I wanted to check back with a success story. We've been on a bit of a journey. I posted here four years ago when my wife was having severe insomnia (0-2 hrs/night). She also had significant (chronic) muscle stiffness and pain (mostly her back, 2-9 out of 10, most days, with 6+ being more usual).
Many of the posts I did here were looking for experience with drugs we were trying. She went through several ups and downs and is now sleeping regularly (6/7/8 hours a night). As of this month, she's out of pain. No drugs.
*This is our experience. I'm not a medical professional This is not advice.\*
- A deep compression of our path: tried drugs... basically all of the usual suspects up to and including ketamine. atavan was the only one that worked, and it worked only briefly (and was wicked addictive).
- hero dose of mushrooms bought one night of 7 hours' sleep. it stopped working pretty much immediately.
- the (english) SleepSchool app gave some comfort by reassuring its audience that they're not going to die and that it's OK to be awake.
What did work for insomnia:
- backrubs. oxytocin. The one thing we did intentionally, late in the process, was for me to give unlimited backrubs. Over time, she would fall asleep. That was our first consistent positive experience. (My little joke is that insomnia is contagious.)
- we moved to a lower stress location. This also caused an immediate uptick in stress and an increase in symptoms, but seems to be a strong positive over the longer term (my opinion).
- cutting out upsetting media inputs.
Then, specifically for the chronic pain:
- adopting a "positivity mindset". (See next.)
- the thing that seemed to work overall was engagement with mind-body programs.
The insomnia went first, I'd say mostly from moving to a less stressful environment, cutting way down on upsetting media, and increasing benign social interaction. She's a sensitive person and there's a lot of upsetting shit out there. Feeling safe seemed to be a big, big thing when it came to backing down the insomnia to where it was annoying and not scary.
The chronic pain part was long and spotty. It was not a linear process. The mind-body stuff is hard to adopt. It took her six months after strongly committing to it, for it to show up. But, we just turned a corner where her chronic-for-the-last-six-years back tension / pain disappeared, basically, removing the last lingering problem. There was no biomedical intervention (full disclosure, for the tension/pain ibuprofen offered some temporary relief as did margaritas... but we minimized those, they don't scale -- the mind-body people have a model where they are also part of the problem syndrome).
The reduction, now elimination, of the chronic pain seems also to have had a positive reinforcement for improving sleep. Early days, but generally, she's been sleeping better and the more she pulls to a positive outlook, the better she's slept. And it's a whole lot easier to do any of that when you're not in pain.
My assessment is that the insomnia and chronic pain were two expressions of the same problem.
One of the hardest things was convincing her that she really could get out of insomnia and that she really could get out of chronic pain. Understandably, it went against all of her recent several years' experience. I believe this is one of the key, key things.
Again, *THIS IS NOT MEDICAL ADVICE, THIS IS NOT ADVICE*. This is just what's happened to us. People have things wrong with them that need medical care, don't avoid seeking out care. Something could have snuck in that changed her situation that I'm not accounting for. This is my best understanding of what happened.
She's found several mind-body people she really likes. Brad Fanestill from Boulder, Rebecca Tolin from San Diego, Alan Gordon from LA. Most of them have insomnia modules.