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Can sleepiness make you feel high? Understanding the effects of extreme fatigue

4 min read

Studies have shown that going without sleep for just 17 hours can lead to cognitive impairment equivalent to a blood alcohol content of 0.05%, according to researchers. This startling fact highlights why the feelings associated with extreme sleepiness can indeed make you feel high, blurring the lines between fatigue and altered states of consciousness.

Quick Summary

Extreme fatigue and sleep deprivation can induce neurological and psychological effects that mimic aspects of being 'high,' including altered perception, poor judgment, and slowed reaction time. This happens because a lack of sleep affects brain function, impacting the prefrontal cortex and other regions responsible for rational thought and emotional regulation. The phenomenon is a result of cognitive impairment and can include episodes of microsleep and dissociation, rather than a true drug-induced state.

Key Points

  • Fatigue mimics impairment: After just 17 hours of no sleep, cognitive impairment can be equivalent to being legally intoxicated, causing 'high-like' symptoms such as poor judgment and slowed reflexes.

  • Brain function is compromised: Severe sleepiness disrupts the prefrontal cortex, the brain's rational decision-making center, leading to an altered state of consciousness.

  • Microsleep is a major risk: Uncontrollable, brief episodes of sleep known as microsleep can occur with extreme fatigue, causing momentary blackouts and increasing the risk of accidents.

  • Dissociation can occur: Sleep deprivation can lead to feelings of depersonalization (detachment from self) and derealization (detachment from reality), mimicking certain dissociative experiences.

  • Brain chemistry is disrupted: Lack of sleep throws off the balance of neurotransmitters, contributing to mood swings and a distorted sense of reality.

  • Long-term risks are serious: Chronic sleep deprivation is linked to neurological damage, heightened risk of accidents, and an increased likelihood of neurodegenerative and mental health disorders.

In This Article

The Brain's Reaction to Sleep Deprivation

Sleep is far more than a simple rest period; it is a vital time for the brain to perform critical restorative processes. When you are sleep-deprived, the brain attempts to cope with this energy deficit, leading to a cascade of neurological and chemical changes. These changes can result in the perception of feeling 'high' or 'loopy,' which is a well-documented side effect of prolonged wakefulness. The longer a person stays awake, the more pronounced and severe these cognitive and perceptual disturbances become, sometimes leading to complex hallucinations in extreme cases.

The Impact on Cognitive Functions

Sleep deprivation severely impairs higher-level cognitive functions, which explains many of the symptoms associated with feeling high. The prefrontal cortex, which controls decision-making, reasoning, and impulse control, is one of the first areas affected. This impairment leads to:

  • Poor Judgment: A reduced ability to think logically and make sound decisions, often leading to impulsive or risky behaviors.
  • Slowed Reaction Time: A notable decrease in the brain's ability to process information and respond quickly to stimuli, similar to the effects of alcohol.
  • Impaired Attention and Concentration: Difficulty focusing on tasks and maintaining a train of thought, contributing to feelings of mental haziness and disorientation.

Microsleep: The Unconscious Naps

One of the most telling signs of severe sleep deprivation is the occurrence of microsleep—brief, involuntary episodes of sleep lasting from a fraction of a second to several seconds. An individual experiencing microsleep might not even realize they have dozed off. During these periods, the brain essentially shuts down briefly, causing a lapse in attention and awareness. These moments can lead to a disoriented or disconnected feeling that contributes to the 'high' sensation, and are particularly dangerous when operating machinery or driving.

Dissociation and Derealization

In addition to cognitive impairment, acute sleep deprivation can induce dissociative experiences, including depersonalization and derealization. Depersonalization involves feeling detached from one's body or mental processes, while derealization is a sense of detachment from one's surroundings, as if the world is unreal or dream-like. These feelings of estrangement and altered reality are a core component of the perceived 'high.' Research using electroencephalography (EEG) has shown that these dissociative states are linked to altered brainwave patterns, indicating a physiological basis for these experiences.

Altered Brain Chemistry and Neurotransmitters

Sleep has a profound effect on the brain's chemical balance. The sleep-wake cycle is regulated by various neurotransmitters, and a lack of sleep disrupts this delicate system. While many associate being 'high' with dopamine, it's a more complex interaction. Sleep deprivation can lead to fluctuations in dopamine levels and disrupt other neurotransmitter systems, such as serotonin and norepinephrine, which are essential for mood and cognitive function. These chemical shifts contribute to mood swings, emotional instability, and the distorted sense of reality that accompanies extreme fatigue.

