Problem: Article: Narcolepsy is fairly uncommon, and it is important to be evaluated by a doctor for a correct diagnosis. Your doctor will give you a physical exam to rule out any other issues that may be causing symptoms similar to narcolepsy and it will be necessary for you to undergo specialized tests in a sleep disorders clinic. Your doctor will also want a detailed medical history, and may ask you to keep a sleep journal. If your doctor suspects you have narcolepsy, you will likely have to undergo at least two sleep tests, the polysomnogram (PSG) and the multiple sleep latency test (MSLT). The PSG is an overnight test in which machines at a sleep disorders clinic will measure things like your heart and respiratory rates, electrical activity in the brain, and nerve activity. The MSLT measures your tendency to fall asleep during the day and determines if elements of REM sleep occur during waking hours. They will also test how long it takes you to fall asleep. Other tests, such as blood or spinal fluid tests, may also be necessary to confirm a diagnosis of narcolepsy. Stimulants affect the body's central nervous system. They are generally the primary treatment method prescribed for those with narcolepsy as they can help you stay awake throughout the day. Talk to your doctor about stimulants and decide, based on your medical history, what the best route of treatment is for you. Modafinil and armodafinil are the most often prescribed medications for people with narcolepsy. They tend to be less addictive than other stimulants (like amphetamines) and produce less mood swings. Modafinil given in the morning prevents sleeping during the day, but should still allow you to fall asleep at night. Side effects tend to be rare, although some patients report dry mouth and nausea. Some people may not respond to modafinil or armodafinil. Other options include methylphenidate type drugs, such as Ritalin, but these have been known to produce nervousness in patients. They also tend to be more addictive. Your doctor should discuss with you the benefits and drawbacks of any stimulant. If you have any questions or concerns, discuss them with your doctor. If you suffer from symptoms like cataplexy, hallucinations, or sleep paralysis you might be prescribed selective serotonin reuptake inhibitors (SSRIs) or serotonin and norepinephrine reuptake inhibitors (SNRI's). Prozac, Sarafem, and Effexor are all types of SSRI's and SNRI's. They can be powerful in terms of combating the more severe effects of narcolepsy, but have some undue side effects. Side effects include weight gain, digestive problems, and sexual dysfunction. If you're prescribed SSRI's/SNRI's and experience any side effects, talk to your doctor about adjusting the dosage or switching meds. Sodium oxybate can be incredibly effective in combating cataplexy. It also helps with nighttime sleep and, in high dosage, can prevent daytime sleepiness as well. Sodium oxybate should be taken twice daily: one at nighttime, and one four hours later. Your doctor will want to know your medical history before prescribing sodium oxybate as it can cause serious side effects. While doctors only prescribe medication when they think the benefit outweighs the risk, you should be aware of potential drawbacks and discuss them with your doctor. Nausea and bed-wetting have been reported. If you are a sleepwalker, your sleepwalking may become worse. Talk to your doctor if you experience any side effects. Never take sodium oxybate with other sleeping medications, narcotic pain relievers, or alcohol. This can cause potentially fatal side effects, such as difficulty breathing and coma. If you're prescribed any other medications while taking sodium oxybate, ask your doctor about the possible interactions. Narcolepsy can be a difficult condition in that it can cause psychological effects. These are due to a combination of factors, such as the effects of the disorder on the brain, public stigma, frustration over the symptoms, and trauma caused by sleep paralysis or hallucinations. Frustration and low mood are often reported in narcoleptic patients, and such symptoms tend to persist longer if not addressed. If you're experiencing a chronic low mood, find a therapist in your area. You can do this by checking with your insurance provider or searching online. If you are a college student, your university might provide free counseling. Many people with narcolepsy feel frustrated by the lack of understanding. A sense of solidarity can be found by seeking out support groups. Ask your doctor or therapist about where to find support groups. If there are none in your area, many forums exist online where you can voice concerns and frustrations with others.
Summary: Get a diagnosis. Consider taking stimulants. Ask about SSRI's and SNRI's. Get a prescription for sodium oxybate. Seek out therapy and support.

Problem: Article: Your body gets used to doing the same things at the same time. When it comes to sleep, a steady schedule is best. By going to bed and getting up at the same time, your body will become accustomed to sleeping a certain number of hours at night which can help you avoid sleeping too much. Your body will want to wake up. Set a bedtime for yourself, at least eight hours before you must get up. To make sure you are actually going to sleep at your bedtime, set an alarm on your phone about an hour before. That way, you have time to wind down, turn off the electronics, and get ready for bed. One sleep cycle is about 90 minutes; therefore, try to plan the amount of sleep you get around your cycles. In fact, if you find yourself awake slightly before your alarm goes off, you should just get up, rather than entering another cycle. Waking up in the beginning or middle of a cycle can make you groggy. Don't exercise in the three hours before going to sleep. If you exercise too close to bedtime, it may stimulate your mind and body, keeping you awake.
Summary:
Stay on a routine. Make your bedtime mandatory. Be mindful of sleep cycles. Get exercise in earlier in the day.