“So when you go to sleep at night, if you're someone who hasn't had any sleep deprivation, you have a very normal sleep pattern, what we tend to see is that, in adults, they go to bed and they start off by going into the deeper stages sleep.” IfsNightSleepStageBedNormalAdultsPatternsDeeperGoing To SleepDeprivationSleep Deprivation Author:Shelby Harris
“So you have Sleep Stage One, Two, and then Three/Four. One is a little bit lighter stage of the quiet, non-REM sleep and then Three/Four is really deep, deep sleep. And what you want is, you actually want a number of - you want to go through all of these stages throughout the night.” WantLittlesTwoNightThreeBitsSleepNumbersFourStageQuietLittle BitWhat You WantLightersReally DeepDeep Sleep Author:Shelby Harris
“So people only focus on getting the really deep sleep, but in reality, we spend almost 60% of the night in the stage two sleep.” PeopleTwoRealityNightSleepFocusStageReally DeepDeep Sleep Author:Shelby Harris
“So we go through in the beginning of the night, we go into the really deep stages of sleep and we actually cycle through. So, when you go down to the deep stage, then you go back up and you actually come into something called REM sleep, which is after about 90 minutes.” NightSleepMinutesStageCyclesReally Deep Author:Shelby Harris
“And you cycle throughout so that you do about five to six cycles throughout the night. And we spend more time in REM later on in the night than we do earlier on.” NightFiveSixCyclesMore Time Author:Shelby Harris
“People tend to remember their dreams in the morning a little bit better and if earlier in the night, when you're in a lot of deep sleep, if someone wakes you, or the phone rings or something, you're really confused.” PeopleIfsLittlesDreamRememberNightBitsSleepMorningLittle BitPhonesRingsConfusedWakes YouDeep Sleep Author:Shelby Harris
“Workplace accidents with people who are sleep deprived or people who work shifts and they don't get the right amount of sleep during the day or at night.” PeopleNightSleepAmountAccidentsWorkplaceDeprivedSleep Deprived Author:Shelby Harris
“So, it's not every patient that I see, but I'd say a good 70% to 80% of the patients when they go to bed it's like a stereo is playing at an 11 or 12 and they can't turn it down, at all. So it makes it very hard for their body to down regulate to be able to go to bed at night.” HardBodyAbleNightTurnsBedPatient Author:Shelby Harris
“When you are more awake at nights, they'll toss and turn, they'll think more, they get frustrated. And when that starts to happen, you really don't sleep even more because you're making your body tense and your mind is getting more and more active.” ThinkingMindBodyHappensNightTurnsSleepActiveYour BodyAwakeFrustratedTenseTossAwake At Night Author:Shelby Harris
“We've looked at sleep diaries of patients with insomnia, and they'll say that they don't sleep for one or two days. And the body actually has a natural function, after about the third day to start catching up and you get a little bit more sleep the third night. And that's usually what I tell my patients.” LittlesTwoBodyNightBitsNaturalSleepLittle BitThirdsFunctionPatientDiariesInsomniaCatchingTwo DaysCatching Up Author:Shelby Harris
“I'll work on patient's thoughts about sleep, "So I must get eight hours of sleep tonight or I won't sleep tomorrow." That sometimes - or "I won't function tomorrow." That sometimes makes it very difficult for you to sleep at night” SometimesNightDifficultHoursSleepTomorrowFunctionPatientEightTonight Author:Shelby Harris
“We'll work on relaxation strategies and also changing the times you go to bed will actually make them sleep a little bit less for a few nights so their body's natural sleep drive starts to kick in. That is very effective in about 60% to 70% of patients who do it, four to eight sessions, not even every week; it works for 60% to 70% of patients.” LittlesBodyNightBitsNaturalSleepFourWeekBedLittle BitStrategyPatientEightKicksRelaxationSession Author:Shelby Harris
“So someone who is a child usually goes to bed about 8:00 or 9:00 at night, but then when they have a circadian rhythm shift, it shifts later. And this is natural. And they start to go to bed at 11:00, 12:00, 1:00 and they want to sleep later. So we see this a lot in teens.” WantChildrenNightNaturalSleepBedRhythmTeensWant To SleepCircadian Rhythm Author:Shelby Harris
“We have other opposite problems with circadian rhythms that can happen when you - a lot of times with older adults. They start to go to bed at 6:00, 7:00 at night and they wake up at 2:00 in the morning. And they're rhythms actually shift earlier, but sometime it can just kind of miss the mark and shift too much earlier and that's when we need to treat it with bright light.” NeedsKindProblemLightHappensNightMorningToo MuchMissingBedAdultsOppositesTreatsMarkWake UpRhythmBright LightsCircadian RhythmOlder Adults Author:Shelby Harris
