--- title: "Meaning & Key Takeaway of: There are some patients who just have…" description: "\"There are some patients who just have insomnia and they've had it since they were a kid and we don't quite know why. So when we look at the cause, we d..." image: "https://sms4smile.com/quotes/i/f15/shelby-harris-10520_causes_there-are-some-patients-who-just-have-in_758435.jpg" --- # There are some patients who just have insomnia and they've… ![“There are some patients who just have insomnia and they've had it since they were a kid and we don't quite know why. So when we look at the cause, we definitely want to treat whatever else is going on, but insomnia often because it becomes its own diagnosis and that requires its own treatment.” quote by Shelby Harris](https://sms4smile.com/quotes/i/f15/shelby-harris-10520_causes_there-are-some-patients-who-just-have-in_758435.jpg) [Download](https://sms4smile.com/quotes/i/f15/shelby-harris-10520_causes_there-are-some-patients-who-just-have-in_758435.jpg) [Open image](https://sms4smile.com/quotes/i/f15/shelby-harris-10520_causes_there-are-some-patients-who-just-have-in_758435.jpg) > “There are some patients who just have insomnia and they've had it since they were a kid and we don't quite know why. So when we look at the cause, we definitely want to treat whatever else is going on, but insomnia often because it becomes its own diagnosis and that requires its own treatment.” [Shelby Harris](https://sms4smile.com/quotes/author/shelby-harris/) ## About This Quote This interpretation was drafted with AI assistance. It is one reading of the quote, not the author's own explanation. Insomnia can become a primary condition requiring dedicated treatment beyond addressing other health issues. **In simple terms:** Insomnia may need its own treatment. Key Takeaway Treat insomnia directly when it persists. Themes health sleep diagnosis Mood concerned clinical Type informative clinical When to use this quote - clinical practice - patient counseling - sleep clinics - research studies Key Concepts psychology chronobiology Questions to Reflect On - How can clinicians differentiate primary insomnia from secondary? - What therapies best target chronic insomnia? A Different Perspective Treating underlying causes may not resolve chronic insomnia. ★ ★ ★ ★ ★ No ratings yet [Causes](https://sms4smile.com/quotes/about/causes/) [Diagnosis](https://sms4smile.com/quotes/about/diagnosis/) [Going Insomnia](https://sms4smile.com/quotes/about/going-insomnia-5886116/) [Insomnia](https://sms4smile.com/quotes/about/insomnia/) [Insomnia Diagnosis](https://sms4smile.com/quotes/about/insomnia-diagnosis-5886115/) [Just Insomnia](https://sms4smile.com/quotes/about/just-insomnia-5886114/) [Kids](https://sms4smile.com/quotes/about/kids/) [Knows](https://sms4smile.com/quotes/about/knows/) [Looks](https://sms4smile.com/quotes/about/looks/) [Patience](https://sms4smile.com/quotes/about/patience/) [Patient](https://sms4smile.com/quotes/about/patient/) [Requires Treatment](https://sms4smile.com/quotes/about/requires-treatment-5886117/) [Sleep](https://sms4smile.com/quotes/about/sleep/) [Treatment](https://sms4smile.com/quotes/about/treatment/) [Treats](https://sms4smile.com/quotes/about/treats/) [Want](https://sms4smile.com/quotes/about/want/) ## Related quotes > [“Fiske spoke sharply to the four walls. "We need medical attention immediately. We have a gunshot wound that requires treatment." "You're not going to…](https://sms4smile.com/quotes/gordon-korman/fiske-spoke-sharply-to-the-four-walls-we-need-medical-attention/) [Gordon Korman](https://sms4smile.com/quotes/author/gordon-korman/) > [ 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… ](https://sms4smile.com/quotes/shelby-harris/when-they-people-with-insomnia-start-worrying-about-not-sleeping-i-ll/) [Shelby Harris](https://sms4smile.com/quotes/author/shelby-harris/) > [So there's a few different ways that we treat insomnia. The first thing that we always do is we