Comparing Fatigue-Induced 'High' to Drug-Induced 'High'

While sleepiness can mimic some effects of being high, it is crucial to understand that the underlying physiological mechanisms and overall experience are different. The table below outlines key differences.

Feature Fatigue-Induced 'High' Drug-Induced 'High'
Primary Cause Lack of sleep, impacting cognitive function and perception due to neurological exhaustion. Introduction of an exogenous substance (e.g., THC, opioids) that directly alters brain chemistry and neural pathways.
Underlying Mechanism Disruption of normal brain function, including the prefrontal cortex, leading to impaired judgment, microsleep, and dissociation. Directly targets and stimulates specific neurotransmitter receptors (e.g., dopamine, serotonin), creating a euphoric or altered state.
Symptom Duration The 'high' sensation typically subsides after sufficient restorative sleep is obtained. Duration depends on the substance, dosage, and individual metabolism. Effects can last for hours or much longer.
Perceptual Changes May include temporary hallucinations, altered sense of reality, and difficulty with focus, often accompanied by irritability and mood swings. Can include euphoria, paranoia, heightened senses, and sometimes hallucinations, depending on the substance.
Safety Concerns Increased risk of accidents, poor decision-making, and long-term health issues if chronic. Microsleep is a significant danger. Risks vary widely depending on the substance, including addiction potential, overdose risk, and long-term physical and mental health consequences.

Long-Term Effects of Chronic Sleep Deprivation

While the acute effects of feeling 'high' from sleepiness are temporary, chronic sleep deprivation poses significant, long-term health risks. Over time, the cumulative cognitive impairment can lead to serious neurological and psychological issues. Continuous lack of sleep can damage neurons, interfere with the brain's waste-clearance system (the glymphatic system), and increase the risk of neurodegenerative diseases such as Alzheimer's. Furthermore, it is strongly linked with mental health disorders like depression and anxiety.

To improve sleep and avoid these dangerous states of exhaustion, establishing a consistent sleep schedule, creating a restful environment, and managing stress are crucial steps. If you experience persistent sleep problems or feel your fatigue is severely impacting your life, it is important to consult a healthcare professional. For more in-depth information on sleep science and brain health, a reliable resource is the National Institutes of Health.

Conclusion

In conclusion, feeling 'high' from severe sleepiness is a real and scientifically explained phenomenon resulting from significant cognitive impairment and an altered state of consciousness. It is not a drug-induced euphoria but a dangerous state of mental and physical exhaustion where the brain's normal functioning is compromised. Recognizing these symptoms and prioritizing adequate, high-quality sleep is essential for maintaining cognitive sharpness, emotional stability, and overall health. Ignoring these signs can lead to significant short-term risks, like accidents from microsleep, and serious long-term consequences for brain health.

Frequently Asked Questions

The feeling arises because severe sleep deprivation impairs the same cognitive functions that drugs can affect, such as judgment, memory, and perception. It's a state of neurological exhaustion, not chemical intoxication, that causes these alterations in consciousness.

Scientific studies show that prolonged wakefulness disrupts the normal function of the prefrontal cortex, leading to impaired rational thinking and emotional control. This, along with changes in neurotransmitter levels, can induce a 'loopy' feeling and distorted perception.

Yes, in cases of severe or prolonged sleep deprivation, it can cause perceptual changes, illusions, and even frank hallucinations. These symptoms typically worsen as the duration of sleeplessness increases, sometimes progressing towards a state resembling psychosis.

Yes, it is very dangerous. The cognitive impairment, slowed reaction time, and risk of microsleep episodes significantly increase the risk of accidents and poor decision-making. Operating a vehicle or heavy machinery in this state is especially hazardous.

While the effects begin subtly after just one sleepless night, significant impairment equivalent to mild intoxication can appear after being awake for 17 hours. As the duration of wakefulness increases, symptoms like disorientation and distorted perception become more pronounced and can set in after 24 to 48 hours or more.

A fatigue-induced 'high' is the result of neurological and cognitive disruption from exhaustion, whereas a drug-induced high is caused by external substances directly altering brain chemistry. The sensations may feel similar, but their biological origins and specific effects are fundamentally different.

Chronic, long-term sleep deprivation can cause serious, cumulative cognitive deficits and may contribute to neurological damage over time. It is also associated with an increased risk of neurodegenerative diseases and mental health issues.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.