“So there's a few different ways that we treat insomnia. The first thing that we always do is we look at the cause.” Quote by Shelby Harris
“So, more times than not, but not every time, it can be linked to a medical problem, such as menopause, cancer, chronic pain, it can be linked to anxiety and depression. Those are the more common causes.” ProblemPainCausesCommonAnxietyCancerMedicalMore TimeLinkedChronic PainMenopauseMedical Problems 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
“We try not using medications initially, and we use something called behavioral therapy for insomnia. This changes behaviors people do in bed, none of the tossing and turning.” PeopleTryingUseBedBehaviorTherapyInsomniaMedicationUsing Me 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
“So when it comes to circadian rhythms, it's a clock that's basically programmed in our body. So if you think back to times when people lived on farms and we didn't have electricity.” PeopleIfsThinkingBodyRhythmClockFarmsElectricityCircadian Rhythm Author:Shelby Harris
“People went to bed when the sun went down and they woke up when the sun came up. That's what our bodies are naturally programmed to do. However, with all the new stresses in life with electricity, with technology, we tend to override that system and we'll stay up later and we'll get up earlier or later, and we use alarm clocks, we use the light.” PeopleUseBodyLightTechnologySunBedStressDown AndGet UpClockElectricityAlarmsAlarm Clocks Author:Shelby Harris
“We haven't really - it's harder for us to set those rhythms. So it's really important to keep a steady bedtime and wake time to really lock in those rhythms.” ImportantHavensHarderRhythmSteadyLocksBedtime Author:Shelby Harris