I’m going on 24 hours of no sleep after getting ~5 hours the last time I slept. My body is tired af. I’m super doped up right now after 1000mg Gabapentin, 75mg Hydroxyzine, 1mg Ativan, 1mg Xanax, and smoking a 1G joint. But my brain is wired!

I was recently diagnosed ADHD/ASD/Alexithymia/Sleep Apnea. I take 30mg Lisdexamfetamine. Need at least 50mg to regulate.

Stimulants are not the cause, as this has been my normal cycle for as long as I can remember. 3-4 days of 5.5 hours to 7.5 hours of sleep starting no earlier than 2am, followed by 3-4 days of very fitful sleep to no sleep. I’m in my mid 40’s. This is worse in fall/winter and under stress (double whammy right now).

I have night terrors too when I do sleep. I’ve accidentally hit my wife during one of those fits. She’s scared to sleep next to me sometimes and usually build a pillow wall between us as well as sleep on my arms, on my stomach to restrain my self in case I have a terror.

I do not wear a CPAP. My Apnea is mild and is well controlled by exercise and keeping my weight down. I do not have PTSD. Severe RSD though.

Is anyone else like this or have any ideas to deal with this? I’m tired literally and tired of this cycle.

I’m thinking about applying for studying. But there are usually classes in the morning.