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 Deep sleep Copy Share Image
Decrements in attention and concentration, being able to learn more efficiently, that's just not as good. Also, there are motor vehicle accidents,… — 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 Brain Copy Share Image
Now circadian rhythms become very interesting and problematic for patients because when you become a teenager, your rhythms actually tend to naturally… — Shelby Harris Circadian 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 Body Copy Share Image
We haven't really - it's harder for us to set those rhythms. So it's really important to keep a steady bedtime and… — Shelby Harris Bedtime Copy Share Image
So when it comes to circadian rhythms, it's a clock that's basically programmed in our body. So if you think back to… — Shelby Harris Body 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 Insomnia Copy Share Image
The other option we have are medication treatments. So you'll have the treatments such as Ambien, Lunesta, Sonata, and we'll also have… — Shelby Harris Copy Share Image
So you have it, you awaken from it and you can recall, in detail, what just happened, that's a nightmare. So it's… — 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
We have other opposite problems with circadian rhythms that can happen when you - a lot of times with older adults. They… — Shelby Harris Adults Copy Share Image
Now there's some night terrors that happen in adults. And if it starts as an adult and you've never had them before,… — Shelby Harris Adults 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
Jet lag depends on which direction you're going and it can be a little complicated, but there are a few different treatments.… — 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 Deep sleep Copy Share Image
So, more times than not, but not every time, it can be linked to a medical problem, such as menopause, cancer, chronic… — Shelby Harris Anxiety 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 Cycle 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
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 Accidents 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 Behavior 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 Adults 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
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 Flags Copy Share Image
So it's like your brain has a large filing cabinet and it's opening up each drawer and it's taking in various images… — Shelby Harris Brain Copy Share Image
People went to bed when the sun went down and they woke up when the sun came up. That's what our bodies… — 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 Body 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
Honestly, what we use a lot is melatonin. So we use lower dosages of melatonin, taking it at different times, depending upon… — Shelby Harris Body 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 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)
