brightspark

New to light therapy; I'm looking for help

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dannybgoode
joined 16 Feb 2004
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Posted by dannybgoode, 00:26 16 February 2004

About one month ago I began using a light box(with my psychiatrist's supervision) to treat SAD and BiPolar. Light therapy is new to me, so I've been following my doc's instructions to the letter. My box gives 10,000 lux treatment when it is approx 2 feet away. I have been using it in this way for 30 minutes in the morning while reading. I felt a definite surge in energy during the first month, but the last week I've been feeling very sleepy immediately after using the box. I have to go back to bed and I usually sleep all day. That is the problem I was trying to remedy with the light box in the first place! Has anyone else experienced this? Does anyone else use their box differently? I would appreciate any suggestions anyone has for me. Tonight I'm going to try using the box before I go to bed. Since it makes me so sleepy, it seems like the common sense next step. Thanks for reading. Peace.
siddy
joined 22 Jan 2003
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Posted by siddy, 07:54 16 February 2004

Hello,

Well for me half an hour isn't enough! I also have a 10,000 lux lightbox and I would suggest an hour first thing in the morning and an hour at approx 6-7pm. Don't use it too late otherwise you could feel wired late at night.

I would strongly suggest that no matter how tired you feel do not allow yourself to go back to bed. It is even preferable to read (under light!) or watch telly but resist the dreaded lure of the bed!

I have been feeling better since I have started reducing my sleep to around 7 or 8 hours and using my dawn simulator. Good luck!
siddy
joined 22 Jan 2003
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Posted by siddy, 07:55 16 February 2004

Oh, and all the other crap that seems necessary to get on with living with sad 8) !!
Julie in Sussex
joined 21 Jan 2003
541 posts

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Posted by Julie in Sussex, 09:40 16 February 2004

Ditto

Whatever you do, don't go back to bed. For me that is the beginning of the slippery slope to total despair and a visit from the Black Dog (this is what Winston Churchill called his severe depression, aptly named don't you think). It is seriously hard not to cave in, but persist and you will win. You don't have to keep busy busy, but vertical and eyes open!

Yes, I too think that you are not getting enough light. For severe cases, 1-2 hours in the morning is recommended. However for many like Siddy, a top up in the evening is very beneficial, but for others like me, it keeps me awake.

It's a case of hammering out your own special regime, this can take a while, but do persist, 'cos once you have found it, it will work year in year out. Life will never be what you consider as perfect, but it will be a close runner up.

Do also remember your "5 a day", plenty of fresh water (2+litres/day), brisk walk in the sunshine, a routine which you stick to. But, don't make too many changes all at once. Do it in bite sized pieces otherwise it is hard to figure out what made all the difference.

I am really sorry you feel so dreadful. But keep coming back and see if the SAD gang can cheer your lot up a little bit. I hope we can.

Kindest of things, Julie :D
Pete
joined 31 Jan 2004
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Posted by Pete, 09:58 16 February 2004

I can also comfirm NOT TO GO BACK TO BED. Don't worrie you should take it as a good sign if you feel tied after using your light box it actully means you really do suffer from SAD. Whats happening is when your body clock is not simtulated by bright light (not getting any bright light) your body clock is saying in the morning "what the f*ck, is it still night time"? But after being awake for so long it finally reconises that it should start to wake up so about noon or later it starts to wake up meaning you have a delayed body clock. This means you will tend to find it easy to sleep later and would feel better very late into the night. This causes a chemical imbalance that will cause a shit load of depression, weakness and a big craving for carbohaydrates.........

Now becuase your body clock has not been used to recieving much light when you should have it, it becomes alittle f*cked up might I add, it actully becomes damaged and confussed, light therapy starts to repair it if done properly. Now the reason your feeling tied right after you do light therapy is because rather then your body clock being delayed it actully becomes ADVANCED the light is telling your body clock that its actully earlyer then it should be making you think you should still be sleeping and this is also a chemical imbalance for the time of day and will cause you to be tied (unbeleveably extreamly tied sometimes), wanting to sleep earlyer, insomnica, depressed, waking up earlyer then you should or want to and eat alot ect (you dont have to have all these symtoms). But this is totally ok because the more light therapy you do the more your repairing your body clock and you will expirence less of this tiedness, basically you will become more tolorant to the light with the more light therapy you do.



