Somnolence - Is it Depression or Medication?

Hello, friends.

I've been having a problem.

During the day, I have a general feeling of "dread".

Mornings used to be much different. The alarm clock rang at 6 a.m., or 5:45, if I had gone to bed a few minutes earlier than usual. I brewed my morning coffee, jumped in the shower while it was cooling, and by the time it was cool enough to sip, I would be finished showering and ready to click on my favorite morning news station in my bedroom.

My husband already having got off to work, usually, my girls would be coming in and out of my room asking me this or that to help them in their course of getting ready for school.

I would arrange my hair and make-up while reveling in the flavor and aroma of my cup of joe (always the best of my morning pleasures), and listening to the local happenings.

Within a few short moments, it seemed, we were in the car. I would drop my youngest off at the babysitters, and my eldest off at her elementary, and I was off . . . .my favorite music blaring, usually wearing my most ambitious of attire ie. heels, and either a suit, or my favorite black pencil skirt coming just above my knees and the colorful shirt of my choice, sometimes paired with a blazer in the winter!

As the skyline of Nashville became clearer, the traffic became more stop-and-go. and I would have a better chance to view the morning, usually gorgeous in my area.

I will never forget the cheerfulness of the offices I worked in. Most were the same, although I worked several different jobs during the course of my career in the Mortgage business. My favorite was that as a Loan Processor. Men in suits joking lightheartedly with one another and the women in our office, my files all in a neat row held in order of color and order on my desk. In one office, I had a particularly good view of Nashville from the window. In one, closer to home, my office was spacious and in a beautiful, old austere bank where everyone always seemed cheerful and able to help. Wherever I went, I mostly received a good reception amongst managers and colleagues, and was fiercely competitive with a great work ethic.

In later years, after eating an energy bar (always mindful of my weight), I would typically take a Diazepam with my coffee to relieve the pain from what I thought then to be severe TMJ. This usually took care of things for awhile, and allowed me to concentrate on my work. This would be repeated at lunch. But, the pain, it was a persistent thing, and typically felt as if were boring into the sides of my face on my ride home from work. The pain had actually begun at work, while at my desk one day. I felt a strange pulling in the side of my face. I had never felt anything like that before.

There was usually a business lunch or dinner with my friends from work to look forward to. These were always so much fun! Good times! It was exciting shaking hands with usually friendly executives twice my age and seemingly still going strong, making great money and looking forward to vacations with their families, no doubt!

At work, everything was orderly. At work, it seemed that I would climb the ranks to the success I had always dreamed of for my family. At work, I felt useful, at home, peaceful and ready to solve problems.

Building a solid future for my children was always in the forefront of my mind. But, I was having a blast doing so! I wonder how many can say that.

Although it was sometimes stressful,

Strange how mornings have changed.

The alarm rings at 7 a.m. I feel almost paralyzed. Shortly thereafter, or before, my youngest daughter usually brings coffee to my bedside. I usually think that 10 minutes will be longer than it is. Then, I remember, today is another day with my illness, my medications and my seeming helplessness to better myself in the world.

I struggle to get up, stumbling sometimes. I throw on my robe on cold mornings. Some days, my eyes are so dry and irritated that I cannot even find my shoes, so I slip on my old, rugged, house shoes.

If I am already in a night dress, I just go in that. If not, I pull up whatever pair of pants I had on the evening before.

The facial pain has not begun yet . . . .yet, every joint in my body seems to be hot and sore. The soles of my feet usually seem to burn, for reasons unknown.

I try to be as cheerful as possible, trying to joke around and , so that they do not catch on to my discouraged feeling. It seems a monumental a struggle to keep my weary, watering eyes open in the mid-morning sunlight as I drop them off at their respective schools, hoping that they will have the kind of days I used to have, full of hope, friends, achievement and a sense of endless possibility.

After making it back to my blessed driveway, it is always a relief to drop my purse, keys on top beside my comfy couch (which is becoming less comfy by the day for the wear), pop on the computer for a few moments, until I drift back off into a fitful sleep off and on, until around noon on bad days.

The night before I have always made plans for this time, dishes, laundry, gathering items to take to either the local charity or to sell on e-bay. Yet, I have no more energy than to run a few searches, which usually pertain to why a person would have overall declining health, or as to why a person of 39 years old would feel so tired. Maybe during one of my few moments of wakefulness, I will drop in on Facebook, or Living with TN.

I look at my neglected plants in my window, which used to flourish due to my care. I hear the birds singing in the tree behind my back window, going about their day, as I wish I could if only I had the energy.

