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Dr. Mark
Dr. Mark, Neurologist (MD)
Category: Neurology
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Experience:  Neurosurgeon - Brain, spine, and peripheral nerve surgery
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I have been sleeping at 1pm and waking up at 9pm. I think I

Customer Question

I have been sleeping at 1pm and waking up at 9pm. I think I have DSPD.
Submitted: 3 months ago.
Category: Neurology
Expert:  Dr. Caplan replied 3 months ago.

Hello!

Welcome to the JustAnswer.com question/answer interface.

I am a Family Medicine doctor, board certified with active licenses and certification in Internal Medicine, Pediatrics, Obstetrics and Gynecology, as well as Integrative Medicine & Naturopathy, with advanced training in Neurology, Cardiovascular Medicine, Gastroenterology, Endocrinology, and Psychiatry. I am also well-trained in Functional Medicine. For your review, here is my direct link with my current ratings: http://www.justanswer.com/medical/expert-familydoctor/

Expert:  Dr. Caplan replied 3 months ago.

Do you work a night shift job?

Expert:  Dr. Caplan replied 3 months ago.

By DSPD, you mean delayed sleep phase disorder?

Customer: replied 3 months ago.
No I do not. However I spent many late nights during my college days studying for exams.
Customer: replied 3 months ago.
I mean delayed sleep phase disorder
Expert:  Dr. Caplan replied 3 months ago.

I see. What makes you concerned about DSPD? is it the fact that you sleep peculiar hours, or some other feature of the sleep itself?

Customer: replied 3 months ago.
What makes me concerned is that I cannot hold a regular 9-5 job as I would be tired during those hours.
Expert:  Dr. Caplan replied 3 months ago.

Thank you for the information. Have you talked to your doctor about Provigil? or Methylphenidate?

Customer: replied 3 months ago.
No I have not. Wouldn't those drugs have negative effects on heart rate and blood pressure?
Expert:  Dr. Caplan replied 3 months ago.

not life threatening effects, for someone who is other wise healthy. Do you have other chronic medical concerns?

Customer: replied 3 months ago.
I have asthma, allergies and fibromyalgia.
Expert:  Dr. Caplan replied 3 months ago.

of course, there are risks and benefits to any medical treatment. but if you find that you can't work, that may also be a pressing concern.

Expert:  Dr. Caplan replied 3 months ago.

Those are two medication options for people who may have disordered circadian rhythms. One other possibility is what's called Seasonal Affective Disorder. Many times people feel sad or anxious with this disorder, but sometimes they can feel unusual fatigue.

Expert:  Dr. Caplan replied 3 months ago.

Was I able to address your question to your satisfaction? Can I clarify, or address any other related questions for you today?