Really if it's an hour or two after you've fallen asleep because you're in such a deep sleep at that point. — Shelby Harris Copy Share Image
We actually don't know the function of sleep all that well yet, but sleep is a time of quiescence in the brain. — Shelby Harris Copy Share Image
So the deeper stages of sleep are really those times of quiescence, you're really restoring your body and we have a few… — Shelby Harris Copy Share Image
In general, there are patients with insomnia who - many patients with insomnia will actually over report the lack of sleep that… — Shelby Harris Copy Share Image
So people only focus on getting the really deep sleep, but in reality, we spend almost 60% of the night in the… — Shelby Harris Copy Share Image
And you cycle throughout so that you do about five to six cycles throughout the night. And we spend more time in… — Shelby Harris Copy Share Image
So, sleep deprivation, and sometimes an insomnia, which is a little bit of a different form, but just getting a lack of… — Shelby Harris Copy Share Image
We try not using medications initially, and we use something called behavioral therapy for insomnia. This changes behaviors people do in bed,… — Shelby Harris Copy Share Image
There are some patients who just have insomnia and they've had it since they were a kid and we don't quite know… — Shelby Harris Copy Share Image
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… — Shelby Harris Copy Share Image
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… — Shelby Harris Copy Share Image
When you are more awake at nights, they'll toss and turn, they'll think more, they get frustrated. And when that starts to… — Shelby Harris Copy Share Image
We think is happening in the brain, the way I like to think about it is, it's almost like, you're brain is… — Shelby Harris Copy Share Image
We'll work on relaxation strategies and also changing the times you go to bed will actually make them sleep a little bit… — Shelby Harris Copy Share Image
We're not really sure why it [broken circadian rhythm] continues, but when they become adults, we usually have to treat it because… — Shelby Harris Copy Share Image
So when you're in REM sleep, your brain is very active, our body is quiet, but your brain is really processing a… — Shelby Harris Copy Share Image
Workplace accidents with people who are sleep deprived or people who work shifts and they don't get the right amount of sleep… — Shelby Harris Copy Share Image
So there's a few different ways that we treat insomnia. The first thing that we always do is we look at the… — Shelby Harris Copy Share Image
There are some that are - REM Behavior Disorder, we'll see some court documented cases. And they really need to have a… — Shelby Harris Copy Share Image
Some patients will report that they have sleep paralysis. If we see sleep paralysis alone and nothing else, we don't really think… — Shelby Harris Copy Share Image
Some patients are still having insomnia, but it's seems worse to them than actually it is. So, if they say they're sleep… — Shelby Harris Copy Share Image
People tend to remember their dreams in the morning a little bit better and if earlier in the night, when you're in… — Shelby Harris Copy Share Image
So someone who is a child usually goes to bed about 8:00 or 9:00 at night, but then when they have a… — Shelby Harris Copy Share Image
When they [people with insomnia] start worrying about not sleeping, I'll say, "Say the mantra to myself; if I don't sleep tonight,… — Shelby Harris Copy Share Image
There's confusional arousals, there are states in deeper sleep that can happen where people will go and they'll disappear and they'll take… — Shelby Harris Copy Share Image
So, it's not every patient that I see, but I'd say a good 70% to 80% of the patients when they go… — Shelby Harris Copy Share Image
It's uncommon, but there are some people who just have a delayed circadian rhythm and they just - they sleep better during… — Shelby Harris Copy Share Image
So if somebody has chronic pain, we want to manage the pain, but we still want to treat the insomnia separately. So… — Shelby Harris Copy Share Image
So a lot of people who work rotating shifts and they work at night, their bodies are set to want to be… — Shelby Harris Copy Share Image
So you have Sleep Stage One, Two, and then Three/Four. One is a little bit lighter stage of the quiet, non-REM sleep… — Shelby Harris Copy Share Image
Night terrors are in deep sleep, and they're more common in kids, as are nightmares, but what happens in a night terror… — Shelby Harris Copy Share Image
