116. Why Am I depressed and Tired All the Time? Could it be Sleep Apnea? with Carrie Bock, LPC-MHSP
Join Carrie today as she shares her personal journey with unexplained fatigue and depression, leading to a surprising discovery of obstructive sleep apnea.
Episode Highlights:
- The surprising connection between unexplained fatigue and obstructive sleep apnea.
- Key symptoms of sleep apnea to watch out for, beyond just snoring.
- How home sleep studies have made diagnosis more accessible and convenient.
- The crucial link between physical health and mental well-being.
- Simple steps you can take to improve your health and quality of life
Episode Summary:
Welcome to episode 116 of Christian Faith and OCD! I’m Carrie Bock, a licensed professional counselor in Tennessee. Today, I’m sharing my personal journey with unexplained fatigue and how it led to the discovery of obstructive sleep apnea. If you’ve ever felt persistently tired despite normal medical tests, you’re not alone. I experienced this firsthand, feeling sluggish before pregnancy and then struggling with restless leg syndrome. My exhaustion was so overwhelming that I felt like a “walking zombie,” even though my baby was sleeping through the night.
Last fall, despite a full night’s sleep, I needed excessive naps, which I initially attributed to grief from losing my parents. However, my symptoms were eventually linked to obstructive sleep apnea, a condition where the airway collapses during sleep, causing frequent breathing interruptions. This condition results in severe daytime fatigue, snoring, headaches, and can worsen mental health conditions like depression and anxiety.
Obstructive sleep apnea often goes undiagnosed but can be identified with a sleep study. The primary treatment is CPAP therapy, which helps keep your airway open. Modern CPAP machines are now more comfortable than ever, and using one significantly improved my life. I felt more refreshed, had more energy, and could fully engage in daily activities. If you’re dealing with unexplained fatigue or related symptoms, consider getting tested for sleep apnea, especially if other tests are normal.
For those seeking support, my counseling practice in Tennessee offers both in-person and online sessions. I also provide consultations for individuals outside of Tennessee.
Tune in for more:
Transcript
Welcome to Hope for Anxiety and OCD episode 116. I am your host, Keri Bach, licensed professional counselor in Tennessee, and I’m happy to be with you here today. I wanted to tell you another personal story of mine. And I know some people probably that have heard some of my past stories are wondering, how in the world can this person go through so many things?
The answer is, I don’t know. I was hesitant even to record this episode because I thought some people are gonna find this a little bit unbelievable. However, I’m here. I’m still standing. Everything’s good. Have you ever been tired and no doctor can give you any kind of medical explanation for it? Some of you know what I’m talking about.
Maybe you’ve had all the blood work tested, they’ve checked for anemia, thyroid malfunction, vitamin deficits, nothing. Nothing comes up. Everything’s fine. Your doctor says it’s fine, but inside you’re like, something doesn’t feel fine. I’m tired all the time. This was a part of my story before I became pregnant.
I was a little sluggish, but, you know, nothing major. I talked to my OB GYN and said, Hey, could you just run the blood work again? Because I feel tired. She did. It was fine. Of course, when you get pregnant, then you have a reason to be tired, right? And pregnancy came along with absolutely horrible restless leg syndrome.
If you’ve never had restless It’s hard to describe, but your legs are not calm and they just feel this need to move. It can keep you up because it’s so uncomfortable. And Restless Leg Syndrome, hey, it’s something that can happen during pregnancy. And of course, as with pregnancy, there’s Very few options that you have in terms of what medication you can take, and so the restless leg syndrome medication they determined would have risk that I didn’t want, and I ended up taking that.
So I can’t sleep, still tired, and then I had a baby. Of course I was tired. I had every excuse to be tired. Who wouldn’t be? Now looking back on it, being outside of the situation, I was more than just tired. I was a walking, working, zombie mom. I was functional, I was doing the things I needed to do, yet I would crash on the couch after dinner, just, I was unable to engage with my daughter.
