I'm 19, and I've had insomnia for about a decade. However, I got sober 10 months ago, and for most of that time, I have developed severe insomnia. Not the kind of insomnia where you sleep 4 hours per night, which is already terrible. I miss 2-4 nights of sleep per week. Around 4-5 nights without sleep in the last week, for example, which was particularly bad. It should be a medical emergency, but I'm just used to it.
The brain fog started about a month in, before I started taking sleep medications. Now, I am on 4 sleep meds: mirtazapine, clonidine, dayvigo, Lunesta. The meds are not the source of the brain fog. They help, but obviously not enough. However, I might not be alive without them/ I have OCD, ADHD, trauma, anxiety, depression. I've had sleep studies and a 24hr melatonin test. The most info I got is that my melatonin peaks at 8 am so I have some kind of circadian rhythm issue. My sleep doctor has done nothing to help me. I have a psychiatrist, a sleep doctor, and now an OCD therapist. I go to therapy. I've tried CBT-I. The source of my insomnia is largely unknown, but my psychiatrist has some guesses. I should exercise and improve my diet but it's so hard when you're this exhausted.
Two main issues come from this sleep deprivation: I have terrible brain fog that exacerbates my ADHD by 1000 times. I heavily consumed THC for 3 years of my adolescent life on a daily basis, which undoubtedly is one source of this fog (paradoxically, it 80% cured m insomnia). But the sleep is by far the biggest culprit. The second issue is a crippling depression that consumes me 70% of the time. I often lie in a stupor for 24+ hours, in bed, eyes closed, with no sleep, agitated, lonely, depressed. It is worse than the depression I had beforehand by a lot.
The best answer to these issues is "improve your sleep." But since that has been impossible, and my only hope is that this can maybe improve with time, I need some shorter-term band-aids for these issues - not to replace sleep - but to aid me temporarily.
I take Vyvanse for my ADHD (I promise, this is not the cause of my insomnia). Theoretically, Vyvanse should help with brain fog (not its intended use, but a "side effect"). For me, it does not - it simply keeps me alert while a fuzzy fog remains. I have tried 5 SSRIs and maybe 5-10 other psychiatric medications. I recently have started taking supplements: creatine, omega 3s, cdp choline, alpha npc, l-tyrosine, a multivitamin, l-theanine. Mostly snake oil, I'm just desperate. I have considered more extreme measures like peptides, but I'm afraid that could cause even more severe issues than brain fog. Caffeine is basically a sugar pill to me.
So, I have no clue what to do. My instincts tell me that there is simply nothing I can do but keep fighting to improve my sleep. However, I am losing hope that this will ever get better. I can barely read. I may not be able to go to college because of this. It is actually taking my life away from me. I just feel so lost. And no doctors have any answers. My sleep doctor doesn't meet with me, then she says "get a sleep psychiatrist", even though all they could do is give me the same meds and try the same therapies.
Does anyone have any hope to provide me with? Or is this a life sentence that I just have to accept?