No. You only had 4 of them all night long and at least two of them appear to be (normal sleep transitional) CAs following what looks like probably (normal) arousals, possibly to turn over in bed.
With data like this, you need to focus more on how you well you are sleeping
subjectively and whether you are feeling any better during the daytime.
Sometimes when we have a difficult adjustment, it's easy to get over wrapped up in trying to find something
objective in the data that might explain why we're not yet feeling as well as we want to---because if there is something
objectively "wrong", then we can work on "fixing" it. But sometimes there's just not anything
objectively amiss in the xPAP data: The data indicates that the machine is, in fact, doing its job of preventing the vast majority of obstructive events from occurring. And when the sleep is
still bad in spite of good data, that means the answer to that puzzle of "bad sleep" is connected to
other things.
Because you have a history of both anxiety and depression, it could be that you are dealing with a rather awful so-called "positive" feedback cycle in terms of your on-going problems with daytime fatigue and daytime concentration problems:
... leads to more bad sleep which leads to more daytime tiredness which leads to more depression and/or anxiety which leads to more bad sleep which leads to ...
It doesn't really matter what
started the feedback cycle. What matters is finding a way to break the cycle. If a short course of more powerful sleep medication helps you sleep better, that might help break the cycle. If you and your doc manage to tweak the current meds for depression and/or anxiety to find something more effective, that might help break the cycle.
And part of breaking that cycle consists of setting some
reasonable short term goals. Accept that there is no magic bullet that is going to fix all your problems where you will suddenly wake up tomorrow (or the next day) bright eyed and bushy tailed with plenty of energy that lasts all day long.
What reasonable short term goals might be is something you might want to talk to the psychiatrist about. I say that because I think that if you can find some ways to manage your constant worrying about xPAP and your sleep, it might be possible to get some higher quality sleep.
I've made this suggestion before: I think a simple sleep log might help you identify whether the quality of your sleep is as bad as it subjectively feels to you. In other words, you need to track for yourself whether you are spending far too much time in bed tossing and turning and
worrying about not being asleep. And if you are in fact spending long periods during the night
not sleeping then that's an issue that needs to be discussed with both your sleep doc and your psychiatrist because insominia and depression feed off each other.
Joined as robysue on 9/18/10. Forgot my password & the email I used was on a machine that has long since died & gone to computer heaven.
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