I really do wonder if my current sleep issues are related to taking SSRIs again a few years back. I have bipolar disorder and Ive always had quite unpleasant responses to various SSRIs, which apparently is par for the course.
I had been off and on SSRIs for years until my GP put two and two together and sent me to be assessed for bipolar. Looking back, there's always been a correlation between my unpredictable sleep patterns, rapid cycling moods, anxiety and taking SSRIs. I had vowed never to take them again after my diagnosis and the horrible symptoms I experienced.
I had been doing very well taking a mood stabilizer for years, but after a period of stress and awful luck, I started to get bad anxiety and depression again. Eventually I went to see my doctor and was referred to a psychiatrist who suggested I try SSRIs again. Naively, I thought that taking them with my mood stabilizer might prevent me from having any undesirable symptoms but that was very silly in hindsight.
I took SSRIs for over year, waiting for the improvement it was supposed to bring, constantly being told by the psychiatrist that I just needed to wait and everything would get better. My sleep pattern had been mostly very good from 2008 until 2018. Now its utterly ruined. This last week I have actually managed to stick to a fairly normal sleep schedule and sleep at night and wake up in the morning, but its like my sleep pattern is like a precariously balanced jenga tower and it can collapse at any time.
Now I will absolutely, never, ever, ever again, take SSRIs again. I'm sure they have altered how my body responds to my mood stabilizer and alternative options are limited.
I've never really had issues using the bed as a place to lounge about while I read or watch YouTube etc. Like
@Shevek said, my mind treats sitting up in bed and laying in bed as "two different places". My issues with sleep are related to aches and pains, racing thoughts/anxiety. The really weird thing is that I often feel more comfortable standing when I'm struggling to sleep due to pain. Standing feels better but then I start to fall asleep on my feet.
I've always needed a little sound in the background when I sleep. I have (I presume) mild tinnitus and complete silence causes it to become just too much, it feels like the walls are ringing! Not great for a good nights sleep.
Hopefully my current run of a "normal" day wake sleep cycle will last a while
