I’m not a doctor so my comments are just observational based on my own past substance abuse, but as a chronic insomniac who at one time was also suffering from sleep apnea, any time I’ve been at my worst in substance use and I wasn’t getting sufficient REM sleep I would start to get further and further into this grey area of psychosis or mental instability that would sometimes manifest itself in unpredictable ways.
You’re probably on the right track, but even small withdrawal symptoms can impact the amount of productive sleep you get when you actually do try and rest. I know it’s hard to do because I’m a lifelong “night person” aside from the insomnia, but try to set a schedule where you commit to resting even if your body tells you to do something else instead. Just convincing it to be still for fixed periods of time will aid in letting it know that this is a time for rest. If you’re already exhausted, your body will soon get used to these opportunities and you’ll fall asleep quicker than you’d think.
For me, it’s always been a mental block against rest, because I always feel like there’s something else I should or at a minimum could be doing, but at this point in my life I’m in my 40’s and I quit smoking (both weed and tobacco) a few years ago. I drink occasionally but not very often, so while I’m still an insomniac, when I do sleep, I get productive rest and somehow it keeps me in balance. It’s at least better for me now than it was 10 years ago, although 10 years ago my music output was a lot more prolific, so I think that there are tradeoffs. Your health has to come first though, or at least that’s what I’ve been telling myself.
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