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Adrenaline dump when I start to fall asleep/10mins after i have fallen asleep
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Hi
I have been diagnosed with GAD/mild depression for 7 years and have gone through peaks and troughs dealing with it for that period. However, the last 8 months or so I have begun having these weird adrenaline dumps at night, when I drift off to sleep. It gets worse as the night progresses and I end up not getting much sleep, if any at all. I don't have any racing thoughts, just the sensation of waking up and what feels like adrenaline being released into my brain. After particularly bad nights I have quite bad anxiety (physical symptoms like nervous energy in the chest, irritability, no focus etc which then turns into low mood/depression)
I am not on any SSRI's, I have been taking ashwaganda and magnesium glycinate/glycine for the past 10 days which initially seemed to work but the adrenaline dumps seems to have come back. It's like I can feel it in my brain/body at night when im about to go to bed.
I can't seem to figure out the triggers. I am concerned that my previous drug use may have been the cause. I am now not drinking or doing any drugs.
Just wondering if anyone had any thoughts?
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Hi Rum
Wondering if you've ruled out sleep apnea. Perhaps a sleep study could help rule out a variety of sleep disorders. Maybe some blood test could also be the way to go. Just a couple of avenues maybe worth considering. I think certain mysteries involve being able to cross the usual suspects off the list, so as to get closer to pinpointing the culprit, the thing that's messing with you. Finding a good medical detective to help you get to the bottom of things is definitely key. Wondering whether you've got a good GP who's open to some investigation.
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Thanks. I have a really good GP which I’m thankful for. I did a few tests a while back when this was happening, including bloods and cortisol tests and all negative. I have thought about sleep apnea but it often happens while I’m still awake so I don’t know. It’s either linked to my anxiety or there is some issue with my adrenal/HPA axis misfiring for whatever reason. Very frustrating because a lot of the symptoms
mimic different things and it’s hard to work out.
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Hi Rum
The brain definitely does some strange things at times. I can recall about a decade ago when I used experience these strange episodes. They began as some sinus pressure and that was about it. Over the weeks they progressed from sinus pressure to feelings of anxiety. Then, as the weeks passed, they progressed even further, with a loss of feeling down the left side of my body whenever they'd happen. Eventually, what led me to the doctor was the overwhelming anxiety I'd experience. The GP insisted I go on to anti anxiety meds, based on the fact that I appeared to be having a major panic attack during my appointment. I insisted 'I don't have anxiety attacks or panic attacks, somethings wrong'. He advised me to make another appointment to discuss the meds. Hmmm🤔 Long story short, the episodes became so overwhelming that I ended up going to another GP who was willing to investigate. She wondered about what my brain was doing and referred me for a brain MRI. Rum, it was a miracle, I was actually having an episode while I was in the MRI machine. The diagnosis: Silent migraines (migraines without headaches). The migraines were setting off my nervous system, hence the feeling of anxiety or my nervous system going into overdrive. My mum also experienced 'brain glitches' for a period of her life that would set off her nervous system.
Whether it's a shift in blood pressure in the brain (impacting a part of the brain that relates to the nervous system), electrical misfires or glitches in the brain, sudden chemical shifts that come with side effects or something else, it pays to continue wondering. Glad you've got a good GP who's likes to wonder.
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Thanks for the taking the time to reply with your experience. Really appreciate it.
Your experience does make me think about my situation. While I definitely know I have GAD and depression, I’ve been able to manage both the past few years reasonably well. These adrenaline bursts feel a bit different and similar to what your mum described as a ‘brain glitch’, with my nervous system/HPA axis a bit out of whack. The problem is that the lack of sleep and the heightened anxiety about my symptoms exacerbates the problem.
Glad you got lucky with the MRI. I’d love to have an MRI at the same time as one of these bursts.
Anyway, I’ve decided to try an SSRI. Even if it just gets me over this hump and see if I can taper off after 6 months. It might be good to see just how ‘bad’ my anxiety/depression is. Sometimes you need to get out of the hole to understand just how deep you were in it. My biggest annoyance with SSRIs is the sex-drive/orgasm side effect, but hopefully I can find one that doesn’t affect me too much.
Thanks again