I tried switching on the TV, hoping I'd get sleepy and just doze off. TLDR: Not a whole heck of a lot that you can tell. You probably will lose some mental and physiological defense systems. Science says this is actually a good thing to do occasionally. Scott Kelley, a 10-year Army veteran, knows about sleep deprivation. I remember one time I had to take steroids for a week. It feels normal, then gets bad, then normal again like nothing happened and in the end it's heavenly, let me walk you through it. Some people said I looked like death others just did a double take stare like they saw a zombie. Been there myself many times... As for the 'dire consequences' of a lack of sleep, as a medical layman I say to you: don't worry about it excessively. So I actually have recent experience with this. I once stayed up for four days in grad school to finish some projects. sleep effects the chemistry of the body so a dramatic shift in sleep pattern will produce the effect you describe. Also you will be hungry. I've tried laying down and going to sleep, but its like trying to go to bed when you're totally wide awake. Is this still a problem ?! And those changes should help you survive the day. I've layed in bed for hours. I haven't slept in about 48 hours. I don't know what to do. I'm tired, but I just cannot get to sleep. I feel your pain..! For the first 17-18 hours, you don't really feel much except a little routine tiredness. … after a few years you graduate with a degree in medicine. At this point the muscle fatigue is really bad to the point that even sitting up is just... heavy. Don’t binge eat after. Exercise will also help you sleep better at night. Seriously, though, welcome to the world of quite a few professions during their university years. No big deal. I slept but only about 15-20 minutes a day of real sleep. My body is ready for bed, but my brain is not. This may give you a clue as to the reason for your insomnia: * New supplements, medications, foods, beverages? I'm not really anxious or stressed. Lots of coffee, loud music, brisk walks, and utter desperation. I'm miserable. After the first night, I couldn’t sleep. It got harder and harder to stay awake, By day three I started hallucinating. I have been taking Melatonin or Lorazepam and neither seems to work for me. X Research source With a little bit of preparation and a regular schedule, you'll be able to stay awake and push through to the end. If you have been able to sleep well before, the first thing to do is to figure out what may recently have changed. I havent slept in 4-5 days, and by that I don't mean poor sleep, I mean I have NOT slept at all for 4 days. Does your doctor have you on any type of steroid medication? 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