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Staying asleep/ADHD when sleep well... Esp post surgery

I am considering surgery with moderate sleep apnea after not being able to tolerate Cpap.  With mouth guards I have mild sleep apnea (AHI ~10) but I still do not always wake feeling rested, ready to concentrate and tackle the day.

I noticed when I fall asleep and sleep somewhat well (like when I was tolerating and keeping cpap on or some nights with my mouth guard), there are times I have trouble staying asleep more than 4-6 hours.  I would wake somewhat refreshed but not fully refreshed.  I don't really feel like getting up and doing things and having quite enough energy to do things.  Im not sure if this is ADHD or anxiety related to worrying about not being fully awake for later events.  
One concern I have is that if I have surgery, will I be able to stay alseep if my sleep quality is better?  Sometimes I worry the sleep is just an escape and I want to be able to sleep longer.  I guess my goal is productivity and energy, just worried i'll be stuck between better sleep and only being able to sleep 3-4 hours.  Is this something psychological or a legitimate concern?  Is there likely a nutritional or medication type solution?
Thanks again.

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honestly, sometimes I feel like its nicer to sleep without my mouth guard so I can stay asleep longer.

I too tried CPAP unsuccessfully and switched to a TAP (an oral mandibular advancement device) for several years. I would also wake after 3-4 hours of sleep.

I believe our bodies get used to a shorter sleep cycle and poorer sleep, so that when we are confronted with better and longer sleep our bodies take a while to adjust. I would also get anxious, but persevered. Over time I came to realize that if I was able to relax I would fall back to sleep. I know, easier said than done! Sometimes I get up and go to the bathroom, go back to bed, find a comfortable position and just try to concentrate on my breathing - slowly breathing in and out. Often this works. At times I still have a bad night. I will get up and leave the bedroom after being awake for more than 20 minutes - i can usually tell sooner than that that I'm not relaxed enough to fall asleep or to go back to sleep. I'll generally read for a few minutes to stop my thoughts from going around and around, then go back to bed. This usually works for me. It's not easy at first, but eventually I realized I might have a couple of bad nights in a row - depending on what was happening in my life and any other stimulus (eating/drinking late, too much caffeine later in the day, bad sleep hygenien, etc), but if I was careful and avoided these activities, I would get a decent night's sleep.

Try not to get too anxious if you have a bad night and try different relaxation methods both at night before going to sleep and also for a few minutes during the day if possible.

Wendy

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