Help and thoughts about light therapy and dawn simulator alarm clocks

I need the help of the Dope to decide what kind of light therapy to get.

Every year when the time changes, I have a god-awful time with waking up on time, and staying awake until it’s a realistic bedtime. 6 am isn’t bad if it’s not pitch-black, and 4:45 pm feels like 2:30 am when it is pitch black.

This year, my doctor suggested using a light therapy lamp and a dawn simulator alarm clock. People I talked with at a chronic pain meeting have said they really, really help. But of course, I didn’t get brand specifics. Just that it needs to be 10,000 lux.

I’ve found one that has both the light therapy and alarm clock component in it, and I’m wondering if that’ll work nicely for both, or if it will be a situation of trying to do two things at once, but not doing either well. But I’d just as soon not buy two items if one works. The linked one would fit nicely on my bedside table.

So my questions for the great hive mind of the Dope are:

[ul]
[li]Have you used either a light therapy machine or a dawn simulator alarm clock?[/li][li]Does it help? [/li][li]Does size matter? [/li][li]Have you used a combo device?[/li][/ul]

And any other information you can think of.

Thanks!

I bought this Philips sunrise simulation alarm clock last November based on a thread here, and I have to say that it’s changed my life. I don’t use it at night, but I do use it in the morning.

I used to fight to get up in the morning; I would be aware of my alarm, would be aware that I was snoozing it, but just didn’t have the willpower to get up (just five more minutes . . . ), and when I did I’d be groggy and sleepy. It was problematic enough for me that I have struggled with chronic lateness in the mornings, and have had consequences in the workplace.

Now, I still snooze maybe once, but I’m out of bed much more quickly in the morning, and am actually awake mentally and physically.

I don’t know why it took me so long to get one, and as long as I live in a location where the days get dark/short, I’ll never go without one again.

here is a thread just a couple months ago about those types of alarm clocks:

Do those sunrise alarm clock thingies work for you

A few brands recommended in there.

We have a Lumie with a dawn simulator. It’s made such a big difference to our lives as we both struggled to wake up in the mornings and now we not only wake up fine, but I feel like we both sleep better.

My opinion is that the light therapy device should be separate from the dawn simulator, unless you spend an hour or more in your bedroom every morning. I wake up to a dawn simulator (love it) and we also have a light therapy box on the kitchen table that hubby uses as he reads the paper over breakfast in the morning. (I don’t care for it, it’s too bright for me.)

A quick note on “lux” unit, in case you’re not familiar with it: it refers to the amount of light hitting a surface, and will be specified at a certain distance directly in front of the light. If you are twice as far away, the lux hitting your eye will be reduced by a quarter. Depending on how tight of a beam the light is focused into, the lux hitting your eye will be reduced by a huge fraction if you move ~15-30 degrees off center. The upshot is that most light therapy lamps work best if you can sit very still next to them for a good chunk of time.

The light you linked to iss 10,000 lux at 15". How far are your eyes from where you would put an alarm clock, and can you point this at where your head will be when you sleep? I’m guessing that it won’t be the best dawn simulator, since it won’t effectively put light where you need it. And if it’s staying on a bedside table it won’t be the best light therapy device since you’d have to sit up next to it in bed for 30-60 minutes. I find it’s much more useful to have a light therapy lamp somewhere that fits in your natural morning routine; maybe your desk or the breakfast table.

To my own experience. If left naturally to my own devices I would happily spring out of bed at 5 AM on the summer solstice and be annoyingly cheerful and productive until going to sleep at 12 PM. In the depths of winter, however, I’d get up after dawn at ~8 AM but then I 'd crawl back to bed after sunset at 4 PM. My first few winters away from home were… ugly.

Up until this year I used this dawn simulator alarm clock. By my estimate, it only puts out ~300 lux to where my pillow is. It also puts out a very yellowish light, which is very ineffective for setting your internal clock. It was a little better than a normal alarm clock but it didn’t help a ton.

To get any actual therapeutic effect I use this blue light on my desk while I check the Dope and drink my coffee every morning. I also use it in the evenings some time. It’s not 10,000 lux, but there’s a substantial body of research showing that it’s the blue part of the spectrum that’s most important for setting your internal clock.

