“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
“In general, there are patients with insomnia who - many patients with insomnia will actually over report the lack of sleep that they are getting.” SleepPatientReportsInsomniaLack Of Sleep Author:Shelby Harris
“Some patients are still having insomnia, but it's seems worse to them than actually it is. So, if they say they're sleep deprived, they haven't slept at all in three days; if we actually take them into a lab, most of the time we actually do see they're sleeping on and off here and there.” IfsStillsSeemsThreeSleepHavensPatientDeprivedInsomniaHere And ThereLabsAnd OffSleep Deprived 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
“There are some patients who just have insomnia and they've had it since they were a kid and we don't quite know why. So when we look at the cause, we definitely want to treat whatever else is going on, but insomnia often because it becomes its own diagnosis and that requires its own treatment.” KnowsWantLooksKidsCausesTreatsPatientTreatmentInsomniaDiagnosis Author:Shelby Harris
“So if somebody has chronic pain, we want to manage the pain, but we still want to treat the insomnia separately. So what we'll tend to do in our sleep lab is we'll do a thorough evaluation and we usually have myself, who is a Psychologist and a Sleep Behavioral Sleep Specialist, I treat the patients first.” IfsWantFirstsStillsPainSleepTreatsPatientManageInsomniaPsychologistThoroughLabsSpecialistsEvaluationChronic Pain 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
“The other option we have are medication treatments. So you'll have the treatments such as Ambien, Lunesta, Sonata, and we'll also have Rozerem and for some patients we use Benzodiazopine/Clonazepam. Things like that to help with anxiety.” HelpingUseAnxietyPatientTreatmentMedicationSonatasAmbien Author:Shelby Harris
“Now circadian rhythms become very interesting and problematic for patients because when you become a teenager, your rhythms actually tend to naturally shift.” InterestingPatientRhythmTeenagerVery InterestingCircadian Rhythm Author:Shelby Harris
“There's some debate as to whether you need to awaken from them because there are some patients who are actually starting to say, "I had these horrible nightmares, but I never woke up from them." But they can still recall them when they get up in the morning. So there's still some debate in the field.” NeedsStillsMorningFieldsPatientStartingDebateHorribleGet UpNightmareRecalls Author:Shelby Harris
“Some patients will report that they have sleep paralysis. If we see sleep paralysis alone and nothing else, we don't really think all that much of it, but if we see other symptoms, then it might be a red flag for something else that's going on.” IfsThinkingMightSleepRedPatientReportsFlagsSymptomsParalysisRed Flags 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
