Dr Charles Parker has a good article about sleep and ADHD where he provides
specific treatment considerations for any ADHD symptoms associated with sleep disturbance. Untreated each of these issues aggravates symptoms of ADHD.
Many adults and children with ADHD have sleep problems, it’s almost a diagnostic sign of ADHD. ADDers often have problems with sleep in a few areas.
- Going to sleep. Actually getting off the computer/TV etc and getting into bed
- Getting to sleep.
- Staying asleep. not waking up during the night and staying up.
- Waking up.
here’s a few of his 10 tips
Untreated ADHD or other Comorbid Psychiatric Problems: The most frequent cause of Level 1 sleep issues is untreated ADHD and/or depression associated with worry and prefrontal cortical dysregulation. Comorbid major depression, mood disorder, and other psychiatric problems may also interfere with all three levels of sleep.
Assess Lifetime Duration of Sleep Problems: Many live for years with sleep issues and only in middle age begin to show the significant wear. Just because someone has previously done well with 4 hr of sleep and naps doesn’t help the defragmentation process that takes place in a 8 hr sleep at night. Sleep treatment for these challenges usually results in excessive sleep for days to weeks until the body sets a new calibration.
Excessively Treated ADHD: If stimulant [or other psychiatric] medications are adjusted inappropriately high, and duration of effectiveness of the stimulant medications is not properly adjusted, medications will interfere with sleep on many levels. Paradoxically, when stimulant medications are well adjusted, and comorbid depression is corrected, often sleep medications are not necessary. Always dose psychiatric medications according to the principles of the Therapeutic Window noted in my other articles here.
Sleep deprivation can look like ADHD and can be gasoline on ADHD symptoms. Ideally you want to get of the electronic stimulation boxes (surfing the net, playing video games, watching TV) at least an hour before bedtime in order to allow your racing ADHD brain to slow down enough to get to sleep. Not always easy I can say from personal experience, but very useful. Sleep hygiene is also important. Just use your bed for sleeping and sex, nothing more, try go to bed at the same time 7 days a week etc. Sometimes melatonin can be useful.
What things have helped you to deal with sleep problems?
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“Ideally you want to get of the electronic stimulation boxes (surfing the net, playing video games, watching TV) at least an hour before bedtime…”
Opps, time for bed and was getting absorbed/distracted. Thanks for the reminder. Darn, I will continue with this tomorrow.