There's a problem for them [teens] when they have to get up and go to school in the morning, they're very sleepy,… — Shelby Harris Copy Share Image
Well, the actual function of the brain, not so sure yet. There's a lot of different theories about it, but when you… — Shelby Harris Copy Share Image
So when you go to sleep at night, if you're someone who hasn't had any sleep deprivation, you have a very normal… — Shelby Harris Copy Share Image
When you're in the more deeper stages of sleep - REM sleep, your body is quiet, but your mind is actually very… — Shelby Harris Copy Share Image
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… — Shelby Harris Copy Share Image
So we go through in the beginning of the night, we go into the really deep stages of sleep and we actually… — Shelby Harris Copy Share Image
Narcolepsy is a disorder that affects many different areas of life. So in typical patients with narcolepsy, they have something called "excessive… — Shelby Harris Copy Share Image
Night terrors are very different from nightmares. A lot of people will think they're the same, but they're really not. Night terrors… — Shelby Harris Copy Share Image
Sleep paralysis is something that is actually very common. Many people have it, I've had it myself. And what happens is, when… — Shelby Harris Copy Share Image
When they [people with insomnia] start worrying about not sleeping, I'll say, "Say the mantra to myself; if I don't sleep tonight, I'll likely… — Shelby Harris Copy Share
If there's a lot of fear that's going on, if there's a lot of anxiety, it's manifesting itself in your nocturnal world so that… — Shelby Harris Copy Share
We try not using medications initially, and we use something called behavioral therapy for insomnia. This changes behaviors people do in bed, none of… — Shelby Harris Copy Share
And you cycle throughout so that you do about five to six cycles throughout the night. And we spend more time in REM later… — Shelby Harris Copy Share
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… — Shelby Harris Copy Share
We're not really sure why it [broken circadian rhythm] continues, but when they become adults, we usually have to treat it because many people… — Shelby Harris Copy Share
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… — Shelby Harris Copy Share
Sleep paralysis is something that is actually very common. Many people have it, I've had it myself. And what happens is, when you're in… — Shelby Harris Copy Share
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… — Shelby Harris Copy Share
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… — Shelby Harris Copy Share
So, sleep deprivation, and sometimes an insomnia, which is a little bit of a different form, but just getting a lack of sleep, can… — Shelby Harris Copy Share
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… — Shelby Harris Copy Share
There's confusional arousals, there are states in deeper sleep that can happen where people will go and they'll disappear and they'll take on some… — Shelby Harris Copy Share
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… — Shelby Harris Copy Share
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… — Shelby Harris Copy Share
![“We're not really sure why it [broken circadian rhythm] continues, but when they become adults, we usually have to treat it because many people need to get up early to go to work and they can't be sleeping until 11:00 or 12:00. So we use treatments like bright light therapy, melatonin, things like…” quote by Shelby Harris](https://sms4smile.com/q/img-quotes/7da/shelby-harris-10520_adults_we-re-not-really-sure-why-it-broken-circ_173576.jpg)
![“When they [people with insomnia] start worrying about not sleeping, I'll say, "Say the mantra to myself; if I don't sleep tonight, I'll likely sleep tomorrow, and if not tomorrow then definitely the third" because our body has a way of naturally catching up.” quote by Shelby Harris](https://sms4smile.com/q/img-quotes/234/shelby-harris-10520_body_when-they-people-with-insomnia-start-wor_5850.jpg)
![“There's a problem for them [teens] when they have to get up and go to school in the morning, they're very sleepy, yet on the weekends, they'll sleep 12 hours, they'll sleep late and then go to bed late and wake up late. And on vacations, it's not a problem.” quote by Shelby Harris](https://sms4smile.com/q/img-quotes/b70/shelby-harris-10520_bed_there-s-a-problem-for-them-teens-when-th_1534209.jpg)
