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SLEEP APNEA & BIPOLAR DISORDER SUFFERERS
#1
SLEEP APNEA & BIPOLAR DISORDER SUFFERERS
[Image: thanks.gif] To all that have been reading and replying to my threads.  I truly appreciate the overwhelming interest and support.  That being said, I have decided to start a new thread, a thread that may be of interest and help specifically for those people that are dealing with SLEEP APNEA (APNEOEA) & BIPOLAR DISORDER.

The reason for this lies in the fact that individuals with these two conditions have their own set(s) of issues, and the efficacy/effectiveness of PAP therapy, medications, and non-medication therapies plays a major role in the successful treatment of individuals suffering from both of these disorders.

NO MEDICAL ADVICE is being sought or provided.  The new thread is only intended to be a place where people can share their experiences and results in this particular type of journey, their experiences and results with different medications, non-medication therapies, and PAP therapy.  I have done a search within the Apnea.org website and found that there are other individuals who have mentioned they too have bipolar disorder and are struggling with sleep apnea.  

The thread will probably garner many less views and replies than my previous threads but based on my Google hunting, there is a real need for attention to this combination of conditions.  I have found scholarly articles/studies and non-scholarly information about the combination of sleep apnea and bipolar and would like to discuss them in addition to the discussion of PAP therapy and how we might make adjustments to our machines. (OF COURSE ONE SHOULD ALWAYS CONSULT WITH THEIR OWN DOCTORS REGARDING ANY CHANGES).

I'm going to rest now, but will be back later this afternoon or tonight to write a post for this thread.
Huhsign  WARNING: It may take a while to sink in...I tend to get befuddled at times.
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#2
RE: SLEEP APNEA & BIPOLAR DISORDER SUFFERERS
I know that for the treatment of any mental health issue, getting good sleep is essential to the treatment, and if you're not able to sleep because of the mental health issue, or because of the medication used to treat the mental health issue, that is going to make things a lot worse.

I don't suffer from bipolar disorder, but I do suffer with an anxiety disorder. I take medication for it, which helps me sleep, and I also have my CPAP therapy tweaked so that also helps with sleep.

In the past I've read about people who were literally going insane because they had untreated sleep apnea. We still don't understand well just what it is that sleep accomplishes, but we do know that without it we are unable to function, and the longer we go with untreated sleep apnea the worse that problem becomes.
Sleepster
Apnea Board Moderator
www.ApneaBoard.com


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#3
RE: SLEEP APNEA & BIPOLAR DISORDER SUFFERERS
Hi Sleepster, so nice to hear from you.  Just thought I'd give a look to my new thread before trying to take a nap before work.


I feel you.  In addition to my bipolar I was also diagnosed with Anxiety Disorder and ADHD.  When I met with my new psych doctor the other day he put me on medications, these two particular ones I have been on in the past.  I have been researching the pros and cons of these bipolar meds and how they affect sleep, especially insomnia.  Some reports show there may be benefits for anxiety and insomnia in addition to helping with bipolar, but there are many differences of opinion.

What anxiety medication are you on?  I'm hoping the bipolar meds will help me get some decent sleep, but if last night is any example of what can happen, I will definitely be needing some changes in meds.  I'm working on the sleep hygiene issues as well.

Look forward to more discourse.

Regards,
Plmnb
Huhsign  WARNING: It may take a while to sink in...I tend to get befuddled at times.
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#4
RE: SLEEP APNEA & BIPOLAR DISORDER SUFFERERS
Plmnb, maybe you could relate some of your personal challenges in dealing with this combination of problems. I think we can see you have been on and off therapy over the years. Your most recent endeavors have been very enthusiastic (manic) and you went through a lot of setting changes and machines in a short time. Recently, you have taken a more disaplined approach to looking at the data and making changes, discussing things with your doctors and getting back to medication. I know the issues you deal with are challenging, but this thread is probably more about the problems this combination of bipolar and sleep disordered breathing, and the strategies you have found effective to reconcile them. Those of us that don't share these conditions can only imagine how difficult it must be to control the anxiety, panic, data obsession, depression over failures, dealing with successes etc. What is your advise to fellow sufferers?
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#5
RE: SLEEP APNEA & BIPOLAR DISORDER SUFFERERS
(02-01-2020, 12:29 PM)Plmnb Wrote: What anxiety medication are you on?  I'm hoping the bipolar meds will help me get some decent sleep, but if last night is any example of what can happen, I will definitely be needing some changes in meds.  I'm working on the sleep hygiene issues as well.

Different medications affect different people in different ways. Just because one medication works well for one person means nothing about how it will affect another person. These decisions are best left to the professionals who prescribe these medications, although I understand how difficult it can sometimes be to find a competent one who is not just a pill-pusher.