“So a lot of people who work rotating shifts and they work at night, their bodies are set to want to be awake during the day and sleep at night. So there are some people who have a lot of trouble adjusting their rhythms and they have trouble working the night shift, they're sleepy, they're drowsy driving home.” PeopleWantHomeBodyNightSleepTroubleDrivingRhythmAwakeSleepyAdjustingDrowsyNight ShiftRotatingDriving Home Author:Shelby Harris
“It's uncommon, but there are some people who just have a delayed circadian rhythm and they just - they sleep better during the day then they do at night. So they've - a lot of those people with delayed sleep phase disorder they start to work in bars, they work some of the late night shifts, they sort of adjust to doing it more and more as time goes on.” PeopleNightSleepGoes OnLateBarsRhythmDisorderPhasesUncommonDelayedLate NightTime Goes OnNight ShiftCircadian Rhythm Author:Shelby Harris
“If you're going somewhere East from here, generally what you want to do is you want to try to have your bed time earlier and earlier so what we'll do is I'll have someone adjust for a week or two by going to be 15 minutes earlier and getting up 15 minutes earlier every night. So that can be a really simple thing.” IfsWantTryingTwoNightSimpleWeekMinutesBedEastWhat You WantEvery NightSimple ThingsBed Time Author:Shelby Harris
“For some people they say, it's about wish fulfillment, it's about the things you are never able to do in your day you are actually fulfilling at night. There are other people who will say that it's actually telling you something.” PeopleAbleNightWishFulfillmentFulfilling Author:Shelby Harris
“Night terrors are very different from nightmares. A lot of people will think they're the same, but they're really not. Night terrors - you want to look at the time of night when you're having the problem. Night Terrors happen in deep sleep. Nightmares tend to happen in a lighter REM sleep.” PeopleThinkingWantLooksDifferentProblemHappensNightSleepTerrorNightmareLightersDeep SleepNight Terrors Author:Shelby Harris
“Night terrors are in deep sleep, and they're more common in kids, as are nightmares, but what happens in a night terror is like a flash - we think a flash of some image or something happens in the brain. We don't really quite know what. And it usually ends up with the child screaming almost like screaming bloody murder. It's very scary for the parents or whoever else is around.” ThinkingKnowsChildrenEndsHappensKidsNightParentSleepCommonBrainMurderTerrorScaryThings HappenNightmareFlashBloodyDeep SleepNight Terrors Author:Shelby Harris
“We think is happening in the brain, the way I like to think about it is, it's almost like, you're brain is going through all these stages of sleep and it's developing in children so fast that it's almost like you're shifting gears in a car. And at some point, you actually stall out a little bit, and that's kind of what happens during a night terror.” ThinkingWayKindChildrenLittlesHappensNightBitsSleepBrainStageCarLike YouLittle BitHappeningsTerrorDevelopingShiftingGearsNight Terrors Author:Shelby Harris
“Now there's some night terrors that happen in adults. And if it starts as an adult and you've never had them before, then there might be other things that are happening; it might be anxiety, depression, stress. And that's when you might have more of a thorough psychological evaluation.” IfsMightHappensNightAnxietyHappeningsAdultsStressTerrorPsychologicalThoroughEvaluationNight TerrorsAnxiety Depression Author:Shelby Harris
“Narcolepsy is a disorder that affects many different areas of life. So in typical patients with narcolepsy, they have something called "excessive daytime sleepiness." So, they're very sleepy during the day. Yet, at night, they're still sleepy, but their sleep is very broken.” StillsDifferentNightSleepBrokenAreasPatientDisorderTypicalSleepyDaytimeSleepinessNarcolepsy Author:Shelby Harris
“Now narcolepsy is really hard though because they're very tired during the day, they're sleepy during the day and it's managed mostly with medications. So we use medications to help them sleep better at night and to stay away during the day. But there are behavioral things you can do also by changing diet, exercise, having an actual nap schedule.” HardHelpingUseNightCan DoSleepExerciseTiredDietsSchedulesMedicationNapsSleepyUsing MeNarcolepsy Author:Shelby Harris