I wonder and search the internet, sometimes, in hopes of finding something I could possibly do with the rest of my life, because even if I am approved for SSDI, it will not adequately pay the bills.

Whenever I feel the least bit of energy creep into my body, I take my medication, wait a few moments, because it will not work on a full stomach, and chase it with a Fiber bar, so that it has something to land on, but not enough to squelch the effects. (The Fiber bars are cheaper. Hey, some things don't change, (smiles) but now I also usually crave a Pop-Tart and some cereal - anything sweet, a side effect of opiate usage, I believe).

I eventually achieve a sitting position, and by that time, my husband, a starving artist, is usually up. He's currently seeking other employment, so if you're still reading me, don't worry. He is trying. He never dreamed of falling in love again, after his divorce again 7 yrs. ago and having a family to try to support. If he had not been so patient with my illness, love me so much, remain faithful and make intelligent conversation, I'd not be putting up with his ineptitude to make money! Well, he does earn enough that I'm not losing money on his living here. At least that.

By this time, I usually feel like talking, unless I am having an ATN flare-up (usually the worst of these is after a regular sized meal).

My late husband would grieve if he could see me in this state. He admired my ability to achieve. He loved that I always dreamed up, and found ways of improving our life, no matter what the circumstances were. I wonder if he even would have thought that Atypical Trigeminal Neuralgia would take these personality traits from me.

The bottom line is, I am sleepy ALL DAY, until approximately 4 p.m. in the afternoon. I am not sure if it is my medication, or if I am clinically depressed.

When night comes, I am a different person. I run errands. I clean myself up. I make up my face. I do laundry (sometimes dishes, although I don't keep the sink clear, as I used to). I am interactive with my children. I help my youngest with her homework. I interact with guy! I light candles in my home to balance my "chi". I feel ALIVE . . . .and this is great, but why evenings?

I wonder why I feel so lifeless all day long and not at night? I am wondering if anyone else experiencing this.

So, my friends, always my disclaimer here, I type faster than I talk. If you've managed to read, or even skim this, would your opinion be that this problem is medication or depression induced. Or, do you believe it is caused by something else?

Any opinions or thoughts are welcome.

Thank you for listening to me reminisce. Even if not a soul reads this post, it still felt good to get out.

Your friend,

Stef

Hi Stef, I really loved your reminiscing because it reminded me so very much of my lost days when I was a visiting nurse and then a missionary, boy have my days and nights changed since then. When we returned from the mission field I was no longer working and my husband Andy was working as a night shift supervisor at a local nursing home and somehow we both got on that night shift time. Since Andy also became disabled now we both stay up all night long and then we sleep during the day. We usually get up mid afternoon play with our grandson, have some dinner etc.

But before my mornings were very much like yours and now due to the somnolence I can barely keep my eyes open. Not really sure if this is due to disease process of Arachnoiditis, Fibromyalgia, and ATN or if it is due to all the meds I take. Hard to tell really.

For a while there I was taking Ritalin to counteract this somnolence, but I just got to jumpy taking it so they stopped it. But I sure do miss those busy days while working, raising the kids, running a home, doing church activities, and trying to fit in exercise as well.

But now due to the Arachnoiditis I cannot exercise at all unless its in a pool, and since we no longer have one I suppose that is out. And the local pool runs 4 bucks a person to swim for one day, that’s just too high!

Stef I’m not sure about the clinical depression but I am sure of this: anyone with this disease is sure to have depression to some degree, it would be really strange if they were not depressed. Pain and depression go hand in hand. The more the pain hits the more depressed we feel and the more the depression hits the more pain we feel. It’s truly a vicious cycle.

But try to keep your head up dear, I know it is easier said than done, especially looking back and how we all used to be, but we must realize that with illness comes depression. Just try to keep as busy as you can especially with the kids. Although mine are grown now I still take great pleasure from spending time with them and with our six y/o grandson. He always brings my mood up! Much love dear!!

Thank you for sharing more of your story with us/me, and for your validation and support, Ali. It means a lot to me.

I am sure that Ritalin, like everything else, effects some differently than others, and I may ask about it, honestly; albeit, I don't like pushing anything else unnatural into my system than I already have to, but I do miss my mornings/days. If it could help me, it would be a Godsend.

I suppose I should be grateful that sometimes, my medications allow me to have pain free afternoons and evenings. Some do not even get that reprieve.

