Diagnosed With Insomnia, Have Bipolar, ADHD And Anxiety With Sleeping Disorder. Suggest?
Thank You,
XXXXXXX XXXXX
Possibly due to current conditions+medication
Detailed Answer:
Hello ma'am and welcome.
Thank you for writing in.
I can understand how this can be really frustrating and restricting. I also understand that doctor's would struggle to understand the exact cause for such a peculiar presentation. But based on some studies which I read about recently, the causes for such a presentation are few and mostly quite straight-forward.
Let me first say that you have been on quite a few medications, which can either be the sole cause for your excess sleep or can be an add-on to the existing problem. Let me now list the conditions which were found to cause such a presentation.
-Depression
-Other psychiatric problems (which is positive in your history)
-Thyroid abnormalities (especially hypothyroidism, which is a less actively functioning thyroid, will require a blood check called thyroid profile)
-Sleep disorders (especially sleep apnea)
-Medication that can induce sleep (many of the medications from your treatment regimen can induce sleep)
-Personality traits (eg. introverts tend to sleep more, in order to escape society)
-Stress (some individuals can sleep for long hours when they are stressed)
Based on your information and medical history, I would say that the excess sleep is a symptom that has occurred due to the current conditions along with the medication you are on. But it would also be wise to rule out other causes from the above list. Treatment is usually cause-related, which is why I would advice finding the exact cause for your presentation.
I hope you found my response helpful. Please feel free to write back to me for any further clarifications. Hope and pray you are soon relieved of your symptoms.
Best of luck and god bless.
What would be the most important questions to answer (you or my dr) and changes in routine to rule out meds and or a neurological disorder? I took 1/4 of an adderall I had left today and I'm awake, calm and clear headed for the first time in 3 days. I slept 3 days straight basically and I forgot to take my meds...??
KLS can be considered; but rule out others also
Detailed Answer:
Hello once again XXXXXXX
Kleine-Levin syndrome is extremely rare and I have only read about it in text books. You need to know that because this syndrome is so rare, there exist no definite diagnostic methods or treatment for the same. It would be most unfortunate if you were right, so as a doctor, I really hope you are wrong; but that doesn't mean we can rule this out. It is quite possible and admire your will and need to find the cause for your problems.
Also, you will have to rule out/diagnose the conditions I have mentioned in my previous response, it would only be fair, and it would also help in proving to your doctors that there is nothing else wrong with you, and they might even consider KLS. So medication can be ruled out to a certain extent, not completely, because the medication you are on can stay in your system for hours and even days, during that period it can still cause the required effect.
You can also request your doctor to conduct a polysomnographic study to learn more about your sleep cycle. Usually in patients suspected to have KLS, the slow wave sleep is significantly reduced at first, but returns to normal. This finding along with others should help put KLS on top of the list. Although, no definitive diagnostic tests exist, a CSF analysis and EEG would also help rule out other conditions and put KLS in the spotlight.
I hope I have provided you with information that can really help you. Please write back to me anytime, I am always here to help.
Best wishes XXXXXXX