From ddsun’s recommendations in the previous thread, this winter I replaced my previous alarm clock/dawn simulator with a set of five “smart lights” in a floor lamp next to the bed. Specifically, I’ve got the Philips Hue starter set with three color-changing bulbs controlled by a wireless bridge, plus a pair of GE Link PAR38 flood lights (which are compatible wit the Hue bridge). I use an app on my phone to program a dawn simulation: over the course of an hour it goes from a dark blue twilight to a warm orange dawn to a bright white sunrise. The floodlights are pointed right at my face and come on last. By my estimates, the light anywhere near my pillow is 2000-4000 lux at full brightness. This setup is probably overly elaborate, and the expensive Hue color changing lights could be replaced with the much cheaper white lights.

Overall this has been far more effective than my previous dawn simulator alarm clock. I’ve been waking up without an alarm (just the lights) at 6:30-7 AM, ready to be a useful human being.

I have a few other tricks to make sure light is at appropriate levels in the evening. At night most rooms in my apartment are only lit with a few small table lamps with warm yellow lights. My computers all have f.lux installed, which is a program that gradually shifts the color temperature of your monitor from bright blue during the day to warm yellow at night. This is all to minimize the amount of blue light that I’m exposed to after sunset, which can screw with the internal clock. This helps me fall asleep regularly and without the insomnia I’d have in the past from being up late at night at my computer.

I also rely on moderate regular exercise and medication, but that can be the topic for another post.

TL;DR: Super bright “smart light” dawn simulator and careful control of light in my life helps me be a normal human being in the winter.

I have had a “sunrise” clock for many years – sorry, I’m not at home so I can’t tell you what brand – and would not be without it during the winter.

As for the light therapy box, my dear brother sent me one a couple of years ago when I complained of being down during the dark season. I tried it for about three weeks. I felt better during the first week but actually started to feel worse during the second two weeks. I stopped using it (but kept on using the sunrise clock) and have been fine ever since. Just one person’s experience; YMMV, of course.

Good luck. Definitely get the sunrise clock. You’ll wonder how you lived without it.

I don’t really think light therapy is that big a deal for your symptoms, and that the dawn simulator is usually much cheaper to get.

If you use a computer, you may want to look into f.lux or redshift. I’d had my monitor set darker and redder for a while. When I shut that off, I got a bit of a boost.

I did it the cheap way: a timer on a desk lamp, aimed right at my bed.

To be honest, it didn’t do a damn thing to make mornings easier. After a couple years I disconnected it again.

I’ve always wondered how much of this was due to the placebo effect.

That’s a very good question that’s hard to answer, since you can’t really come up with a placebo that isn’t obviously different from the treatment. But I think the whole body of research indicates that light is an effective treatment for a lot of people. From what I can recall from my research a few years ago:

[ul]
[li]Seasonal affect disorder (SAD) frequency and severity correlates with the amount of sunlight.[/li][li]For treating SAD, very bright white light (10,000 lux) is more effective than moderately bright light (<1000 lux?)[/li][li]Moderately bright blue light is as effective as very bright white light.[/li][li]Green or red light is not an effective treatment.[/li][li]Circadian rhythm (and therefore when you wake up and go to sleep) is controlled by cells in your eye that are sensitive to blue light.[/li][/ul]

I can think of experiments that would prove a mechanistic connection (are there people that lack the blue-light sensitive cells that don’t respond to light therapy?) but I don’t know if they’ve been done.

Besides, if it really is a placebo, so what? It’s effective and cheap, and there aren’t better alternative placebos.

I haven’t used any of these clocks specifically, but I do have some experience with what you’re talking about.

My snake lives in the room next to my bedroom and has a light on a timer. The timer is hard to reach (to prevent the snake from climbing on it). The last time the power went out, the timer needed to be reset, but I felt too lazy to do it. So instead of coming on at 8 am, the timer now comes on around 6:20 am. The light from the snake cage comes into our bedroom. It’s not direct light or terribly bright (it’s only two 60W-equivalent CFLs to start with), but definitely noticeable.

What’s interesting is that I’m waking up naturally around 7:15 (just ahead of when my alarm goes off), and I frequently feel more rested even though I’m technically getting less sleep.

So, consider this a +1 vote on a $5 timer and a $10 lamp, at least to get started with.