I sent you a PM with an attempt to get you into the clinician's menu so you can change the GMT Offset and hopefully fix your clock issues.lcosborn wrote:The clock setting on my machine is way off, and Lincare said the only way to reset it is by sending the machine back to the factory. I find this extremely frustrating because I do want to track my sleep hours accurately.
How long have you been in that swamp? Did it start with CPAP/bipap, or was it going on before that? When did you go on antidepressants relative to starting CPAP? It might help if you wrote a chronology of when the various things occurred. You might then see a connection, such as getting sleepier after antidepressants were begun, or some such.Getting on a regular sleep schedule is essential to me if I'm ever going to get out of this swamp and begin living like a normal human being. It is astounding to me that people actually get to jobs at on time, every day, at a regular hour. I have no idea when I am going to fall asleep and when I am going to wake up!
I used to be on 800mg! Anyway, it is not so helpful to me that I'm suddenly so sensitive to stimulants because I walk around tired, but then if I take stimulants, I can't sleep well that night, then the next night I need more...Sleeping Ugly, I hadn't thought about the issue of tolerance, but I think you are right. I had built up a pretty high tolerance for the Adderall, and after I took a break from it I probably did have a more intense effect. But your story of taking 400 mg of Provigil, wow! That is a whole lotta Provigil.
I would definitely NOT taper off antidepressants now, for the reasons you mentioned, and because you say you are quite depressed.I do want to cycle down from the anti-depressants eventually, but I read the post the Golden Rule--only change one thing at a time--so I'll give my new settings a chance to work first.
Some sleep doctors are psychiatrists, and for people with comorbid mental health issues, sometimes a doctor like that can be very helpful.
I see a lot of centrals, which seem to be driving your high AHI. Unfortunately, I do not know much about centrals; fortunately, others here do!As per SWS' suggestion, I uploaded some reports to Google docs, and I would be thrilled to receive some coaching!