My advise and generally the medical professions advice, would be to wake up exactly the same time every day and start the light therapy as soon as you wake up at the same time and just reduce the treament time from 30 minites to 20 minites and you will find this will help and also AVOID ANY OTHER BRIGHT LIGHT AFTER YOUR TREAMENT IN THE MORNING. In a month or so go back to doing 30 minites.

Later on when you become more tolorant to bright light you will find you can use your light box in the evenings as well especially in the winter, which you probably want to, but at this early stage of your light therapy treament it will make feel alot better if you didn't, trust me because I was the same as you and I read some medical documentaion which I followed which really helped and its the same advise as I'm offering you we all have the same body clock it just works diffrently at diffrent stages but this advice will be the best you can do........
Bright One
joined 29 Jan 2003
226 posts

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Posted by Bright One, 12:44 16 February 2004

I am not going to offer you any advice. You just have to find your own routine and maybe telling you what I do might help. Trying different ways of using your lightbox (for long enough to evaluate the benefit) is pretty much the only way of finding your personalised routine. (Oh. I think that last sentence may have fallen into the category of advice. Sorry. I didn't want to bombard you with 'what to do'.)

I wake up at 6.30 and I'm usually out of bed by the very latest 6.50.
I get my breakfast and then I sit in front of my light box. I have a rule that I have to be in front of my lightbox by 7am and then I am not allowed to move away from it until 7.45 at the earliest. Often I stay there until 8.

I do not use my light box at any other time of the day. (except in the depths of winter when I sometimes use my travel light box at work next to my monitor. I never use my lightbox after 4pm.

My lightbox wakes me up and I find I can function well for the rest of the day. As it starts to go dark I get tired and often want to go to bed but I try to avoid going to bed until 9pm at the earliest. If I go to bed too early then my sleep patterns get disrupted. By establishing a good routine I have discovered that for the first time in my life I really struggle to stay in bed after 8.30 (unless I've had a disgustingly late night!).

I hope this helps. I believe Julie wrote something a while ago about testing different patterns. You must only alter one thing e.g. only alter the length of light therapy and do that for at least a week. Siddy (and I) advocate the use of a diary to record feelings and to keep track of symptoms and treatments especially in the early days when you are sussing out your needs. Check posts out by Julie and Siddy they give great advice. (you can use the search function at the top of the page to look up topics or posts by particular people)

My main piece of advice. Don't worry if you feel bombarded by information. I can tell you the 4 main points:

1. You will have to find your own routine. You can't copy anyone elses because they are not you.

2. Routine is very important. You have to get a bit scary and military like about it but in the end you will benefit.

3. There is no quick fix.

4. You will have to work at it BUT after a while it will seem easier.

Good luck. And don't get disheartened. Oh and don't go back to bed.

Bright One
siddy
joined 22 Jan 2003
674 posts

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Posted by siddy, 14:28 16 February 2004

Pete........ the medical opinions advice-avoid bright light after treatment in the morning b#####ks!

Stick to giving advice as your personal perspective- no one knows all the answers so don't confuse people by proclaiming this is what the experts say!

Sorry Danny to get pissed off on your post (I'm always raging about something mind!) but hopefully you can take what you need from however seems to make the most sense to you...........

p.s. I think the hippy is on some serious stuff!!
Pete
joined 31 Jan 2004
117 posts

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Posted by Pete, 15:36 16 February 2004

Hey siddy calm down my interest is just to help him, I will not benifit from trying to give him advice

Heres my source
http://www.apollolight.com/pdf_files/BiologicalClockArticleRevised.pdf

have you ever heard of the overly phased advance syndrome, Siddy? SAD is not just about having alot of light, too much can cause adverse effects when your just starting light therapy it can cause you to be overly phased advance.

Well it worked for me..... I'm just confussed why I got a negative reaction from my advice cause doing that really helped me and I probably would have cracked up if I didn't avoid sunlight after my morning sessions of light therapy as I became terribly tied if did, but now I have to have sunlight through out the whole day and as much as I can. Sorry if I offended anyone but I really thought this may help the guy...

And how misreble of you to say things about other members on this forum, if you have a problem with my post just let me know, I'm open to any suggestions and willing to except I'm wrong, I'm not an ignorant person nor do I want any sort of argument to accour!

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