I remember just, like, laying there and feeling like I could go to sleep right now if there wasn’t so much happening around me. Last fall, I knew that there was something more wrong. My daughter was sleeping through the night, but I never woke up rested. I laid down and on a Sunday afternoon, I thought, well, I’m just going to get this quick cat nap after church and fell asleep for two hours.
And this was after I had already gotten a full night’s sleep the night before. I shouldn’t have needed a two hour nap. And I knew that that, that wasn’t normal. I was continuing to have daytime fatigue. I woke up with headaches. I felt depressed. I honestly chalked some of that up to losing both of my parents in a six month time span.
Some of you may remember on a previous episode where I was talking about my grief and loss journey, just telling you how exhausting it was. Well, I didn’t know that more than depression and grief were going on there. What was the secret cause to my exhaustion? Obstructive sleep apnea. Maybe you’ve heard of sleep apnea, but don’t really know that much about it.
And I wanted to share my story to help someone else who may be struggling with depression, anxiety, unexplainable fatigue. Sleep apnea is when the muscles in the neck relax at night, causing the airway to collapse, causing someone to stop breathing for a short period of time. And this can actually happen many times in a single hour of sleep.
So imagine multiplying that by the number of hours that you sleep at night, meaning that you could potentially stop sleeping. 30, 50 times in a night, easily. The symptoms of sleep apnea are daytime sleepiness, fatigue, snoring. I didn’t realize that snoring meant that somehow your airway was constricted. I thought it was just a thing that some people did.
Both of my parents snored. I had been told that I snored, but I never thought it was a big deal because no one had ever said, hey, I think you stop breathing when you’re sleeping. It was just like, hey, you snore. Observed episodes of stopped breathing. Sometimes that may happen if you have somebody that you’re sleeping with at night, like a spouse, waking up during the night, gasping, choking with a rapid heartbeat or in a panic.
This is an important symptom for some of you who are struggling with anxiety. You may not know that just waking up in a panic might be a symptom of sleep apnea. Morning headaches. When you lose oxygen to the brain, your head hurts. Trouble focusing, even on tasks that should be routine or pretty simple.
Depression, high blood pressure. I never had high blood pressure until I was pregnant with my daughter. It ended up with preeclampsia. I had some after my daughter that, you know, it didn’t go away right away. Blood pressure fluctuations. can happen with sleep apnea. Sometimes it can come up low, and that actually happened to me shortly before my diagnosis.
My blood pressure was actually a little bit low. So that’s something to watch out for. Oftentimes, we don’t know that we have high blood pressure unless we’re getting it checked. Restless leg syndrome or jerking movements during sleep. If your legs or arms just seem to be jerking a lot, that’s your body trying to wake you up.
Prior to my diagnosis, I didn’t know that being over 40 is a risk factor. I just turned 40 this past year. And the treatment for sleep apnea is CPAP therapy, which is where a machine blows air into your airway to keep it open, keep it from collapsing. It’s amazing. Unfortunately, sleep apnea often goes undiagnosed.
Shortly before I had my sleep study done, a client I hadn’t seen in a while came back to see me and she mentioned something about waking up in a panic attack. I had told her that was a symptom of sleep apnea. Previously, similar story, she tried to tell medical professionals, doctors, how tired she was and said, this isn’t normal that I’m this tired.
No one recommended a sleep study, but after talking with me, she pursued one and got on CPAP therapy and had come back and let me know that she was feeling so much better after engaging in that therapy. Many years ago, in order to get a sleep study, you would have had to go into a lab. Sometimes that still happens on rare occasions if for some reason a home sleep study doesn’t show anything.
But now there’s all these technology that they have to be able for you to take a device home and have your sleep study done at home in the comfort of your own home. That’s where most of us sleep comfortably and more naturally. I wore a ring device, um, on my finger that measured heart rate fluctuations and it was comfortable.
