(Considering my current condition, this will probably meander a bit.)
I’m in another of my fun bipolar swings. I’m mixed-state bipolar. In case I haven’t explained this before (and for any new readers), this basically means, I’m always, all the time, every day, experiencing some symptoms of the depressive side of the disorder while at the exact same time experiencing some symptoms of the manic (or, more precisely in my case, hypomanic) end of the disorder. This, I’m sure you realize, makes some of my days pretty interesting. One particular symptom which can be a characteristic of either end of the spectrum, is poor sleep habit.
My circadian rhythm is so screwed up right now, it’s unbelievable. A mentally healthy person could not do what I’ve been doing for the past few weeks. For example, I spent Saturday, from about noon, to Sunday, until about midnight awake. Part of this was probably because I forgot to take my night meds on time, and when I did remember to, my mind was in hypomanic mode, which even my very good psych med regimen can knock out under “normal” circumstances. However, I have not been sleeping at night for the past three or four weeks. I’ve been rising between noon and three in the afternoon and staying up until five to seven in the morning.
No, it’s not daylight that’s interfering. It’s the bipolar. It decided it wanted me up at night, so it fights the psych meds, no matter when I take them. It’s worse if I try to take them on time for a sleep at night, because I’ve got my energetic, still quite alert, natural wakefulness momentum going, and when I’m in this state, my mind gets more active when the sun sets, so even if I take my meds like I should for that night of sleep I want so very much, I still spend most of the night lying awake, getting more and more frustrated as each hour passes, which only fuels the bipolar urge to be awake at night. If I take the medications “on time” for a day sleep, which is around midnight to one in the morning, I’ll probably drop off to sleep sometime around six in the morning.
If I forget to take my meds then?
I typically don’t realize I have until I’m still wide awake at 0600 and think to check my little daily pill-dose box thingie to discover my night meds still quite unswallowed. At that point, if I take them, it won’t do me any good at all. I’ll be totally useless. Unable to sleep, because I’m in bipolar second wind, but unable to gather the mental capacity to do anything useful. Even feed myself. I have before done this and literally spend all day at my computer with barely enough mind left to surf the net, never mind pay attention to what I’m seeing when I do.
So, I spent all Saturday night and Sunday-to-midnight awake. Slept sound, got up Monday . . . and did it again. Was up at noon fifteen Monday. I’m still going strong at half past five Tuesday evening. I’m not sure when—or even if—tonight’s dose of night meds will knock me out at all. Sunday night, when I was still up three hours after taking my night meds, I took half a dose of NyQuil. That, like it usually does, knocked me out at last. I’ll probably be doing the same tonight.
The worst thing about this—well two things—are that this circadian rhythm switch is unpredictable with regards to beginning and ending, as well as duration. I have no warning whatsoever before this switch happens. It just happens. One night, I sleep all the way through, the next night I’m wide awake until six the next morning even after taking my meds. Not even nightly doses of NyQuil can prevent this switch—and trying to only makes me irritable and even more unlikely to sleep during night hours. And I’ve already been like this for two or three weeks . . . and it could continue for months, or, horrors, years-again.
This is one of the Gotta Live With It aspects of my particular flavor of bipolar disorder. Whether another mixed-state bipolar person goes through this is a total crapshoot, and I’m miserable enough like this I don’t care to search to find out if I’m the only one. I know “misery loves company” but I really have no wish to learn somebody else shares this particular misery.