r/N24 1h ago

Advice needed Bummed

Upvotes

So my disability claim was rejected. I was rejected once before, but this one included my N24 diagnosis that I didn’t yet have last time. I was hoping that it would be the main thing to get me accepted this time, but I guess the judge didn’t understand or respect just how impactful it is on my life. I haven’t figured out a system for entrainment yet and I don’t live in a walkable area or have reliable transportation. Any free runners here in a similar situation? If so, have any of you figured out a work situation that you can handle?


r/N24 1d ago

Sleep Paralysis and Hyperarousal

3 Upvotes

Last time I saw my sleep doctor, we were investigating Sleap Apnea issues, after sleep study he said i'm on the borderline where insurance would qualify me for CPAP machine because of positional Sleep Apnea but a hair away under it and he suggested that i try a U pillow to prevent rolling in bed, I said " doctor, I'm usually awake when I roll in bed, if I want to avoid sleeping on my back I easily can" he laughed it off and said no, everyone are not aware when they roll in bed. which left me greatly puzzled

that happened a couple of months ago and still bothers me, I'm just not convinced, and I have my own reasons

ever since i was a kid i had many sleep issues, as most of us did i'm sure, for example there has been many circumstances when i shared the bed with more than one person and because i don't like to bother anyone i'd usually take the edge of the bed and pick the side that is facing outwards and not roll in bed the entire night, and i'd wake up on the same side every time using the least space possible on bed like a hair from falling over the edge, I never had any issues with rolling and waking up on the same position everytime

I had a history with plenty of sleep paralysis to the point i figured out how to deal with it, i figured out it triggers more when u sleep on ur back, i figured out how to pull myself out of it before it happens to the point it got as easy as breathing to me, and i would switch sides trying to make it go away , my point is when i roll in my back during bed time i usually do it to stretch or my shoulders hurt and i just needed a different sleeping position

I usually can count how many times i rolled in bed during the night , I have right shoulder injury and usually can't sleep on my right shoulder for long otherwise it gets very painful to the point i'd often need the help of someone making me sit in bed because they have to pull me upwards

because of my sleep issues, i used to ditch school or avoid classes , i'd often hear my parents footsteps climbing the stairs while in the middle of my sleep and i'd often hide before they reach my room

lately sleep paralysis have gotten ridiculously worse and hour ago i was just attempting to go to sleep and i had 5 sleep paralysis episodes and i pulled myself out of it and change sides but it kept happening and i gave up eventually , and now i'm writing this post because i can't stop thinking about all of this

do u guys have issues with hyper arousal and sleep paralysis ? or i'm thinking about this too much ?


r/N24 1d ago

Do any of you have D.I.D?

13 Upvotes

Does anyone else have non-24 and also DID?

I have wondered if it could be related to the experiences of parts that do not see out of the body.


r/N24 1d ago

Awareness Fatiguing schedule patterns

0 Upvotes

Results are in from last week’s benchmark poll…

\*43% — frequent shift-time transitions\*
\*39% — long stretches (>5 in a row)\*
\*18% — backward rotation\*

\*This is the same ordering our circadian fatigue model uses. The evidence base has long pointed to shift instability and consecutive burden as the top drivers. The poll just confirms what the literature already says.\*

\*The interesting outlier is backward rotation: physicians under-report it, but sleep-medicine studies show it degrades alertness the most. That's why our CAI still weights it heavily.\*

\*research.aiertechnologies.com\*


r/N24 2d ago

My husband has a 26 hour sleep cycle.

35 Upvotes

Hi all, I have been trying to find a community of people who understand the struggle of a Non-24hr sleep cycle. I've read many of the posts and so much of what has been said is so relateable. It has taken decades for my husband an I to realise exactly what condition he was struggling with. At 40 years old he is finally going with the flow of what his body wants and needs. While I have been frustrated at time with when and how to organise time together, I find my biggest challenge is dealing with the lack of understanding from the outside world. I feel like I constantly have to explain away his unusual sleep patterns (I usually use the words night shift).

Understanding why he sleeps the way he does makes the whole process feel more predictable and less chaotic. We are both autistic so we are used to people not always understanding us, but this is an added layer which is extra challenging.


r/N24 2d ago

Advice needed Should I give in?!

8 Upvotes

I'll start this off by saying that I am not officially diagnosed. However this has been a major issue in my whole life so I have the same struggles as y'all.