It was really easy to use. My results were given to me, which I wasn’t surprised at all by this point that I was diagnosed with a moderate obstructive sleep apnea. And they said that usually the home test is a little bit lower threshold. then in person. So it probably could have been in the severe category.
I was set up with a CPAP machine. Now, you may have heard all kinds of horrors about CPAP therapy, but I really didn’t have too much trouble adjusting. Once again, technology has advanced. They’ve created all different kinds of CPAP machines, masks, Slowly making them more and more comfortable, getting you fitted the right way, so that it’s easier to get adjusted to.
I immediately noticed that even with four hours on the CPAP, because in the beginning it felt like, okay, I could wear it about half the night and then I just needed to take it off. Four hours being on the CPAP was better than eight hours without it, in terms of feeling more refreshed in the morning and feeling more rested.
That kept me using it night after night. That kept me keep coming back because I just felt so good. One thing I want you to know that I realized now through this process, God created our bodies so incredibly resilient to adapt to situations. That realistically, we should not be able to adapt to. I learned that my body adapted to running on fumes.
Being tired had become so normal that I didn’t even realize how good I could feel until after the fact. Some of you are sitting here wondering, can I feel better? The answer is yes. Yes, you can feel better, but your body has gotten so used to living and being stuck in anxiety and depression that you don’t even know what’s on the other side because you’re just stuck and you’ve adapted to it.
I absolutely love my CPAP machine. If I travel, it goes with me. I do not leave home without it if I’m going to be sleeping somewhere else. I thank God for it. Every boarding, I feel so rested. I have so much more energy to play with my daughter. I have energy now to exercise. My brain is not foggy. I can focus on work.
I’m not a zombie mom anymore. Shortly after I started CPAP therapy, I was able to get off antidepressants because I had energy again to do the things that I wanted to do. I wasn’t feeling that huge weight anymore of just sluggishness. So often, we assume that mental health problems are always based in our mind alone, and you have to understand that our physical health and our mental health are so intertwined.
Sometimes there is a genuine medical root that is either causing your mental health symptoms or it could be exacerbating those symptoms. Maybe you have a propensity already towards anxiety and depression, but lack of oxygen to your brain due to sleep apnea is just exacerbating that problem so much more.
If you have any of these things symptoms that I listed before, and they just seem chronic, they’re not going away, they’re not getting better. All your blood work looks fabulous, but you know something’s wrong. Please, get tested. Don’t let the CPAP horror stories deter you. Untreated sleep apnea puts you at greater risk of having a heart attack or stroke.
So please get tested, at least rule it in or out. If you suspect that you may have sleep apnea at all. One of the reasons I’m doing this episode is because it’s not on a lot of people’s radar. And I’ve even had more clients come to see me with similar symptoms that I’ve really recommended. Like, Hey, you really may want to get a sleep study if for nothing else, at least rule it out.
And then you’ll know. You know, you’ll know one way or the other. For those of you who don’t know, I have a counseling practice in Tennessee. So if you are looking for counseling for trauma, anxiety, OCD, I am open for business, uh, in person in Smyrna, Tennessee, and online across the state of Tennessee. I also provide consultations for individuals who are out of state, helping them.
Get connected with resources that they might need, whether that’s therapist resources, self help materials. I have an online course for helping Christians develop mindfulness skills. What mindfulness does is it’s amazing for anxiety and OCD. It allows us to be able to. Be in the present moment with intentionality, developing self awareness, developing acceptance over our situation, allowing us to let go of control, give that control over to God.
He has it already anyway. Thank you so much for listening to the show today, and you can always reach us anytime online at hopeforanxietyandocd. com. Hope for Anxiety and OCD is a production of By The Well Counseling. Our show is hosted by me, Carrie Bach, Licensed Professional Counselor in Tennessee.
Opinions given by our guests are their own and do not necessarily reflect the views of myself or By the Will Counseling. Our original music is by Brandon Mangroom. Until next time, may you be comforted by God’s great love for you.