Figetting and twitching so much I can't sleep

I suffer with depression and anxiety and have done off and on since I was really small. I have been going through the latest spell about 2 years and while the medication (Venlafaxine & Quetiapine) help with the symptoms there is one thing that nothing really seems to touch - this is that at night I get so figety and restless that I can't sleep. I'm tired and my medication slows my thoughts down and helps keep out the really unhelpful and unpleasant ones but physically I can't keep still. The main things I do are:
roll my shoulders
pick and bite my fingers
rub between my fingers and my the skin on the other side of my elbows and knees
scratch my head or legs
stretch my arms
straighten my clothes (or pjs)

These are driving me potty. I do these things during the day too but they seem to get worse towards the end of the day and sometimes I seem to get caught in a kind of loop where I can't stop myself.
So far I have tried having a hot bath before bed (plenty of soaking too to relax me)
Yoga exercises and stretches before bed
Breathing exercises and meditating
Getting a massage once a month

Anyone had anything similar or have any ideas? I've spoken with the Psychiatrist and side affects have been ruled out. I'm getting a thyroid problem checked out as it is underactive but from what I have read it doesn't fit with an underactive thyroid (its more like an overactive one!).

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18 replies since 27th January 2010 • Last reply 27th January 2010

It could be a side effect of your medication. I know someone who has been on Venlafaxine and is now on Quetiapine and they are constantly twitching, shaking and picking at their skin. He says that sometimes when he's asleep he can have such a violent twitch that it wakes him up.
Maybe have a word with your doctor about it.

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oh sounds horrid, I hope it goes away

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my daughter suffers from the same thing deppression anxiety they gave her meds but still she woke up at night so i gave her a benadryl just one she only weighs 124 bam asleep i dont know if this would mix with other meds or not ,have u tried excersise mabey that might help run walk ride a bike mabey u just arent sleepy enough for your body to relax

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what are the tics like have u had them for a long period of time and do they sometimes get worse when ur stressed nervous or anything like that bc it just a litttle bit sounds like tourettes syndrome and ocd have they checked 4 that i may b wrong thats just what sounds like do u have any control over the tics or just completely involentary

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Thanks everyone - I've wondered if they might be some strange kind of OCD as there is an element of me 'getting things right' about them, especially the rolling my shoulder thing and straightening clothes. They aren't really involuntary but if I don't do them then they're all I can think of, and I invariably end up doing them even when I try really hard not too. They do seem to get worse when I'm stressed or tired. I'm hoping they aren't side affects. My Psychiatrist doesn't think they are as they predate my current meds, they were there when I was taking Prozac and when I was taking nothing. They have got worse over time though. It feels like some of it might be tension as yoga does slightly help and so does having a bath or when I first have a massage. I also tend to think if they were side affects then they would be bad all the time. During the day they are no where near as bad.

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if you have talked to the doc and they said that is wasn't a side effect of the meds- i don't know what it could be! I would seek help of a professional if it is keeping you from resting. I have restless leg syndrome, which i am not comparing to you in anyway, i just know what it is like to not fall asleep because your body doesn't want to settle down. Positive/healing thoughts coming your way- hope you find something to ease your pains!

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i have 2concentrate on stuff 2 calkm my tics which is why i knit it sounds like really bad ocd which also fluctuates at times as well but i hope it gets better

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i have 2concentrate on stuff 2 calkm my tics which is why i knit it sounds like really bad ocd which also fluctuates at times as well but i hope it gets better

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well maybe you could set aside one hour a day for me time, take a bath and read a book. would that help? or take a walk?

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sometimes the compulsion to do things that are associated with OCD can be more extreme when you are tired or stressed. one of the questions they ask when testing for OCD is "Do you feel like you MUST do this or something bad will happen?" OCD is bizzare like that, (i.e. If i dont flick the light 5 times exactly my mom willl be hurt) I have mild ocd and its worse when Im stressed or feel out of control of my life. doing my rituals makes me feel like im reseting my world sometimes. As long as the behaviors arent hindering your daily process sometimes you just have to except it. But sometimes it can be embarrassing and burdensome. Some of the things you are doing tho sound like you are itchy or your skin is tight. try oatmeal in that bath and follow up with an unscented mosisturizing lotion. Definately discuss with your dr. And contemplate the cause of the behavior more than the behavior itself, if you can find the root of the issue it's easier to solve. Most of my behaviors stopped when i came to terms with what was causing them, being out of control and obsessing over regaining that control = behaviors for me. When I was able to learn to go with the flow a bit more and stop obsessing about being in control most of them stopped on their own.

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Thank you again everyone. I really do appreciate peoples openess and generosity in sharing their experiences. Thats one of the great things about this site Happy I've started keeping a kind of mood diary which I used to do and did for ages but this time I've included a rating for my anxiety, appetite, energy levels, sleep the night before etc so I'm wondering if over time that might help me to see if theres a pattern. I think looking into the root cause is very good advise and not something I'd really given much thought too. I'm normally careful not to put products and stuff into the bath as my skin is pretty sensitive but putting something that might soothe my skin might help. I also might start using my good friend Mr Aqueous Cream more after a bath to moisturise my skin Happy
I too have a bit of a control issue although not so much controlling situations or others, its more about controlling myself so maybe I'm kind of feeding the twitching because I can't control it! Who knows but you have all given me some food for thought. My Psychiatrist will probably write about the twitching in his letter to my GP so maybe I should mention it to my GP in case is physical too :/

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I'm sorry to hear about this Happy I have the aniety and depression I have been on meds for 9 years but have dealt with it for much longer! I have insomnia also! My Doc put me on Trazadone- its for depression but it will knock you out too. I know everyone is different with meds and all but its a suggestion! the diary will work too when you go to the doc, he may see something that you can't!!! Keep track of your eating too!!! Oatmeal baths are good (especially for the skin too) and herbal teas (the generally don't have caffine in them)Good luck hunny ((((HUGS)))) keep us updated!!! (((HUGS)))

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yes, please do. We are one big crafty family

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Kat, I also have the same problem with scratching at my scalp and I also pick at my face. It happens when I'm really stressed and don't have anything else to do with my hands. I had a really bad episode of scratching my scalp so bad that it left sores the other day. I did it while I was talking with my mom on the phone and she was berating me for "making the worst choices of anyone ever." Just because I lie in bed all day and don't take care of myself. I couldn't get through to her that I'm severely depressed right now and am not capable of functioning like a "normal" person. The scratching soothed me in a way and kept me from completely losing my temper. For me, these actions are caused by habit, stress, and a need to relieve emotional pain. Ultimately, they end up making me more depressed because my skin looks horrible so it keeps me from going out in public. Hopefully I'll learn healthier coping skills in treatment, but I've been doing these things since I was in the first grade so it will take a lot of work to undo decades of habit.

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