As a person with schizophrenia, I used to be afraid of not sleeping early. At 10 p.m., I dropped everything to be in bed at 11 p.m. Then, I could not get relief, with my mind repeatedly saying something bad would definitely happen if I was not able to sleep early.
It doesn’t mean I slept at 11 p.m. though. I would toss and turn until the wee hours of the morning, before falling asleep and waking up unrested.
When I started medication, I would fall asleep early and wake up late. Even then, I felt sleepy mid-afternoon, so I would need to take naps.
My functioning was impeded, but my colleagues tried their best to accommodate me; my tasks were adjusted, and I was given space to sleep during the afternoons.
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