mental health and RLS: Dear all, I don... - Restless Legs Syn...

Restless Legs Syndrome

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mental health and RLS

daisydaisy26 profile image
25 Replies

Dear all, I don't remember seeing any posts about the relation between your mental health and RLS, I am just interested, if anyone consulted a therapist for RLS? I think I read somewhere that cognitive-behavioral therapy that is some sort of counseling might be helpful. And in general, would you say that you suffer more when you are stressed or maybe certain psychological traits make you more predisposed to having RLS? I can tell that my mother is quite short-termpered and inpatient, and she tried to control that with Cymbalta, but then it worsened her RLS. She is now on vortioxetine, but it seems to cause RLS more frequently, as she increased the dose as recommended by her neurologist. If anyone tried CBT or other counselling, would be great if you could share your experience. Thanks everyone!

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25 Replies
SueJohnson profile image
SueJohnson

Vortioxetine is on the RLS-UK not safe list for RLS although some find it OK . She would be better off with Wellbutrin or trazodone.

Maymount profile image
Maymount in reply toSueJohnson

Hi Sue! I sent an update to "Notification" email. It hasn't surfaced. Just wondering where it went. Many thanks

SueJohnson profile image
SueJohnson in reply toMaymount

I'm not sure what you mean by Notification email.

Maymount profile image
Maymount in reply toSueJohnson

I sent letter to "notifications@email.healthunlocked.com".

SueJohnson profile image
SueJohnson in reply toMaymount

Oh - so you aren't getting notifications. I wasn't aware of that email address. When I had that problem I used their Help. In my case they told me to put notifications@email.healthunlocked.com in my contacts and that worked.

SueJohnson profile image
SueJohnson

See healthunlocked.com/rlsuk/po...

Joolsg profile image
Joolsg

RLS inevitably causes stress and anxiety, even in those who have never experienced it before.And lack of sleep causes depression.Treat the RLS correctly and the anxiety/depression are usually resolved.

What meds is your mother currently taking?

CBT might help but resolving the RLS is a much better solution.

All anti depressants trigger or worsen RLS.

As SueJohnson advises, trazodone and wellbutrin are safe. Or for anxiety, adding a small dose of diazepam occasionally or pregabalin may help.

amrob123 profile image
amrob123

CBT is unlikely to deal with the symptoms of RLS but may help deal with related issues (eg insomnia, anxiety etc).I saw a clinical psychologist years ago to try to ascertain whether my periodic limb movement had a psychological component. I also saw a psych who tried hypnotherapy and yet another that did EFT (= emotional freedom technique or similar).

I didn't experience any improvement from the first two, and never really pursued EFT.

When my son was diagnosed with PLMD at 13 months of age, I dismissed psychology as an ongoing line of enquiry because as my GP pointed out, infants don't have psychological issues 😀

That said, my son's sleep specialist talks about a correlation between anxiety and RLS (anecdotal).

And given the overlap between sleep disorders, neurodevelopmental and neurological conditions, and mental health conditions, i don't think we can be too definitive about correlations given that there is so much still to know.

Although it is highly likely that all these conditions origiate in the gut (or forebears guts)!

SueJohnson profile image
SueJohnson in reply toamrob123

My laugh for the day - infants don't have psychological issues🤣🤣🤣

Twitchyfeet profile image
Twitchyfeet

Hi Daisydaisy,

I have had RLS for many many years and I have been married twice. My first husband tolerated my RLS for a few years then became irritated with my constant movements, especially during the night. It wasn’t the reason he left but I’m sure it contributed. My second husband tried to help and fought for me to get treatment, however our relationship didn’t work out due to domestic violence. I am 59 and my current partner of 7 years has been tolerant up until the past two years. I had to give up my job as a reception teacher in 2021 due to covid and the effect it had on my elderly parents. I now care full time for my parents and my patience is at its lowest.

My mental health is at rock bottom as I don’t sleep at all. I’m lucky if I get 2or 3 hours a night. This, I’m sure contributes to my irritability, short temper and moodiness. I feel that nobody understands and I’m struggling physically during the day now. I’m eating during the night because I’m awake all night and I’m bored of pacing the floor. I’ve gained weight because of this and the medication, Ropinirole then gabapentin and now pregablin, I’ve recently come off hrt because I’ve read that this can irritate RLS. My head and body feels sluggish and lethargic and very depressed. So YES, I think I need help with mental health. I’m so fed up with this vicious circle and constant sadness. I see myself as the ‘sad’ character from the film, ‘inside out’.

