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Some Thoughts About Insomnia in Early Sobriety

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    Some Thoughts About Insomnia in Early Sobriety

    Since this is a topic that appears frequently in this forum, I thought I'd share some of my own experiences and hope that others add.

    For those of you coming here while still in acute withdrawal (5-10 days AF), the insomnia can feel almost debilitating. I don't want to digress into a lengthy sidebar, but the biological reason for this is that our brains are overloaded with glutamate, an excitatory neurotransmitter, to compensate for the depressive effects of all that alcohol that we've been guzzling. Take away the alcohol and you can guess the effect. All that glutamate is what gives us the insomnia, and worse. Personally, I've been awake for as long as 80 hours continuously after particularly prolific benders.

    Insomnia was one of the key reasons I became an alcoholic, but keep in mind that passing out and sleeping are two very different things. Continuing to drink to counter insomnia continues to disrupt neurotransmitter balance in the brain. Given that it takes about a week to fully detox from alcohol, continuing to drink to offset sleep difficulties is simply kicking the can down the road.

    The good news is that once brain chemistry starts to normalize, sleep will once again return. During and shortly after detox, my psychiatrist had prescribed me trazodone, a pretty strong sleep medication to help offset the insomnia. Two months in, I am happy to report I'm having no sleep difficulties whatsoever and have not taken a sleep aid in many weeks, though I probably should mention I am on a medication called Campral (acamprosate), which accelerates the return of brain chemistry back to normal.

    I also found fighting the insomnia also makes it seem worse than it really is. The body will sleep when it needs it. Instead of laying in bed tossing and turning and worrying about getting enough sleep, sip a cup of herbal tea and read a book, or something that isn't overly stimulating (for that reason, both the psychiatrist and therapist recommended against watching television or surfing the internet).

    It does get better. As a lifelong insomniac, I never would have guessed that I would be sleeping better now, alcohol-free, than I can ever remember.
    In the middle of my life's journey, I found myself in a dark wood, as I had lost the straight path. It is a difficult thing to speak about, how wild, harsh and impenetrable that wood is. Just thinking about it recreates the fear. It is scarcely less bitter than death, but in order to tell of the good that I found there, I must tell of the other things I saw there. --Dante, paraphrased

    #2
    Some Thoughts About Insomnia in Early Sobriety

    Insomnia used to 'kill' me the 100s of times (it seems like) that I tried to stop drinking before I really stopped (hopefully for the last time). Your description makes perfect sense to me. I'd do OK for a week (maybe) and I'd be up watching strange reruns on TV at 3am, but eventually I felt I 'couldn't take it anymore' and would go back to drinking.

    What helped when I finally did stop is I had a therapist who gave me relaxing recordings to listen to while I was falling asleep.

    I still have the occasional night when my mind won't stop and let me sleep, typically I can get at least 4-6 hours sleep on those nights. Then a few times a year there's a night where I only sleep an hour or two, or not at all. When those night happen I tell myself, 'don't freak out about it, you'll sleep again soon'.
    Soberity Date - 7/11/11

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      #3
      Some Thoughts About Insomnia in Early Sobriety

      That was very interesting and helpful to hear about some of the reasons why it happens, thank you for sharing that! It's also always good to hear reminders that it will pass.

      And hmmmm, Sammy I might have to go looking for my old relaxation cds. I used to have a few, mostly the sound of waves.

      I also remembered something odd that used to help me way back when I was in Basic Training and couldn't sleep. I'd picture a place I knew well - either my home or my grandparent's house, somewhere familiar and with good memories. And then I'd "walk" through the rooms, trying to see all the detail I could without forcing it. Sometimes that was the exact right mix of relaxing but also keeping my brain too busy to worry about things.
      I am stubborn as a pig - but changing what I'm being stubborn about!

      Cigarette Free On: 9/23/2014
      AF on: 8/12/2014

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