I am glad that you are enjoying spending time with your Grandson. I suppose if I had to the choice between losing my mornings or evenings, it would be to lost my mornings, as evenings are when my girls are home. They are the light of my life and the motives behind most all that I do in life. I love them so much and hope that they never have to deal with what we are going through.

I am sure that no one can answer my question definitively. It will be trial and error, even for me and the doctors, but I appreciate you giving me some clues and something I can relate with so much!

Big hugs,

Stef

Stef,

Your post is so much more than reminiscing.

You have a real flair for writing. Your words and imagery are wonderful. I'm having a real hard time responding because you have actually taken me on a journey back to the place where I began and then all the way to the place I am now in a matter of a few short minutes. I instantly feel the emotions of reminiscing, loss and dispair all at once. It is rare to run into a piece of short-literature that can do this.

I know to you this might only be a blog but I think this is something very special.

Elaine

I thought so too Elaine, what she wrote was wonderfully written, maybe this is something you should do more often. Writing the blogs I mean because you never know dear when those blogs just might go from being a blog to being a novel. Never can tell Stef, but either way hon, I very much enjoyed your blog and would love to read more from you! Love you sweetie, love you all!!

Ali

It resonated with me too. Thanks for sharing.

Dear Elaine,

First of all, thank you for the sweet compliments on my writing. I have been writing since I was about 12 yrs., I think because, for me, it is cathartic therapy. I hope everyone has an outlet such as this. I didn't really put a lot of thought into this piece. I was thinking that the piece may not result in any reception due to it's length and the fact that it came out of my fingers to the keyboard in a quick gush of emotion inspired by the stages of grief which Gloria listed.

There are many wonderful groups on "Living with TN", but I am very interested in this "Depression Group". I think it is very relevant to any one dealing with TN, which cannot be remedied by surgery, or ATN, which, for the most part, must be medicinally managed. I may be re-stating myself here, and it may sound "self-absorbed" to those who don't understand like you all seem to, but I think it is normal to grieve for our "former selves". I may be quoting one of you above (I believe I have heard someone else articulate this here) in this observation, but it's true. Grieving our former selves IS part of this journey for most of us with the disorder.

Thank you so much for your kind words. They mean so much to me. If I was able to touch someone and if anyone was able to relate, then I am pleased that I opened up my heart.

I guess, it was good for me. Since I posted this, I have made a concerted effort to better myself, in my current state, to the best of my ability. I have cleaned places in my house that haven't had a good sweep, or wipe down in far too long. I think I may have been dwelling in a darker place for too long, punishing myself for not being who I used to be. Change happens. Some are easier to accept than others. TN, both types, are a "biggie"!

This morning, after dropping the girls off to school, I gave my long neglected little houseplants some T.L.C., watered and fertilized them.

Like I said, writing has always soothed my soul. I think getting this out helped me!!! Organizing thoughts, like this, can be fruitful. If someone can relate and it helps them to not feel alone in feeling depressed about this life-changing disorder, that's even better. I think that some of us have the need to "vent".

This is a page for expressing these kind of emotions, which as Ali said, "goes hand in hand" with the burden we all bear with chronic pain.

If writing is therapeutic to anyone else in the group who cares to share their story, I would love to read them.

Hugs, your friend,

Stef


Elaine Iles said:

Stef,

Your post is so much more than reminiscing.

You have a real flair for writing. Your words and imagery are wonderful. I'm having a real hard time responding because you have actually taken me on a journey back to the place where I began and then all the way to the place I am now in a matter of a few short minutes. I instantly feel the emotions of reminiscing, loss and dispair all at once. It is rare to run into a piece of short-literature that can do this.

I know to you this might only be a blog but I think this is something very special.

Elaine

You all seem very good with words yourselves!

Thanks so much, Ali! I love you too, sweetheart, and all the rest of you!

I appreciate the wonderful contributions that you bring to our group as well! :)



AliBaby said:

I thought so too Elaine, what she wrote was wonderfully written, maybe this is something you should do more often. Writing the blogs I mean because you never know dear when those blogs just might go from being a blog to being a novel. Never can tell Stef, but either way hon, I very much enjoyed your blog and would love to read more from you! Love you sweetie, love you all!!

Ali

Dear Jackie,

I appreciate the candor of your compliment. Usually, us career women, or former career women, throw, or threw our heart and soul into our work. I think a lot of us thrive on being trying to be SuperWoman, through success in the workplace, keeping a fine home and tending to our children with everything we have to give.

TN and ATN has a way of robbing some of us of that. It is a painful thing. When we are limited, and can no longer be Super-Woman, it can't help but be depressing, I think. We are vulnerable and may find ourselves leaning on others in ways that are out-of-character for us!

