Mania Bipolar and Sleep Disruption

by Amanda Davis
(sneads ferry, nc, 28460)

A cardinal feature of mania is the disruption of sleep and lack of a need to sleep. Interestingly enough disrupted sleep patterns are also involved in the depressive phase ( as you probably know) but usually that is excessive sleep. People with bipolar disorder are thought to have sleep regulation problems even when they are not in a depressive or manic phase.

Maintaining a stable sleep wake cycle and regular routine and schedule along with the medication that stabilizes you will be important to your long term stability. In fact Interpersonal and social rhythm therapy( IPRST), is a treatment developed to assist you and doing just this. I would recommend you ask your therapist about this treatment.

Obviously regulating your sleep while you are in a manic phase is much more complex than when you are stable. The actions you take long term are more likely to help you develop good sleep habits over time. I think it is important to discuss with your psychiatrist NOW medication options as well as with your therapist. There are some alternative treatments such as light therapy; melatonin, exercise, and meditation that may help you with sleep as well. However, the commitment to working on your stability long term, is what will be most important in helping your illness.

Good Luck!

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