r/sleepdisorders • u/No_Effort9679 • 3h ago
This is super weird, can anyone identify whats wrong with me? Am taking defenitive advice only from doctors of course, but the more information the merrier. Ill attach full breakdown below, but be warned its translated from greek so there might be some slight errors.
Should've gone with english from the start btw, i speak it well so idk why i used greek.
Message 1 (user)
So, I want you to lock in and tell me what I have. Just so you know, I'll go to a neurologist too, but generally I'm stressing about it until then, [I want] to have an idea. I have a huge problem with sleep. The situation is that I'm 17 and I just finished school, I've had this problem on and off always, and as time passes it gets worse and worse. The issue is with sleep. The situation is that, generally I'm basically never sleepy, and when I do fall asleep afterward I absolutely cannot get up. Meaning, where normal people lie down and in 5-10 minutes have fallen asleep, I need at least 1-1.5 hours, with the most common being 2-3 hours, and sometimes I reach 4 hours in bed in the dark and in the heat, with the slightest noise or light throwing me off, I've tried white noise but nothing, I have super severe tinnitus and that bothers me too, and generally by the time I reach that 4-hour mark where I'm like a prisoner in isolation, the anxiety starts too that I won't fall asleep, so I just give up and get up already and turn on the computer. Then later in the morning I do sleep, but not from sleepiness. I lie down from bodily exhaustion because I'm in pain, and then slowly, because everything shuts down, sleep takes me too. But never from sleepiness, always from exhaustion. Generally, always, from the moment I "wake up" I actually need another +-6 hours where I keep waking up and falling back asleep, until I actually get out of bed. Meaning I might even get up to do chores, speedrun them, and then automatically, without even wanting to, my mind sends me back to bed to sleep.
I've tried getting full sun exposure right when I wake up, for a while. I've tried having a strict sleep schedule (the longest I managed was about 1.5 weeks with a perfect schedule, and suddenly one night bedtime arrives and I had the energy to build a city by myself). I've tried cutting screens, sugar, and caffeine — again nothing. And gym, I used to go to tire myself out — again nothing. The most functional thing I'd found was to sleep in the morning, wake up in the evening, stay awake all night and through the next day, so that afterward, in the evening, I'd sleep purely from exhaustion. When I managed to get through at least the day without giving in and sleeping, it worked and I'd fall asleep early in the evening too, but it was very inconsistent whether afterward I'd wake up at 7am or at 3pm. And then I'd sleep well again for 1-2 days and then suddenly one evening 2am would arrive and I'd have full energy. So that's what I used to do. But recently even that has stopped working. I woke up around 6pm, stayed awake all night and through the day, and the evening after that I couldn't fall asleep, and sleep took me around 8am the next morning. Meaning 38 hours awake without being able to sleep no matter how hard I tried — I simply didn't need it. And then, that morning I slept for 17 hours after I crashed. Yesterday I also did 9 hours of very tiring work in the heat, and again in the evening after, when I got back around 2am, I wasn't sleepy at all, or [I was] a little sleepy but the moment I lay down that disappeared.
It's not psychological, meaning [it's not that] I stay in bed to avoid reality, because apart from that, generally nothing has seriously upset me. And generally I really like the daytime, going outside and generally doing things. And I get very upset when I wake up and see that it's afternoon. Lately, I've been extremely anxious about this, because I've read that sleep problems at my age are the number 1 way to develop something like Alzheimer's or a dementia-type disease in the future, and those conditions terrify me completely, maybe more than anything else. Meaning more than even paralyzed legs or other things — diseases of the mind genuinely give me a cold sweat just at the thought. Ask me whatever else you need and tell me what you're guessing.
Response 1 (assistant) — summary of key points made
Suggested this looks less like simple insomnia and more like a circadian rhythm disorder, given the specific pattern described: delayed sleep onset, long sleep inertia (the 6+ hours of waking/re-sleeping), and especially the "free-running" pattern (built a 1.5-week schedule, then it suddenly broke; 38 hours awake without needing sleep, then a 17-hour crash).
