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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

Shelby Harris

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Shelby Harris
Age: 33
Born: 1991
Born: August 11
American Football Player
Football Player
Milwaukee City
Wisconsin
Must
Thoughts
Work
Tomorrow
Sleep
Hours
Difficult
Tonight
Makes
Patient
Night
Eight
Sometimes
Function

More quotes by Shelby Harris

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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.
Shelby Harris
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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.
Shelby Harris
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So when you're in REM sleep, your brain is very active, our body is quiet, but your brain is really processing a lot of things, a lot of emotions we dream the most in REM sleep. And then you go back down in the deep stages, and so on and so forth.
Shelby Harris
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Nightmares are distinctly different from dreams in the way that people feel them and experience them. So a lot of people think that a nightmare is something where something is chasing them and you have to wake up screaming. Yes, that's one of the more common nightmares that we see is the person chasing someone or they're being chased.
Shelby Harris
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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.
Shelby Harris
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So there's a few different ways that we treat insomnia. The first thing that we always do is we look at the cause.
Shelby Harris
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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.
Shelby Harris
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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.
Shelby Harris
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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.
Shelby Harris
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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.
Shelby Harris
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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.
Shelby Harris
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There are some people who believe that dreams really are just kind of a throwaway thing. They are just a way of your brain processing what's happening during the day, but there's really no meaning to them a lot of imagery of just flashes of what happened.
Shelby Harris
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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.
Shelby Harris
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Now circadian rhythms become very interesting and problematic for patients because when you become a teenager, your rhythms actually tend to naturally shift.
Shelby Harris
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Decrements in attention and concentration, being able to learn more efficiently, that's just not as good. Also, there are motor vehicle accidents, workplace accidents, we see that a lot.
Shelby Harris
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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.
Shelby Harris
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So, sleep deprivation, and sometimes an insomnia, which is a little bit of a different form, but just getting a lack of sleep, can lead to a number of different decrements.
Shelby Harris
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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.
Shelby Harris
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There's a new line of research showing that people who don't get enough sleep, they're body doesn't metabolize as well. And so they actually - it leads to weight gain. So if you're not getting enough sleep, you might have difficulty losing weight.
Shelby Harris
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There are some that are - REM Behavior Disorder, we'll see some court documented cases. And they really need to have a thorough evaluation with a sleep specialist.
Shelby Harris