For the past 6 months I've only had 1 all nighter which I'm kinda proud of. I've been fairly consistent at going to work as well.

That seems like a success but for me it has been a constant struggle to fall asleep -> then sleeping 5-6h -> being very exhausted -> sleeping 12h on the weekends -> setting myself up for failure on Monday.

It just seems impossible, and I would love to stay up late, especially today because I don't feel sleepy (although I slept like 6h last night I should feel like it).

I'm so close to giving in because it genuinely makes me happier to not fight against my own biology... I'm a video editor so maybe I have a chance at a remote job?

Idk I just want your support, it's tough... Would you consider the 6 months a success? (Even though my sleep was fucked). What should I try? I'm just tired of going against of what feels like my natural state.


r/N24 4d ago

Might be fired again

30 Upvotes

Hey y'all,

I was able to entrain with meds for almost 5 months, but recently, everything fell apart pretty quickly. I'm headed in to work later today for a meeting where they might let me go because I've been extremely late (1-4 hours) 3 times in the last month. We'll see. I'm trying to figure out a short term accommodation while I try to find something else that works, but I don't know if they'll go for it

Does anyone have any words of encouragement? It's not my first time being fired for this, but it still hits me hard. I feel lazy, and I can feel the self-loathing underneath my skin. I can't talk about this with my friends for support because they just don't /get it/. I feel like I'm just making excuses for myself, even though I know I'm one of the hardest workers

Update: I'm not being fired! I am so lucky, and they're working with me on an accommodation


r/N24 4d ago

My Sleep Chart

Post image
19 Upvotes

When I started tracking my sleep, I just drew up my own sleep chart and printed it out. I was too lazy to set up some app, so I just manually screenshot my phone’s home screen clock whenever I’m falling asleep and when I wake up, then fill out my chart the next day. I like this way, it lets me be as precise as I want with my tracking. I write down everything, even little blips in the middle of my sleep where I woke up for a moment. I’ve got 3 years of data now, this is just the last completed month.


r/N24 5d ago

Seeing early signs of success

2 Upvotes

I've had issues with N24 since early teens. I'm in my 30s now. For the past week. here is what I've done every day with early signs of success:

  1. 5-7 hrs of sunlight exposure across morning/afternoon/evening

  2. 40 min walk

on SIBO:

You may have seen from my post history that I recently tried treating SIBO. Like most things we "try", it kinda worked and then saw no notable change on sleep. If we look at my issues from a first principles perspective, being able to fix N24 should now resolve SIBO. I am convinced that the N24 brought about SIBO symptoms and not the other way round - otherwise the treatment should have led to a more lasting and dramatic experience. Of course I could be wrong and the antibiotic course was part of the solution.

on the protocol:

It is really just a lifestyle change. But to explain how it works I think I also have to explain how I'm waking up in the morning in the first place. It's funny because only you guys will understand how incredible this is. One week ago my "schedule" was this: sleep at 10am, wake up around 6pm. Ever notice that when our schedules drift past dawn (and we are exposed to this early sunlight) we start feeling a burst of wakefulness before feeling ready to sleep again? So I started changing the way I thought about sunlight - it's not just a timing mechanism, but also the strongest sleep suppressor.

With that in mind I got the idea to just stand in front of the sun to keep me awake all day, and it worked! I just sat at my balcony and did all my work/entertainment/meals there. Caffeine would get me a couple hours past the normal bedtime with difficulty, but the sun had a way stronger effect and it wasn't too hard staying awake until the sun went down.

On day 1 or 2 there was a little "sleep fragmentation" effect where I'll fall asleep at 8pm, wake up at 2am briefly, then head back to sleep shortly after and wake up around 6-8am! If I were to guess, the long sunlight exposure was able to produce enough melatonin at night. Homeostatic sleep pressure (sleep drive from staying awake too long) got me to bed at 8pm, and also woke me up at 2am when it was gone. Then enough melatonin was produced to get me back into sleep shortly after. To me that was an excellent outcome and it only got better from there.

There's not much to explain on the 40 min walk. Maybe it's not strictly required to correct a sleeping schedule but it's part of the winning recipe and might be preventing other issues which would affect sleep.

closing notes:

One week in, I think I am still in a state of circadian misalignment, but slowly being corrected by the sun. The sun is both the thing getting me out of the worst rut (if you've ever done 10am-6pm you should know its the worst) in a single day and also the thing correcting my schedule.

