I've just got up! Been awake at least half an hour. Usually I'm more a 3am / 4am waker and then eventually drop back off around 5/6 am and of course inevitably feel rubbish when I get to around 645/ 7am when I need to get up. Mine's been like this for about 6 years now. Possibly a bit longer. Is it stress? I've had a stressful few years in one way or another. And I am naturally anxious and an overthinker. Always found it hard to get up when younger though! Is it perimenopause? I'm 48. The sleep issues and weight gain are my main signs if it is. But they're also linked for anyone perimenopause or not so who knows.
I tried mirtazapine for a couple of months. Worked a treat but I wasn't keen on taking it long term and maybe I imagined it but it seemed to worsen the weight gain. Nothing dramatic but I'm a solid 14 now after being 10/12 all my life.
Saw a different GP a couple of months ago and they prescribed a new mini pill called Slynd and amitriptyline. I've not tried either yet due to having an unexpected bereavement (my parent died) soon after I got the pills and generally not feeling right and not wanting to add more variables in while I grieved and adjusted. Sounds counter intuitive maybe as the bereavement also hit my sleep but the parental illness that preceded that had too, lots of stress and night waking for a couple of years.
GP didn't think full HRT was needed. I might go back for more of a discussion on that before I start the Slynd and amitriptyline.
I do know that I felt like a different person - a person who had slept! - when I was on the mirtazapine. It was quite scary realising just how sleep deprived and brain fogged I had been.
I have also been reading about mouth breathing which is linked to poor sleep. I definitely do that, always have I think. I tried mouth taping but it was too claustrophobic and I had to take it off soon after. It's also not advised if you have sleep apnea but how do you know if you do unless you've done a full sleep lab test?
I have tried to reduce stress and exercise more. Reduced / no caffeine after lunchtime. I sleep badly regardless of whether I drink alcohol.
The best I sleep is on holiday which makes me think stress is a big part of my issues.
I do worry about it a lot (!) as long term lack of sleep is linked to all kinds of health issues. Such a vicious circle!