Do sleep medication or sleep aids support PEM recovery?

But often somewhere before all of this or around it is a stage where you feel strangely great. And that’s where the thru the wall has kicked in.

This also sounds familiar to me, even in my PEM confusion. I find it is not always feeling "great" or excited or energized (though it may be any or all of these things), but I have identified a specific moment in which I have the thought "I almost don't feel tired any more." Over-doing things cognitively doesn't seem to cause this very often - I skip straight to the deterioration most days - but physical exertion often does.

I am not entirely sure that it is the same thing, but I found a while ago that taking a hot shower will trigger something like this state almost immediately. I can get 2-3 minutes of feeling "normal" - (mostly) clear-headed, no desire for sleep, no heavy limbs when standing under scalding hot water and breathing in the steam, but then everything comes roaring back in an instant and I get hit with the absolutely necessity of lying down NOW. I've stopped doing that, but those 2-3 minutes are so heavenly, the temptation is always lurking at the back of my mind, like the siren call of a cigarette or maybe just one drink following years of sobriety....
 
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