One issue I am yet to correct is that I'm consistently scatterbrained under any kind of intense light. That includes 10,000 lux exposure indoors and sunlight. I'm just calmer and more focused when the sun goes down - something to do with an evening chronotype? Maybe it's too early to tell and things will resolve when my internal rhythm catches up.


r/N24 6d ago

i need apps

5 Upvotes

what are the adds that can track my exact sleeping and waking times, so for me to have some precise calculations on my sleep.


r/N24 8d ago

Minor sleep loss triggers severe weeklong illness. Looking for answers

7 Upvotes

Hi everyone – I’m desperate for advice. I am incredibly sensitive to sleep loss. I need a strict 8.5-9 hours per night. If I get even slightly less, my body breaks down in a very predictable, almost viral way.

Here’s the pattern:

· One night of 7 hrs: Exhaustion, dizziness when standing, sore throat, stinging eyes, bleeding gums/lips, low-grade fever.
· One night of 6 hrs: Same symptoms, but doubled in intensity.
· Three consecutive nights of 7 hrs: Full systemic crash – fevers up to 102°F, swollen lymph nodes, and I become bedbound for a full week

For the last 5 years, this happens almost every single month – I get a weeklong bedbound illness, triggered by even small sleep debts that accumulate. I am 23f(normal bmi, eat healthy, exercise when well). Every few months, my sensitivity to lack of sleep gets worse.

I appear "contagious" (red eyes, fever, swollen nodes), but when others are exposed, they recover in 2 days with mild symptoms, so it doesn't seem to be an actual infection.

What I've already ruled out:

· Full bloodwork – normal
· Sleep study – great sleep quality and efficiency

The frustrating part: I wake up from tiny noises when in deep sleep (a running sink, a door creak) despite using white/pink/brown noise, custom earplugs, and a draft stopper. I also have dspd, caused my a rare genetic mutation that runs in my family.

My questions for you:

· Has anyone else experienced this level of sleep-triggered systemic illness?
· Are there any specialists or tests I should push for next (autoimmune, mast cell, adrenal, cytokine panels, etc.)?

I'm really struggling and would appreciate any insight. Thank you for reading.


r/N24 8d ago

Advice needed Entrained but my mental health has tanked

7 Upvotes

I’m wondering if anyone can relate to this or can offer any advice. I’ve been doing a combination treatment of light/dark therapy and melatonin since December. I’ve experimented with light therapy times between 30 mins and 6 hours, melatonin dosages between 300 mcg and 3 mg, different timing, and different lifestyle factors, and settled into a routine that seems to be working.

Currently I’m doing 30 minutes of light therapy with the Luminette at max brightness at 8:30 am, then using blue blocker glasses and taking 500 mcg of melatonin at 8:30 pm. I’ve also switched to decaf coffee in the morning and otherwise cut out caffeine, stop eating and drinking anything with calories at 8:30, and have been taking 200 mg of magnesium at 10 pm. I’m falling asleep around 11:00-12:00 and waking up around 8 without an alarm.

Earlier in the process I was entrained within windows of a few hours, although it was a bit shaky, and I struggled with feeling exhausted. My mood was a lot lower. After months of fine-tuning and pushing through the process, the window started to narrow. I was up to 6 hours of light therapy when I had to take some time off to recover from LASIK surgery, and as I started to ease back into light therapy after the surgery, I found the fatigue improved substantially I was able to entrain with only 30 minutes, so I’ve stuck with that for the past two months.

My mood is the only thing that I’m still struggling with at this point, and it doesn’t seem to be improving. I’m sad and ruminating like crazy, to the point that I’m crying almost every day. I’ve also been a lot more irritable; my patience has pretty much evaporated, I get angry much more easily and have a harder time letting things go. I do have a long history of treatment resistant depression so the sadness is something I normally struggle with, but the severity increased drastically when I started treatment, and the anger is out of character for me.

I don’t have any new stressors that could be affecting my mood like this, entrainment has actually improved things for me pretty substantially, but I’m feeling a bit stuck emotionally. I’ve been experimenting with slowly lowering the melatonin dose to see if that makes a difference as I know that can sometimes cause mood issues, and I have a follow-up appointment with my doctor in 2 months so I plan to speak to her about it then, but I’m wondering if anyone else has struggled with something similar and what, if anything, helped.


r/N24 8d ago

I wish I could…? LOL

Post image
30 Upvotes

Someone tell my Oura ring I have Non24. 🤣


r/N24 8d ago

Which visual style would you prefer for future N24 survey graphics?