I’m sorry for my ‘rant’ but maybe you’ve opened a can of worms and highlighted the need for support. Thank you 🙏

userotc profile image
userotc in reply toTwitchyfeet

Please see my reply to the OP.

funkyday profile image
funkyday in reply toTwitchyfeet

I have suffered terribly from insomnia since menopause, that being 12 years now. I do have serious RLS but it is under control with pregabalin and tramadol. After trying everything possible to help with the insomnia, I have found the best thing is THC. I get it with a gummy. My doctor wasn't thrilled but there is no doubt that sleep deprivation is so much worse than a gummy at nighttime to help me sleep. You won't need much. I hope it is something you might consider if they're legal in your area. I live in Canada so that isn't a problem.

SueJohnson profile image
SueJohnson in reply toTwitchyfeet

Another one to try is dipyridamole. You might want to discuss this with your doctor. It has helped some people on this forum and another forum I was on and has completely eliminated RLS in some. In the winter 2022 edition of Night Walkers, the publication of RLS.org there is an article by Sergi Ferre about dipyridamole discussing the effectiveness of it in a 2 week double blind placebo controlled study showing it completely ameliorated all symptoms. The study was by Dr. Garcia Borreguero movementdisorders.onlinelib... sciencedirect.com/science/a...

Take it on an empty stomach. (fats inhibit absorption) about 1-1/2 to 2 hours before bed. If you have headaches they tend to disappear or lessen after around 5 days. Coffee can counteract its effects by blocking the same receptors that dipyridamole aims to enhance.so the advice is to avoid it 12 to 24 hours before taking the dipyridamole. It is possible you could take it in the morning or it is possible you can't take it at all.

If that doesn't work you may need an opioid. I would recommend buprenorphine or methadone as they are long lasting. Most of the others last only 4 to 6 hours and need to be taken that often or you will have mini withdrawals. If you are prescribed one of the others be sure you are given enough to take them that often.

For depression I would recommend Wellbutrin or trazodone. Trazodone also helps anxiety and insomnia.

userotc profile image
userotc

Maybe mental health therapy is less important than Nutritional Therapy?.

Youve indicated your mum's had little/no success with prescription drugs for RLS so maybe NT can help better. We are currently adopting that approach with my mum's RLS having had success with weight loss and other health conditions eg she weaned off BP medication and it's now normal 🤞.

Birdland profile image
Birdland

My opinion would be that RLS can cause depression rather than depression causing RLS.

Eryl profile image
Eryl

Both RLS and mental problems can be caused by neuro inflammation. This inflammation can be caused by foods in the diet. youtu.be/JVl1X0fb1uA?si=Dll...

DicCarlson profile image
DicCarlson in reply toEryl

Dr. Chris Palmer's book, Brain Energy is an exceptional resource for many mental health struggles. I highly recommend it. You can also dovetail it with Life Saving Sleep by Dr. Barry Krakow - with lots on breathing disorders and sleep.

Eryl profile image
Eryl in reply toDicCarlson

Here's another one advocating diet youtu.be/tvvvLkth5Q0?si=JV2...

JenniferBut profile image
JenniferBut

You definitely can't get rid of RLS by having therapy. Look at meds and the list of triggers in files. All the best 👍

Peter000 profile image
Peter000

RLS is associated with suicide simply because of the deterioration of quality of life.

Sleeplesniights profile image
Sleeplesniights

I find CBD balm helps me

Noneoftheabove profile image
Noneoftheabove

I started CBT and my anxiety, panic attacks, PTSD and RLS went off the scale..😱😱😱

Islay9 profile image
Islay9

I am a therapist specialising in pain using talking therapy, hypnosis and the power of the body/mind connection.

I have great success working with pain and even Raynaud’s. My colleague has great success with Parkinson’s and other seemingly “no cure” conditions.

So, I was convinced I could help my RLS using this. Over the first couple of years I worked with many colleagues with varying therapies looking for a psychological connection (as mine came on very suddenly out of the blue).

Unfortunately we couldn’t get things shifted and I gave up and started medication.

Things like CBT and counselling may help with the mental health side of things but not for the actual RLS itself I don’t think.

DicCarlson profile image
DicCarlson in reply toIslay9

Curious - just what therapy for RLS are you on? My RLS was severe and it also came on suddenly for me. I have concluded it was a gut dysfunction issue as iron supplements immediately cut into the RLS for me. I'm currently on no medication and do not even take iron anymore.

Islay9 profile image
Islay9 in reply toDicCarlson

Medication, but also iron. I have wondered recently about the gut link especially since I have now developed a new dairy intolerance.

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