I had insomnia with my postpartum anxiety and it was really hard, so I feel your pain.
Originally Posted by estercita
And it bothers me that something as little as my daughter keeping us up for a couple hours was enough to raise my anxiety to the point that I couldn't sleep. My husband just seems to roll with the punches and doesn't get stressed out about such things, whereas I got so frustrated and upset that I couldn't sleep. I just feel silly for letting a temporary problem (dd's disrupted sleep) send me off into a spiral. Last night she slept from 7:30 to 6:15, so her previous problems were obviously fleeting.
Be kinder to yourself. When you're exhausted, your body (and then your mind) goes back to those same feelings you had when you were exhausted from insomnia and anxiety. Those are scary
feelings. For me, it's like having a tiny bit of PTSD - not being able to sleep raises all kinds of irrational feeling in me.
Think of it this way -- the first time around, you were washed down in a horrendous flood of emotions (and hormones). When you can't sleep, it's like feeling the water rise again. The fear of being swept away in the flood is real.
Have you ever done any work to help teach yourself relaxation? By your own description, you were high strung before you dd was born. For me, I stayed on my meds for a lot longer than I had originally planned. It's only now that my kids are much older (5 and 8) and I have time to exercise and attend to some of my needs that I've been able to wean down.
Exercise is crucial for me. If I get enough exercise, I sleep better. The thing that works best for me is a combination of aerobic stuff and yoga. Yoga is very centering. My therapist also taught me to meditate. I'd highly recommend it. I don't do it nearly enough, but when I do it regularly, I can get my body and mind under control more easily.
I also take melatonin on days when I'm a bit anxious but not so anxious that I think I need sleep meds. (I've only taken sleep meds 1-2 times in the last year.) So, when you go off the Remeron, you might want to think about adding some melatonin for a few days to transition.
Finally, please keep an eye on your moods. I'm glad you called your pdoc and I think the plan to take some preventative sleep meds for a few days is a good one. If you still don't feel better, please get back in touch with your doctor. I had to go back on meds after weaning off. I wasn't happy about it, but in retrospect, I'm glad I did.