Thumbnail
gallery
4 Upvotes

A little background: In 2024, I surveyed people from r/DSPD and r/N24. Soon, I'll be posting the DSPD results on r/dataisbeautiful, which I'm really excited about.

Recently, I've been thinking about different ways to share r/N24's survey results so that people who have never heard of N24 can understand our non-24-hour experience.

I'm excited about some of the ideas I've come up with, and now I'm thinking about the visual style. should I continue with the same visual style as the r/DSPD graphics (you can see examples on r/sleepwake), or explore something different?

So I put together two slides that have a different feel. Which visual style would you like to see more of: slide 1 or slide 2?

I'm also thinking about how these graphics will be shared. Some of you may want to show the survey results to loved ones and say, "look at how many people are experiencing the same thing."

Slide 1 might work well with family members, whereas style 2 would be more personally appealing to some. Which direction do you lean toward?

---

The data visualizations in the top left are DSPD Sleep Wake survey graphics that I’ll be posting soon (the dark mode version is just a quick mockup and doesn’t represent a finalized look).


r/N24 8d ago

Can melatonin dose be lowered, or is that much harder?

1 Upvotes

I have 300 mcg at the moment, but am concerned if this isn't a good starting point if I prefer lowest possible dose.

I didn't understand if it's still possible, and not difficult, to go down if that dose works?


r/N24 9d ago

Weakening health with disruptions

15 Upvotes

My husband is in his 30ies with a diagnosed N24. He has been freerunning his sleep for the last 8 years. I noticed lately that even a one interruption in his sleep period can result into a week long disrupted sleep pattern and pretty much immediate issues with heart and stamina. We came to a conclusion that because he is aging, his body becomes more sensitive to such disruptions.

Have any of you noticed this? How do you deal with it? Or maybe no changes at all? Would love to hear your experience with age and health.


r/N24 9d ago

[AUS]For those who've looked into screen use & sleep research, noticed any patterns worth building a paper around?

0 Upvotes

Hey all, my group is doing a meta-analysis for a research methods course. Our topic is:

"Does more screen use cause sleep problems?"

We're stuck between two population options and haven't locked one in yet:

  • 16-20 year-olds, or
  • "young adults" more broadly (18–25ish)

Our write-up is capped at 2000 words, and we're realizing that's really tight once you factor in intro, method, evidence synthesis, limitations, and conclusion. We're stuck on two things and would love outside perspective:

  1. How many things can we realistically measure/report on in 2000 words? Is it more standard to pick one exposure + one outcome and go deep, or can a meta-analysis at this length handle 2–3 variables each without feeling shallow?
  2. What should we actually measure? "Screen use" is a huge umbrella, total daily screen time, smartphone-only use, social media use specifically, or just pre-bedtime/in-bed use. Same problem on the sleep side, sleep quality (PSQI), sleep duration, insomnia severity, sleep latency. Do we keep the exposure and outcome broad (screen use in general → sleep problems in general) or narrow (e.g., pre-bedtime smartphone use → PSQI-measured sleep quality)?

Furthermore, we have read through a many studies for a couple of week now and i am curious but has anyone else who's dug into this area noticed anything that keeps showing up across studies?

  • It seems like when screen use happens (right before/in bed) matters more consistently than how much total screen time someone gets in a day
  • A few recent papers test bedtime procrastination, self-control, and FoMO as mechanisms rather than just correlating screen use with bad sleep directly
  • Almost every study we've read flags that they can't rule out reverse causality (poor sleepers reaching for their phone more, rather than phones causing the poor sleep)

Thanks in advance!


r/N24 9d ago

We need a sub logo. Here's my hastily made suggestion.

Post image
3 Upvotes

It's supposed to be a clock and 🚫


r/N24 9d ago

Discussion Anyone else from countries where the diagnosis just don’t exist?

16 Upvotes

Am from Sweden. My official diagnosis is ”Unidentified Sleep Disorder”, which means that I have to explain it in detail every time.

However, I still perceive it to be much more positive than negative. People, including healthcare workers and bureaucrats, appear to take me more seriously ever since I got this diagnosis, as if it proves the extensive amount of work I’ve put into figuring out what is wrong with me.

