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
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
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
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… — 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
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
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
There's some debate as to whether you need to awaken from them because there are some patients who are actually starting to… — Shelby Harris 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 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
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 Image
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 Image
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 Image
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 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 - you… — 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 many people… — 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 deprived, they… — 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 you're in… — 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 and then… — Shelby Harris 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 Rozerem and… — 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 sleep, can… — Shelby Harris 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 times 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 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/quotes/img-quotes/234/shelby-harris-10520_body_when-they-people-with-insomnia-start-wor_5850.jpg)
![“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/quotes/img-quotes/7da/shelby-harris-10520_adults_we-re-not-really-sure-why-it-broken-circ_173576.jpg)
