Eyes Wide Shut - How Sleep Affects Mood - Page 3


© John McManamy
Page 3
If sleeping pills are being prescribed, a similarly sophisticated strategy may need to be employed, depending on the half-life of the medication and the possible hangover effects. Many sleeping pills, for instance, are metabolized by means of the 3A4 pathway, which is blocked by a number of antidepressants. Sonata may be relatively safe, and several reports indicate that Prozac and Ambien work well together, though more studies are needed.

Many of you may be faced with making some tough choices: If you are a shift worker you may have to find a day job. If your work involves travel, you may have to find employment that keeps you close to home. You may have to change from a fast career track to one not so demanding.

Students who burn the midnight oil are particularly susceptible. All-nighters are a necessary fact of academic life, but many of them can be avoided by staying on top of course loads.

As for me, my Herculean struggle to bring my system into conformity with Eastern Standard Time was compounded by the spring changeover into Daylight Saving Time. I literally felt like poor Sisyphus, forced to push a rock uphill for eternity, only to have it roll down to the bottom just as he neared the summit. But yes, I am happy to report I finally made it, and I stay where I am by sticking to a strict lights-out policy no matter how wide awake I may feel. And yes, this does limit my options somewhat, but the alternative - the possible onset of another severe depressive episode - is simply unthinkable.

For an excellent website devoted to sleep and sleeping disorders, check out Florence Cardinal at About.com.

For three free issues of my depression and bipolar newsletter, mailto:jmcmanamy@snet.net and put "Subscribe" in the subject line and your email in the body.

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Here's the follow-up discussion on this article: View all related messages

7.   Aug 10, 2000 10:17 AM
I'll be attending a conference this weekend where interpersonal therapy is on the agenda. I'll check if this is the same thing and let you know. Chers ...

-- posted by mcman


6.   Aug 10, 2000 8:23 AM
In your article "eyes wide shut" you mentioned a new therapy called interpersonal and social rythm thereapy. I am very interested in finding out more about this and would greatly appreciate it if you ...

-- posted by suzanne_robey


5.   Oct 20, 1999 6:26 PM
Whatever our natural tendencies may be - nightowl or early bird - depressives and bipolars need to get their sleep right. The only hard and fast rules are the ones that you make. Unfortuanately, tho ...

-- posted by mcman


4.   Oct 20, 1999 1:04 AM
When it comes to sleep patterns there are no hard and fast rules. What works for one person may not work for anyone else. I have found only one rule which works for everyone according to the researc ...

-- posted by biogardener


3.   Sep 17, 1999 1:21 PM
I don't have any experience with Desryl or any other sleeping pills, but if you are concerned about the quality of your sleep you might ask your doctor about a new sleeping pill that has just come out ...

-- posted by mcman





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