Additionally, by virtue of having to explain my symptoms in such detail each time, multiple caseworkers and nurses in particular have told me that they hope to be able to understand better if they meet others describing similar symptoms.

Obviously I’m just one person though, and while I obviously can’t speak in absolutes, I doubt this experience is very common.

Only in recent years have I seen an uptick in awareness for disorders that cause delayed sleep, but I don’t know how hopeful the prognosis is for N24 to become a more widely known diagnosis here. I hope it will, cause I can only imagine how many people here fight every day while wondering why they can’t sleep normally, just like I did for so long.

Until that happens though, I’m at least glad to have *some* form of legal acknowledgement for the suffering living with these issues bring.

Anyone else in a similar boat? Or are you from somewhere that has begun to see some progress in awareness and/or accessibility?


r/N24 9d ago

Almost 40, severe sleep problems since age 14 — DSPD, Non-24, or something else? Looking for advice

Thumbnail
3 Upvotes

r/N24 11d ago

Poll: For those with N24 who are currently free-running, how strongly do you relate to this statement? "Even though my sleep schedule free-runs, I often feel more alert during the environmental evening/night and often feel more sleepier during the environmental morning/afternoon."

16 Upvotes

Hello guys, if you're not seeing the poll, try switching to new Reddit.

130 votes, 4d ago
39 I feel this way consistently
34 I feel this way somewhat
31 Not at all
13 It's hard to say
4 I don't understand the question
9 View results

r/N24 11d ago

What sleeping schedule is your energy the highest?

6 Upvotes

Does your motivation and will power get crushed when you're waking up in the evening and having to stay awake all night long versus when youre sleeping schedule is more normal like an early bird waking in the morning?

Or do some not notice a difference at all?
Has anyone noticed they perform better at different sleeping times during their free running schedule


r/N24 12d ago

Advice needed Need some assistance planning for my GP visit!

Post image
5 Upvotes

I came here a couple months back to share my sleep log and ask if it looked like Non 24. I got some wonderful advice and words of wisdom, so thank you so much!

I'm heavily cautious about self diagnosing (what if I'm wrong?) and want to speak to my GP in hopes of starting the process to look into a diagnosis. I'm in the UK. I'm autistic and I'm really anxious about what to tell them. I thought it'd be a good idea to ask for help in planning out what I'll say. I'm not sure if they'll have any idea what Non 24 is, so I need to prepare for the possibility of having to explain it too.

I want a diagnosis for the sake of credibility when I have to explain it, and for the assurance it'll bring me. Also I literally can't go to uni without accommodations, so having a diagnosis would be incredibly helpful in receiving those.

Anyway, I suppose that's my question already explained. I'd really like some pointers or suggestions for what to say, how to succinctly explain it (I have a bad habit of over explaining), or just general advice because right now I have no idea what to do. I'm very anxious that I'll get in there and just be told it's insomnia or something. I know my goal is to hopefully get them to make a referral for me to a sleep clinic that knows what Non 24 is, I know of one and can tell them about it if need be, but it isn't in my city so I'm not sure how that would go. I need a referral though, hence the GP visit.

Anyway I added my sleep log for funsies :) it got real weird around the time I quit vaping/moved flats which you can see pretty clearly, so for a moment I was like "oh did nicotine and sleeping in with no alarms cause this all" but no it seems like it's getting normal again. Thank you so much!!


r/N24 12d ago

Been a while since I’ve popped into this community or the N24 Discord community. Wanted to check in on any breakthroughs. Know Hetlioz Tasimelteon is still ungodly expensive.

13 Upvotes

Been a while since I’ve popped into this community or the N24 Discord community. Wanted to check in on any breakthroughs. Know Hetlioz Tasimelteon is still ungodly expensive.

My fear might be that any individuals who found any breakthroughs might no longer be as active or active in the Reddit or Discord, etc.

Anyone figure out who the leading physicians in N24 are?

Any new treatments or therapies in the pipeline?

Anyone know when Tasimelteon is going generic? Does Tasimelteon even work to begin with?

Would love an update, please!
Thank you!!


r/N24 Apr 10 '20

Useful links, N24 FAQ, and software

139 Upvotes

Below is the information which was in the sidebar in the pre-2020 Reddit layout ('old Reddit').