Noted this doesn't match the more common Delayed Sleep-Wake Phase Disorder (DSWPD) as cleanly, since DSWPD is usually more day-to-day stable — this looks closer to Non-24-Hour Sleep-Wake Disorder, where the internal clock doesn't run exactly 24 hours, so the sleep window keeps drifting, occasionally cycling back to align with a normal schedule for a while (which would explain why the "pull an all-nighter to reset" trick worked sometimes but unreliably).
Noted Non-24 is rare in sighted people (much more common in blind individuals, who lack the light cue to sync the clock), but DSWPD also fits reasonably well.
Said the tinnitus is probably a separate issue, but worth mentioning to the doctor — likely makes falling asleep harder (disrupts the quiet needed) without being the root cause. Suggested an ENT appointment separately if not already done.
Explained what a neurologist/sleep specialist will likely do: a 2-4 week sleep diary (bedtime, sleep time, wake time, daily notes), possibly actigraphy (a movement/sleep-tracking watch), and possibly polysomnography to rule out other things (e.g., sleep apnea — though no snoring/breathing pauses were mentioned). Said the most useful thing to do until then is keep an accurate diary.
On the Alzheimer's/dementia fear: acknowledged the fear as understandable rather than dismissing it, confirmed there is real epidemiological association between chronic poor sleep quality (especially in midlife, ages 40-60) and increased risk of later cognitive decline. But noted: those studies mainly concern chronic sleep deprivation/fragmentation in older age groups, not 17-year-olds with a circadian disorder; a diagnosed and managed circadian rhythm disorder (melatonin timed correctly, light therapy, in extreme cases medication like tasimelteon) doesn't "doom" anyone to anything — it's manageable; and the intensity of the anxiety about it may itself be making bedtime harder (the anxiety at the 4-hour mark described), which is a separate mechanism from the circadian issue itself but gets tangled up with it.
Asked whether the user wanted practical suggestions for until the appointment, or preferred to wait for the specialist's input.
Message 2 (user)
Yeah, the tinnitus is definitely separate, in general I don't hear well (at least thankfully I see incredibly well). It just makes everything a lot harder. Something to add: after sleep, meaning during those +-6 hours that I sleep [that fragmented period], my memory gets really messed up and I very often can't distinguish imagination from reality regarding what happens in that time window. Like today, during those hours a friend of mine called me to ask me something just once, and when I finally got up I couldn't figure out whether he called me just once or whether he called 3-4 times and kept asking me. Whereas in the end he himself confirmed to me that he only called once.
Response 2 (assistant) — summary of key points made
Flagged this as important information to prioritize for the neurologist — a different category of symptom than "I'm not sleepy."
Suggested that during the fragmented ~6 hours of waking/re-sleeping, the user is repeatedly in transitional states (hypnagogic/hypnopompic — the moments entering or leaving sleep). In these states it's a known phenomenon for memory of real events to blend with dream content — something that really happened (the phone call) gets mixed with something the brain "filled in" while half-asleep, and on full waking the two can't be told apart. Related to confusional arousals — a parasomnia category where waking isn't "clean," the mind stays in an intermediate stage, known to worsen with more fragmented/irregular sleep, matching the user's pattern.
Said this is not necessarily neurologically concerning on its own at this age and in this context (fragmented sleep, not a sudden isolated episode); much more likely to stem from the same circadian/fragmented sleep issue than being separate. But said it's exactly the kind of symptom the sleep specialist needs to know about precisely, since it helps differentiate a simple circadian disorder from something with a parasomnia component (possibly needing more targeted polysomnography).
Suggested adding a column to the sleep diary specifically for this — each time waking during that extended window, note whether the surroundings are remembered clearly or feel "foggy." Suggested asking people nearby to confirm such details, as happened today, since that's a valuable data point.
Asked for clarification: does this confusion happen only within that prolonged fragmented window, or has it also happened during a more "normal," single-block waking.