you have only been off going on 5. For some, recovery (including the ability to sleep well) takes a lot longer to happen. I think you are right on schedule.

 

Alto started her recovery in what was it, 2004? And here it will soon be 2015, eleven years later and we are eagerly awaiting her recovery story. (Personally, I do not think we will ever see it).

 

It takes what it takes.

Why do you think we won't see Alto's story?

 

It does seem to take quite a long time for people to heal.... I'm hoping I am lucky and recover faster... No hurting in being positive, even if I don't believe it, I just keep saying it.

[Wildflower0214]

I will be brutually honest.  If I had found a sleep med that I was comfortable taking at least on a short term basis, I would take it in a heartbeat.    Suffering from chronic sleep deprivation for months has literally made my life hell.

 

Unfortunately, the only med that seems to work is Temazepam and I am only comfortable taking it on a PRN basis.   Even my sleep doctor doesn't like it which is quite telling.

 

It is not an issue of correcting something but an issue of sanity at least for me.

 

Obviously, the preferred goal is to get off all meds and start sleeping naturally.   But there is also reality.

 

CS

 

PS - OTC remedies have not worked.

 

How much sleep are you able to get now?

[compsports]

Thanks CW and JDM for your empathetic replies.  It means alot.

 

CW, unfortunately, lying in bed with the mask when I don't feel like sleeping is not very comfortable so I get up and watch TV, which is usually boring infomercials that kind of mesmorize me.   I am glad you were able to find workable solutions.

 

Actually, I was on meds a total of 15 years including withdrawal time.  I can see though my signature isn't clear and will revise it at some point.

 

JDM, I hope your situation gets better also.  I can't imagine going without sleep at all.

[Lilu]

I have written about inositol on my thread and in the inositol and sleep thread. I do have to do a second dose in middle of night, and I am taking high doses. Also, do you have PCOS? It is a big treatment for that as well. You can also take GABA, but it does not cross the blood-brain barrier if it is working well. But it can help peripherally relax muscles, etc.

What is the minimum dose of inositol that will help?

[cymbaltawithdrawal5600]

Nadia started a thread on inositol here.

[Lilu]

Called my psych doc and she suggested I try Lunesta. I'm scared.  But feel desperate. So tired.  The Lorazepam after effect was awful. At first it was great how it put me to sleep and I slept for 10 hours and felt so peaceful. But then the next night I woke up after an hour of going to bed with my heart racing and unable to go back to sleep. I know Ativan is a benzo, and lunesta is similar to ambien. But...

[cymbaltawithdrawal5600]

I feel for you Lilu but the only way I know of treating wd insomnia is to grit your teeth and hang on till it passes. Taking drugs to sleep only prolongs the inevitable. When you remove the drugs the insomnia will still be there. You are back on the same drug merry-go-round all over again. But you will do what you will. I survived it so I know it can be done.

[Lilu]

I feel for you Lilu but the only way I know of treating wd insomnia is to grit your teeth and hang on till it passes. Taking drugs to sleep only prolongs the inevitable. When you remove the drugs the insomnia will still be there. You are back on the same drug merry-go-round all over again. But you will do what you will. I survived it so I know it can be done.

Thank you for your support and reminder. I know you are right. 

[cymbaltawithdrawal5600]

Yes but being right means nothing. It is a he11 of a place to be, desperate for sleep. Sleep must be wooed by an amorous suitor with just the right touch or she flees in disgust, her return capricious and fickle. I never knew how much sleep meant till I could not call it up at will anymore. I'll never again take it for granted. It is the only respite in endless days of cortisol-fueled madness and akasthisia riddled hours. I don't ever want to go there again. Be glad you get any sleep at all. I clearly remember the days when I laid down to try to sleep and that was all my body needed to set up that inner vibration which destroyed any chance for calm for hours. You know what precipitated my wd syndrome? The doc convinced me that taking atarax (vistaril) 3 times a day would help with what he thought was sinus pressure because it is an antihistamine. Nope, it was the beginning of wd and I had no clue. That's why benadryl is not a good idea either. Both can push a fragile nervous system over the edge.

[compsports]

 

I will be brutually honest.  If I had found a sleep med that I was comfortable taking at least on a short term basis, I would take it in a heartbeat.    Suffering from chronic sleep deprivation for months has literally made my life hell.

 

Unfortunately, the only med that seems to work is Temazepam and I am only comfortable taking it on a PRN basis.   Even my sleep doctor doesn't like it which is quite telling.

 

It is not an issue of correcting something but an issue of sanity at least for me.

 

Obviously, the preferred goal is to get off all meds and start sleeping naturally.   But there is also reality.

 

CS

 

PS - OTC remedies have not worked.

 

How much sleep are you able to get now?

 

Sorry I didn't see this post initially.   To answer your question, I have a very weird sleep pattern that started during withdrawal and hasn't let up.  I have big time problems with sleep attacks that feel like narcolepsy issues even though my sleep doctor doesn't feel I have it and I don't think I do either.

 

But even if I avoid them, I still only average about 3 hours of sleep initially on the machine.    I can usually get back to sleep after a break for about an hour.   Yeah, I am sleeping but I never get continuous sleep and feel like I get any type of deep sleep.  I feel totally non functional.  At one point, I had gotten up to 4 hours but for some reason, have been backsliding.

 

But really, the issue isn't the hours of sleep but the quality.   About a month ago, I got 4 hours on the machine and felt an energy I hadn't felt in months.  I can't explain what was different about that night and haven't been able to replicate it unfortunately.

 

Anyway, I am going to see an ENT in January to determine if nasal obstruction issues are interferring in any way.  I hope this guy has some answers.

[compsports]

Yes but being right means nothing. It is a he11 of a place to be, desperate for sleep. Sleep must be wooed by an amorous suitor with just the right touch or she flees in disgust, her return capricious and fickle. I never knew how much sleep meant till I could not call it up at will anymore. I'll never again take it for granted. It is the only respite in endless days of cortisol-fueled madness and akasthisia riddled hours. I don't ever want to go there again. Be glad you get any sleep at all. I clearly remember the days when I laid down to try to sleep and that was all my body needed to set up that inner vibration which destroyed any chance for calm for hours. You know what precipitated my wd syndrome? The doc convinced me that taking atarax (vistaril) 3 times a day would help with what he thought was sinus pressure because it is an antihistamine. Nope, it was the beginning of wd and I had no clue. That's why benadryl is not a good idea either. Both can push a fragile nervous system over the edge.

CW,

 

As an FYI, it is hard to be grateful for any sleep when you wake up and still feel totally non functional and wonder how you can accomplish even one vital task that needs to get done.