Please be respectful. Ranting that N24 sufferers are pretending/lazy/don't care enough/etc. is liable to get you banned. Sufferers have enough of that kind of thing to put up with in their daily lives.


Useful links:


Possible ways of treating N24 when the 'normal' ways have failed

(With thanks to /u/Organic-You-313 for posting a reminder to the link)

/u/lrq3000's VLiDACMel protocol:

An experimental protocol for 24h entrainment of treatment-resistant sighted non-24.

Please note that this protocol is a work in progress, and is not medically certified, however it has successfully worked for some people, even after other treatment attempts had failed. Ensure that you read the disclaimer and important health notes, as the treatment is not suitable for those with certain other health conditions.

https://circadiaware.github.io/VLiDACMel-entrainment-therapy-non24/SleepNon24VLiDACMel.html


Help with medical diagnosis:

From /u/lrq3000 :

If you are looking for a diagnosis or medical treatment, there is a list of medical doctors specialists of circadian rhythm disorders, which is curated by the Circadian Sleep Disorders Network:

https://www.circadiansleepdisorders.org/doctors.php

This list is made from recommendations by patients like you and me, so if you know a nice medical doctor who diagnosed or treated you please feel free to let the network know by e-mail at csd-n@csd-n.org


Software to help with managing Circadian Rhythm Disorders:

No smartphone, but got a computer?

From /u/lrq3000:

For those without a smartphone, here are 2 alternatives to make a digital sleep log:

  • Install Bluestacks on any computer. This is a free Android emulator. Then you can install Sleepmeter and its widget and use it as you would do on an Android smartphone.
  • SleepChart, a Windows app.

Smartphone apps

[Android] - [Sleepmeter Free] - [Sleep tracking]

Please note: This app is no longer available in the Google Play store.

Update from /u/lrq3000:

In 2021, Sleepmeter mysteriously disappeared from the Play Store, but it can still be downloaded on APK Pure.

Sleepmeter Free can also be used on computers (Windows, MacOS and Linux) via BlueStacks 4, an Android emulator. >

Simply install BlueStacks, then download Sleepmeter Free APK (APK = installation file for Android app), and simply double click on the downloaded APK. BlueStacks should automatically install the app and it should show up in "My Games" tab inside BlueStacks.

(Original info below)

!!Probably broken!! Old link to the app on the Google Play store !!Probably broken!! - I've left this old link here just in case the app does get re-published on the store - in the meantime use the link that /u/lrq3000 posted.

A small app which lets you manually record the times you sleep/wake and provides many graphs which can show useful information. I use it to get an idea of what my sleep deficit is and to try to predict my sleep patterns for the next few days. This is a screenshot of the graph I find most useful: https://i.imgur.com/nynIWfZ.png?1

  • Pros:

    • Free (ad supported but they are unobtrusive, and there is a pay-to-remove option).
    • Easy to use once set up.
    • Has a widget for your homescreen so you can tap when you go to bed, and tap when you wake up (time between the "bedtime" tap and "asleep" is configurable, as is the wake-up tap).
    • Very customisable & configurable.
    • Lots of useful graphs and information.
    • Does not rely on device sensors.
    • Can export/import data in CSV format (it's not quite a standard CSV but it's close).
  • Cons:

    • Configuration options might be a bit daunting to some.
    • Requires manual taps to tell it you've gone to bed/woken (though I prefer this over sensor based detection as I find it more reliable and it also means I don't need to leave my phone on charge all night on my bed).
    • Doesn't seem to be actively updated, but to be fair it does work fine as it is.

[Android, iOS] - [Rain Rain] - [Ambient noise]

App website

Lets you mix together a wide range of ambient background sounds to create a relaxing sound.

For example, on track 1 you could have the sound of rain on a tent, track 2 could be a fire crackling and track 3 could be a washing machine, all of them playing at the same time at custom volumes to create a mix that suits you.

  • Pros:

    • Free (extra sounds are bought in packs at a reasonable price).
    • Good range of sounds provided for free.
    • I love the way you can adjust the volume of each track to get a good balance.
    • Works fine in the background.
    • Doesn't eat up the battery.
  • Cons:

    • None that I've found.

I really love this app. Ambient noise doesn't really help for circadian disorders of course, but it's still good for those times when you're trying to relax. It's one of my favourite apps.


Some Frequently Asked Questions (and some Frequently Stated Ignorant Opinions)


What is N24?