Putting pride aside is difficult.

Whenever I think of you, the adjective "boring" has NEVER come to mind! You have made many thought provoking contributions to our support group as well!

Love and hugs to you!

Jackie said:

This is a compliment but I have to tell you this is almost too painful to read. Also only chronic pain sufferers or carers could ever understand just what you mean.for what it's worth I am being boring but I think it's result of both.

You are welcome, Crystal. Thanks so much!

Please know that if ever you every feel down, and could benefit from a good rant, vent, or to share anything about the way that coping with this makes you feel, please know that we are here for you! You are a very kind lady. I would also like to thank you for the contributions that you've made to our group, on a regular basis. You help us provide much needed support to our members and are very appreciated! Know this, for certain. :)

Love, your friend,

Stef

crystalv said:

It resonated with me too. Thanks for sharing.

oh how i miss my former self. then to think i had a face lift, for this. i am thankful for the sun because i need it to keep going. i drag out of bed. i have tons of flowers, bright colors on the patio, but something is missing. i will be switching anti-depressants

and seeing head and neck surgeons.red has helped tremendously. consider anti-depressants, we have strong meds in our system, chronic pain, and our lives have changed.

i am in bed to much. i wish i had a genies lamp.

i think im in the mourning state. winter is hard and gray, so it doesnt help.

lots of hugs. just remember! YOU ARE SPECIAL AS WELL AS MANY OTHERS HERE IN BATTLE.

PONDERING, A CHAPTER FOR EACH ONE OF US!

reading this is very hard, so i really feel the pain,

maybe the writing will help ease the pain.

i need to hug my cat.

all said so well! love you and wish everyone better health!

i just feel so lost sometimes. i wont give up, not yet.



Stef said:

Thank you for sharing more of your story with us/me, and for your validation and support, Ali. It means a lot to me.

I am sure that Ritalin, like everything else, effects some differently than others, and I may ask about it, honestly; albeit, I don't like pushing anything else unnatural into my system than I already have to, but I do miss my mornings/days. If it could help me, it would be a Godsend.

I suppose I should be grateful that sometimes, my medications allow me to have pain free afternoons and evenings. Some do not even get that reprieve.

I am glad that you are enjoying spending time with your Grandson. I suppose if I had to the choice between losing my mornings or evenings, it would be to lost my mornings, as evenings are when my girls are home. They are the light of my life and the motives behind most all that I do in life. I love them so much and hope that they never have to deal with what we are going through.

I am sure that no one can answer my question definitively. It will be trial and error, even for me and the doctors, but I appreciate you giving me some clues and something I can relate with so much!

Big hugs,

Stef

i recieve the fibro newsletter and there are meds that help with the fatigue. we share many of the symptoms. remind me or look on their website. it could help. hugs!

You know i always that my inability to function in the morning was the fluid buildup, circulation, and my bodies inability to start up. I know Im depressed and my response to starting the day is why. Its not bringing me happiness.I guess I dont really like the limitations and I am almost afraid of more disappointments,. You cant really discuss it or you depress others. There really isnt any purpose and I become overwhelmed.

My husband and son are non talkers so that doesnt help. I never viewed you as depressed. You are pretty upbeat and you have a lot of responsibility. There are lawyers such as Binder who will take on your disability case. You have also gone through a lot of grief for a young person.

I drag until about 4:00 too. odd! This nodding out has taken away a lot of independence. I guess I resent it. My energy is better toward eveing. I really believe it has to do with the disorder.

Does it make a difference as to what causes it. Part of the answer is how we deal with it. I sense my anger and frustration as to why I am missing out on life.

Theres a Rocky Horror show at the clubhouse. Its extremely air conditiuoned. I purchased neck scarf with warmers and a head band. I even bought a wild hat, glasses, and gloves. To go or not to go. I know the tissue will shrink. My friends are pushing me. I know I will be upset when the tightness aand pain forces me to leave. Am I setting myself up for failure and disappointment.

Everything has become so difficult. I still hope to improve, because I hate settling for this new life. I dont want to answer questions with out answers. My vote is depression.I want so much for everyone to improve.

Hello Stef,

You made me cry.

The way you described your life I felt as though I were there. I could actually smell the coffee and feel the tension of traffic in the morning. I remembered how I used to look forward to going to the office every day to see my work friends and my residents (I was a Medical Social Worker at a nursing home).

Then, I felt your dread and frustration just like I do my very own as you stated how your youngest now brings you coffee.