I take Remeron (mitzapine) each night and klonopin as needed. I also occasionally take trazodone to help me sleep.
Sleepster
Apnea Board Moderator
www.ApneaBoard.com


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#6
RE: SLEEP APNEA & BIPOLAR DISORDER SUFFERERS
Good evening Sleepster, Sleeprider, and AQ (If you pop in).

Sleepster:  Yes, part of the biggest problem in prescribing medication for bipolar disorders has always been the fact that everyone reacts so differently to the drugs.  When bipolar patients are initially prescribed their medications we are usually told lots of different cocktails will be tried.  I am tempted to say the doctors in the hospital I was in were just "pill pushers" based on the fact that I was on so may drugs when I left the hospital it was scary.  I think they just grew so frustrated with me in trying to find some combination of drugs that were beneficial, they just put me on what seems like all of the drugs in their little black bags.

I too have been on Klonopin and Trazodone.  If I remember correctly I think the Trazodone made me feel drunk, I could hardly walk.

Sleeprider:  Hmmm, "advice to fellow sufferers"?  I don't believe I have a whole lot of advice for anyone at the moment.  This whole looking at bipolar and sleep apnea together is brand new for me.  I don't think it even entered my mind until after my November, or thereabouts, sleep study.  Come to think of it, I'd have to go back and review my posts, but it may not have been until December some time that this connection between bipolar and OSA reared its head.  

It sure is interesting how none of my doctors, psychiatrists and sleep docs, mentioned word one about how these two issues could be related even though all of them knew I had both conditions.  To be fair, I'd have to review the dates of all the literature on the subject and see if much of it pre or post dates my initial sleep apnea diagnosis.

Us bipolar people, and my new psychiatrist recognizes this, have a terrible habit of taking our bipolar meds for a while and then believing we are ok and don't really need them, will stop taking them.  (Some of us, and at times myself, even believe that if we do take the meds, it will change the parts about ourselves that we like.  For example, making non-stop lengthy posts in a forum, or staying up 24 hours straight to finish a school or home project.  (Mania).

So I am very very interested in hearing from any other individuals who suffer with these two conditions, how they cope and deal with this situation.  Any hints on what methods they have used to feel better and get some DECENT SLEEP.  As I mull over this situation tonight while I am at work I will try to provide any information I can that may be beneficial to others as well.

I do hope I can continue to post my charts and that people such as AQ and Sleeprider will be able to provide information on the data and tweaks.  I would also like to say before ending this post that this morning I located a doctor in Pittsburgh, a specialist in sleep apnea and psychiatry.  I have written her an Email and am awaiting a response.  I don't have her name with me but she has written scholarly articles on the subject and is connected to The University in Pittsburgh.  I'll find it when I get home and post it in case anyone else needs her name and number.

Last night's chart and sleep were awful.  I took my meds, went to bed early.  NO POT Smile
TONS and Tons of large leaks and for some reason although I didn't get up until close to 7:00AM the machine shows I only used it for less than 2 hours.  I had one of my awful headaches too. 

Speak to you later,
Plmnb
Huhsign  WARNING: It may take a while to sink in...I tend to get befuddled at times.
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#7
RE: SLEEP APNEA & BIPOLAR DISORDER SUFFERERS
Hello Phoebe.
Thanks for inviting me over.
However, I won't have anything to add over and above what has already been mentioned on my thread about antidepressants and on your CPAP threads.
Antidepressants: http://www.apneaboard.com/forums/Thread-...or-Fiction

Any input would simply involve me searching for meta-analyses attempting to differentiate between hypothesis, fact, opinion and myth.
You folks are able to do that as easily as I can.

The only other input I would have is related to CBT.
That's better coming from the horse's mouth which is Dr. David Burns.
By reading his books and listening to the podcasts discussing his most recent TEAM-CBT work you'll learn a huge amount at zero or minimal $ cost.

Learning about it is useful and a certain amount of the knowledge and techniques will transfer by osmosis.
However, to get the real lasting benefits, it's essential to get things down in writing and do the homework and use the worksheets.

I'll leave you with the animated image that inspired my current avatar and a soundtrack to listen to:
Image: https://photos.google.com/share/AF1QipOC...0yVlluVjFB
Sound: https://www.youtube.com/watch?v=4oh7lct04Us

Three things about that image that I see
1) CBT - The distortions
2) Philosophy & Buddhism et al - Enlightenment by letting go of the Ego
3) OCD - Why does that bugginess with the ripples on the left side yank my chain a little? Could it be Musterbation? (Albert Ellis) ;-)

As for the audio... that mix transition close to 25:08 is awesome! :-)
Is that Georgia O'Keeffe at 26:25?
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#8
RE: SLEEP APNEA & BIPOLAR DISORDER SUFFERERS
May be of interest to someone:

Sleep Apnea Linked To Sleepwalking, Hallucinations And Other 'Parasomnias'

Regards,
Plmnb
Huhsign  WARNING: It may take a while to sink in...I tend to get befuddled at times.
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