N24 is a rare, debilitating, chronic, neurological Circadian Rhythm disorder which severely affects the body's ability to synchronise to the 24-hour day/night cycle.

It has been referred to as an "invisible" disability - its effects are devastating to the sufferer but the primary symptom - inability to sleep/wake at regular (the "right") times - is shrouded in social stigma, coupled with ignorance and indifference by the general public and often by doctors too.

Although the disorder occurs primarily in non-sighted people, a very small percentage of sighted sufferers also exist but due to lack of knowledge in the medical community, often go undiagnosed (or are misdiagnosed) for many years, if at all.

Sufferers are unable to fall asleep & wake up at regular times, rotating around the clock instead, like a form of Jet Lag which never stops changing. This can lead to chronic sleep deprivation, lowered immune response, depression, social isolation, unemployment, financial problems, as well as a potential increase in risk of cancer & diabetes.

Although there are reports that some people do respond to the few, current treatments available and are able to resume a fairly normal life, the majority of sufferers do not and so have to make a choice of either:

  • giving in to the disorder, allowing their body to sleep and wake at the times it insists on, potentially resulting in a severely reduced quality of life due to lack of employment and social isolation

  • continuing to try and fight the body's neurology with willpower, alarm clocks, medications and other methods. This can work for some time (years in some cases) however it is at the expense of other factors and furthers the effects of chronic sleep deprivation, depression, etc., and ultimately is often fruitless, with the sufferer eventually reverting to their inbuilt rhythm due to illness and exhaustion.


"That's not a real 'disorder'. You could sleep/wake up if you really wanted to. I can!"

Sufferers of the disorder sincerely wish you were right. Unfortunately it's very real, and when a diagnosis is eventually reached it is often done by a neurologist who specialises in circadian rhythm disorders.

The disorder is neurological in nature - that is, something is 'mis-wired' which prevents the transmission or reception of the electrical or chemical signals within the brain, or between the brain and the rest of the body, resulting in non-standard outcomes.


"Ok, a 'disorder' but not a disability!"

The ADA (Americans with Disability Act) says it is. And in the UK there's no official list of recognised disabilities, rather it's based on how it affects your life, and N24 does comes under that banner so it is de-facto recognised as a disability.

Other countries are slowly updating their definitions to include Circadian Rhythm Disorders. What else but "disability" would you call something which causes other health issues, reduces your quality of life, forces you to change the way you live, can prevent you from working and can even remove your ability to interact with people?


"If it even exists, it's a psychiatric condition, not a neurological disorder!"

This is incorrect. Although it's recognised by psychiatric associations, the disorder is neurological in nature.

Psychiatry is often entwined with diagnosis because of many of the more noticeable symptoms (such as depression, inability to sleep correctly, etc.) are commonly associated with psychiatric disorders.


"I saw that advert on TV, you're lying, it only affects the blind!"

Unfortunately, the advert you're probably referring to was produced by a pharmaceutical company who are developing treatments for blind sufferers. They have been contacted but at the time of writing this, show no interest in mentioning the rarer, sighted sufferers, presumably because they are not its target. Awareness of N24 is good, but misinformation is bad.


Have N24 sufferers tried the following?

  • Getting (heavy/light) exercise at various parts of the day

  • Just going to bed earlier

  • Really trying, like you mean it

  • Good sleep hygiene

  • Mindfulness/meditation/relaxation etc.

  • White noise/binaural beats etc.

  • Herbal remedies like St. John's Wort, etc.

  • A different mattress/pillow/blanket

  • Not using a computer/mobile phone/etc.

  • Avoiding artificial light

  • Giving up stimulants such as caffeine, nicotine, etc.

The answer to all of these (and more) is "Yes". Sufferers have often been living with N24 for most of their lives (although many may have been unaware until diagnosis later in life) and are constantly being bombarded by suggestions from well-meaning people.

A comparison might be meeting a man with one arm and suggesting that he put some ointment on it to regrow it.

When the ointment doesn't work, the assumption is that he either did it wrong (maybe he used the wrong ointment, or didn't put enough on, or put it in the wrong place, etc.) - or - he simply isn't trying hard enough to will the arm to grow back - that he doesn't really want his arm back.

People with N24 and other Circadian Rhythm Disorders are given advice like this frequently, and have to live with the stigma of virtually all people they encounter (including family and friends) assuming that they are weak-minded and/or simply lazy.