All I ever wanted to be as a child was a Mom. As much as it devastated me to bury my twins, I am so thankful they are angels and not here because I would never be able to care for them. I don't know how any of you with children do it. I am lucky if I am up by noon.

I cannot function in the morning. I can get up in the morning and then go right back to sleep for hours. About five or six in the evening I am truly awake and stay that way until about one or two in the morning.

My PCP said I am depressed but she also said she thinks that all of my medications contirbute to my somulence. My family calls it my statue phase of the day because they can speak to me and its like I don't even hear them or know what is going on around me sometimes.

I am so thankful to hear that I am not the only person like this. I thought I was going crazy. I am not pleased that any of us have to go through this but, I am so elated to know I am not alone.

Sometimes, I feel so sad because I lost the person I was and I know that she is never coming back. I was always the one up for anything anytime at the drop of a hat. Now even when I plan things it all depends on my TN.

I have lost friends because they do not understand. Some of them do not understand that I cannot go to a bar and hear a band because the vibration (even with ear plugs) sets my TN off like a wildfire. They just say that I am trying to have a pity party for myself. Whatever they want to believe is fine because if that is what they really think then they were never truly my friend to begin with nor did they ever really know me.

Thanks Stef for sharing.

La La

Since i lose so much time to sleeping I stay up really late. I cant function until my muscle s loosen and the edema leaves. Its the compression from the neuropathy. I woke up today at 3:00 and by 5:30, I thought it was afternoon. What a strange way ro function.

I went back to sleep. This is from neck muscle shortage. Who am I. I dont recognize myself anymore. I no longer know who i am.

All I can say is WOW. I have felt alone for so long dealing with this. My Dr. told me that it is natural to grieve over the loss of who I was and the loss to the things I could do. She said this is natural for those who have a permanent illness. It is so hard though. My husband says I don't laugh or smile anymore. I am cranky(I am so angry that this has happened to me and I don't deserve this.) and that I am not the person I used to be. He is afraid to initiate sex because he is so afraid he is going to trigger a severe attack. I have withdrawn from my friends and social activities because the smallest thing and I am in a full blown attack. I can't tell you how many times I started work and was puking my guts out from the pain in less than 30 minutes. I can't function effectively at work and they told me to go out on disability because I am missing too much work. My doctor agrees. He also wants me to keep my driving to an absolute minimum. (He prefers for me not to drive at all but understands that I can't do that.) So now I have been off of work for 3 months and had all these big ideas of what I would do since I couldn't work. Keep my house spotless by being able to clean it every day. Lose weight because I can have time to use my treadmill. All these high ideals of what life is going to be. And then reality set in. Somedays I can't even get out of bed except to go to the bathroom, take more meds or throw up. I have been able to use my treadmill twice because balance is so bad and the sweat rolling down my face triggers pain. My kids don't understand why I can't spend time with them doing activities. We went to Busch Gardens and I went on one water ride because it was so hot and I was hoping I could at least spend one day sharing their joy. I made a bad decision. I hurt so bad from the water splashing in my face and the wind blowing across my cheek. I wanted to go home right that very minute but I sucked it up as best as I could to allow them some time having fun and just watched while they enjoyed the rides. My son graduated and we had family in town for the graduation. I had to play hostess for a week and pretend everything was ok. I didn't want to detract from the attention he earned. I would sneak off when I could to lay down or take meds. I sucked it up as best I could. Do you know what it is like to have your kids ask you if it is going to rain? They know that I am more accurate than the weatherman. When the pressure changes, I am completely down for the day and they want to know if they can count on me that day. My son doesn't want to spend as much time with me because he can't count on the fact that I will be there with him or spend the day in bed. It just makes me want to cry. The tears running down my face makes the pain worse so I can't even have some sort of emotional release. The pain makes me want to cut my face off just to make it go away. I hate that I am canceling at the last minutes with my family and friends. I have lost so many because of this. They don't understand that I can't help it. And everyone always asks why I don't smile or laugh anymore. I can't it hurts. I grieve everyday for my previous life. I grieve because I am not the person I used to be. I cry because I want myself back and know that will never happen. I actually had someone tell me that I just have to set my attitude to I am going to live with this and stop thinking about it and actually live. In theory it sounds great. In reality, I can't dictate the TN and it is extremely hard to try live around this disease when it is dictating what I can do each day. And even when I start out with a good day of minimal pain, that could change very quickly at any time and I have to leave whatever we are doing so I can go lay down. No matter how hard I try I can't have the happiness I use to have.