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Harry is 20 years old. When I met Harry he was so energized about starting college. He hadn’t slept the entire night in weeks. He talked excessively about his plans and the excitement of living away from his parents. The second day of classes he called home to share the good news the he had met “the love of my life” . Harry was certain he’d met the girl he would marry. By the third week of classes the novelty of school had worn off. He lost interest in his girlfriend and regretted his decision to go so far from home. He was tired all the time and could barely get out of bed. .
Bipolar disorder is a mental health disorder characterized by mood swings. The condition starts in the late teens or during early adulthood. 5 million Americans suffer with bipolar disorder.
Symptoms are divided into symptoms that occur during the manic phase and symptoms that occur during depression. Mild bipolar disorder can be difficult to detect. During the manic phase, insomnia di is common. Other symptoms include extreme happiness for long periods of time, excessive talking, inability to concentrate , easily distracted , impulsive behavior that is often risky, overconfidence in ones abilities.
Depression is associated with a feeling of sadness for prolonged periods of time, feeling hopeless or that life is not worth living, loss of interest in being with friends and family or usual activities, excessive fatigue or sleepiness. Suicidal thoughts sometimes occur during the depression phase.
Sleep disturbance is a key feature of both phases. The manic person requires very little sleep. But during the depression phase excessive sleepiness or fatigue is characteristic. Researchers are now finding that during periods between mood swings, sleep may help stabilize mood swings.
Bipolar disorder usually requires medications to stabilize mood swings. In addition to medication practice good sleep hygiene. Details about sleep hygiene appear on an earlier post. Get adequate amounts of sleep.
Changes in sleep patterns may be an early warning of impending mental health illness such as bipolar disorder. If you think you or a loved one has bipolar disorder, seek qualified medical help.
Harvey, A, Talbot L, Gershon (2009). Sleep Disturbance in Bipoar Disorder Across the Lifespan. Clin Psychol 16(2):256-277
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Patients frequently ask, "can I use tap water in my humidifier"? Buying distilled water is an additional expense and can be inconvenient. But here's why you might want to keep using distilled water.
Using tap water will cause discoloration of the water chamber and the minerals from tap water will be deposited in the chamber causing an ugly scale. This is of some concern but the mai reason to use distilled water is to maximize the life of you positive airway pressure machine. Manufacturers warn using tape water in the water chamber of you humidifier can decrease the life expectancy of your machine. Some insurance companies will only purchase a new machine every5-7 years.
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Not getting enough sleep makes losing weight nearly impossible. Here are three ways sleep deprivation works against you and sabotages your weight loss efforts:
1. Impact of specific areas of the brain that control appetite.
2. Changes hormones that trigger hunger and specific food cravings
3. Increases the blood level of endocannabinoid.
Not getting adequate amounts of sleep affects two areas of the brain that determine what you choose to eat. The frontal lobe and primal brain regions. The frontal lobe is responsible for complex decision making. The frontal lobe helps you reason “I am trying to lose weight. Do I really want to eat all those calories found in French fries? “ Primal brain regions are associated with motivation and seeking rewards. When the primal brain overrules the frontal lobe, you rationalize and go for the fries.
Sleep deprivation also changes 3 hormones related to hunger: ghrelin, leptin, and cortisol. Ghrelin is secreted from the gut and stimulates the hunger centers of the brain. Leptin tells you to stop eating. Leptin signals to the brain “I have had enough to eat. I can stop eating now”. Sleep deprivation causes a increase in ghrelin and an decrease in leptin. Sleep deprivation increases cortisol levels. Cortisol causes you to crave foods.
Lack of sleep affects the endocannabionoid system. The endocannabionoid system(ECS) is stimulated by endocannabionoids. Endocannabionoids affect the body in a manner similar to how marijuana affects the body. Endocannabionoids increases appetite and cravings for sweets and fats. Two types of endocannabionoid receptors have been identified. Endocannabionoid receptors occur mainly in the brain but are found throughout the body.
Willpower does not overcome the effects of sleep deprivation. People short on sleep crave sweet, salty, high caloric foods. The best way to reduce your craving is to get the proper amount of sleep.
According to the National Sleep Foundation adults 18-64 years old need 7-9 hours of sleep per night. Older adults need 7-8 hours. Teenagers and younger children need more than 9 hours of sleep per night.
Many people with obstructive sleep apnea use positive airway pressure therapy because they cannot afford or don’t desire alternative treatments. But get adjusting to CPAP isn’t always easy.Read More
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Uncontrolled obstructive sleep apnea directly affects your blood sugar. First let's review obstructive sleep apnea and then I'll help you understand how sleep affects your diabetes.Read More
According to the National Sleep Foundation, more than 18 million Americans have obstructive sleep apnea syndrome (OSAS). This is why millions of people with OSAS may see insurance premiums jumps to astronomical rates.Read More