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@nikatjef Thanks James! I’ll try to find her.

@agowa338 Thanks for sharing that snippet. Sorry, I don't have a university account.

@agowa338 Good to know! I started Ritalin for the first time this month. Haven't seen it affect my ISWRD just yet, but perhaps with time?

@agowa338 Hi and thanks for this information. Yes, I am an AuDHDer. I will look for that paper, as I didn't know there was a possible relationship.

The issues I have is that my to-sleep and to-wake times vary wildly from day to day. And when I do sleep, it is for 15-60 min and then I am up for hours, and then that might repeat a few times over the night (or maybe not). And sometimes I have daytime sleepiness requiring a mid-day short sleep.

I had to discontinue sleep apnea treatment because insurance compliance requires a minimum of 4 hours of sleep 70% of the time. I am lucky to get 2-3.5 hours.

It'd sure be nice to improve on this, thus my call out for a possible specialist person or facility.

Thanks for the prompt for info.

Treatment with my local sleep medicine doctor has gone as it can, without any resolution. I have the two severe types of sleep apnea that cannot be treated due to a type of sleep disturbance, and I'm ok with that. But my specific sleep disturbance, ISWRD (irregular sleep wake rhythm disorder), does not seem to be resolvable locally. As background, this is most frequently seen in the elderly population in nursing homes, and thus I'm an outlier.

Would anyone happen to know of a specialist or facility that might be known for addressing ISWRD? Anywhere is fine as long as I can do telehealth.

Boosts are greatly appreciated. Thanks all!

#AskFedi #IrregularSleepWakeRhythmDisorder #SleepDisturbances

@ShaulaEvans @bookstodon Oh my, this is a very difficult question, as I was long a book aficionado.

I guess I would have to say a biography on Jane Goodall. It opened my eyes to the larger world, and showed that kindness can survive and thrive in the world. This was 19-20 years ago.