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Waking up injured

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Candleflames

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So I think I am acting out my dreams and nightmares. I wake up with a range of injuries from scratches and bruising to chunks of skin missing and compression wounds that take 3 months to heal from. It's bad enough that people are noticing the marks and asking about them. I'm worried someone is going to think my husband beats me, which he doesn't.

My T wants me to do a sleep study but I'm scared to. Help!
 
Sounds like you may really benefit going through with the study. When I did mine it was done in a very comfortable room resembling a nice hotel room with an adjustable bed (select number) large tv, bathroom and closing door. They do monitor you with camera I believe and a bunch of electrodes attached to your head.

I don't know what your trauma was or if this study steps on those toes but for me it wasn't that bad. Maybe you could first tour one of the rooms before actually scheduling. This way you could select the most comfortable location. Wish I could help more but wishing you well.
 
Try acrylic tips on your fingernails. They are thicker and less sharp. Getting your nails done is nice self care too. I clench my fists and scratch when in night terrors, but having shorter acrylic rounded tip nails has protected my palms and scratches aren't deep nor as often .
 
I understand your fear of having a sleep study done. I am considering doing it, but I don't know what to expect so I am fearful of it. Are you falling out of bed at night? End table near your bed? I had to move my end table away from my side of the bed. I burrito myself in blankets to keep me from so much. not sure if it helps but it has been the most effective thing I have tried.
 
I used to do EEGs as a technician. Would it help ease your anxiety if I explain what we do/what we're looking for?
I promise, no one is going to mind if you are agitated, you have a nightmare, you panic and want to get out of the room, you swear, you're sweaty or otherwise uncomfortable.
Medicine is consent. If you want the test to stop, it stops.
(I have some good stories from that job. Trust me when I say people with PTSD are some of the kindest, most polite and most compassionate people - the least of our dramas. EEGs for people with mental illness are a nearly everyday thing, even for a fairly green tech.)
 
Do you know what’s scaring you about the idea of a sleep study?

I finally had a consultation with a sleep consultant a few months ago after years of having night terrors and night time hallucinations. Mine aren’t predicatable - I can go weeks or even months without having a NT and then have a flurry close together. So, I thought (hoped!) I wouldn’t need to do an overnight sleep study because I thought, the chances are, nothing would happen.

They did want me to do one though. The purpose of it wasn’t to see if they could spot any parasomnias but to check whether I had any breathing issues that might require treatment. As it tuned out, as a result of the study, I got diagnosed with sleep apnea so am being treated for that. Sleep doctor thinks managing the apnea may reduce or even get rid of the parasomnias - 6 weeks in and no NT yet and only a few hallucinations whereas I used to have about three hallucinations a week. I hate using the PAP machine though so there is definitely a part of me that wishes I’d never gone to the sleep clinic in the first place! So...a bit of a heads up there...if you snore and end up doing a sleep study, you may end up with more than you bargained for!

Anyway...re being scared of having a sleep study, I really didn’t want to have one and I pretty much majorly lost my shit about it for the couple of weeks leading up to it. For me, key things freaking me out was that I would be observed/filmed while sleeping, that anyone could potentially come in to my room and do whatever they liked while I was asleep (irrational, I know, but this thought was incredibly anxiety-making for me and I ruminated on it on the run up to the sleep study. I was also freaked out by how someone would have to be close and touch me in order to put all the electrodes on. I’m not very good at being touched.

I was in a real state and very dysregulated in the run up to it but was determined to go ahead with it at that point. The reality of it when it actually happened was that it was fine.

Happy to post more about what happened or how I prepped for it if that would be helpful. The main thing I did was that I phoned the team first to get them to tell me every detail from start to finish so I knew exactly what to expect, which did help. And I also requested a female sleep technician wire me up at that point too, which was important for me but may not be for you.

If you are really dead set against a sleep study - and even if you do end up having one - I guess all you can really do is try to safe proof your sleep environment as much as you can. For me, this means keeping the bedroom floor totally clear (so there are no trip hazards) and making sure there’s nothing really sharp around eg pointy clothes hooks or door/wardrobe handles etc that I can jab myself on.

Do you know what’s causing the bruising and wounds? ie are you hitting/scratching yourself or getting out of bed and falling over or running around and smacking into things or picking up objects in the room and swinging them around or...?

What does your husband observe you doing? Is he able to stop you from doing whatever you are doing or do you have an agreement that he doesn’t interfere with your nighttime behaviour? Touching someone who is in the middle of a night terror can be hazardous so, in general, I wouldn’t recommend it! I would guess the same is true with someone who is not necessarily having a night terror but who is acting out violent dreams. That said, if you’re causing yourself real harm I would think that your husband trying to wake you would be a good idea. He wouldn’t necessarily have to touch you (and risk getting injured himself) to do that. He could blast on some loud music or something. Or, what tends to wake me up is my partner switching the lights on.
 
@Enaila I used to have acrylic nails but unfortunately have become allergic to the chemicals. I do still treat myself to a mani pedi from time to time.

@Fadeaway Thank you for the ideas. I'm actually getting out of bed or crawling around the bed then collapsing seconds to mins later.

@Swift Thank you for your kind words.

@barefoot The scariest thing for me in the entire world is to be looked at. So any kind of attention brings up some very intense fear.

Apologies for the delay. Life has been really hard and forming thoughts are hard too.
 
Crazy drastic but I used to tie myself to the bed so I wouldn't run outside and freeze to death. People got so disturbed about that but I have to say that there was no sleep study in the world that would have been able to pinpoint how to keep me safe at that point in time.
 
I think the sleep study is a good idea. If you can't do that or want to wait on it until you feel more stable, I would also recommend a neurological workup to rule anything physical out.
 
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