look at the cause.](https://sms4smile.com/quotes/shelby-harris/so-there-s-a-few-different-ways-that-we-treat-insomnia-the-first/) [Shelby Harris](https://sms4smile.com/quotes/author/shelby-harris/) > [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…](https://sms4smile.com/quotes/shelby-harris/we-ve-looked-at-sleep-diaries-of-patients-with-insomnia-and-they-ll/) [Shelby Harris](https://sms4smile.com/quotes/author/shelby-harris/) > [In general, there are patients with insomnia who - many patients with insomnia will actually over report the lack of sleep that they are…](https://sms4smile.com/quotes/shelby-harris/in-general-there-are-patients-with-insomnia-who-many-patients-with/) [Shelby Harris](https://sms4smile.com/quotes/author/shelby-harris/) > [So if somebody has chronic pain, we want to manage the pain, but we still want to treat the insomnia separately. So what we'll…](https://sms4smile.com/quotes/shelby-harris/so-if-somebody-has-chronic-pain-we-want-to-manage-the-pain-but-we/) [Shelby Harris](https://sms4smile.com/quotes/author/shelby-harris/) > [So, sleep deprivation, and sometimes an insomnia, which is a little bit of a different form, but just getting a lack of sleep, can…](https://sms4smile.com/quotes/shelby-harris/so-sleep-deprivation-and-sometimes-an-insomnia-which-is-a-little-bit/) [Shelby Harris](https://sms4smile.com/quotes/author/shelby-harris/) > [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…](https://sms4smile.com/quotes/shelby-harris/some-patients-are-still-having-insomnia-but-it-s-seems-worse-to-them/) [Shelby Harris](https://sms4smile.com/quotes/author/shelby-harris/) > [We try not using medications initially, and we use something called behavioral therapy for insomnia. This changes behaviors people do in bed, none of…](https://sms4smile.com/quotes/shelby-harris/we-try-not-using-medications-initially-and-we-use-something-called/) [Shelby Harris](https://sms4smile.com/quotes/author/shelby-harris/) > [Well, the actual function of the brain, not so sure yet. There's a lot of different theories about it, but when you talk about…](https://sms4smile.com/quotes/shelby-harris/well-the-actual-function-of-the-brain-not-so-sure-yet-there-s-a-lot/) [Shelby Harris](https://sms4smile.com/quotes/author/shelby-harris/) > [I have never gone for a diagnosis and I don't consider myself to be bipolar, but I have extreme moods. I get heightened. I…](https://sms4smile.com/quotes/caroline-quentin/i-have-never-gone-for-a-diagnosis-and-i-don-t-consider-myself-to-be/) [Caroline Quentin](https://sms4smile.com/quotes/author/caroline-quentin/) > ["The Diagnosis" is by far my most ambitious book. I such great hopes for it... there was so much I wanted to do with…](https://sms4smile.com/quotes/alan-lightman/the-diagnosis-is-by-far-my-most-ambitious-book-i-such-great-hopes-for/) [Alan Lightman](https://sms4smile.com/quotes/author/alan-lightman/) > [I have been extremely pleased to support the Trust's work in the Lupus Unit ever since. Personal experience also motivated me to become involved…](https://sms4smile.com/quotes/elaine-paige/i-have-been-extremely-pleased-to-support-the-trust-s-work-in-the/) [Elaine Paige](https://sms4smile.com/quotes/author/elaine-paige/) > [An important finding is that by determining the genome sequences of an entire family, one can identify many DNA sequencing errors and thus greatly…](https://sms4smile.com/quotes/leroy-hood/an-important-finding-is-that-by-determining-the-genome-sequences-of/) [Leroy Hood](https://sms4smile.com/quotes/author/leroy-hood/) > [And then they sign an affidavit swearing that she's not in a vegetative stage. I'll tell you. That's a doctor you really want; they…](https://sms4smile.com/quotes/michael-schiavo/and-then-they-sign-an-affidavit-swearing-that-she-s-not-in-a/) [Michael Schiavo](https://sms4smile.com/quotes/author/michael-schiavo/) ## More by Shelby Harris > [ 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… ](https://sms4smile.com/quotes/shelby-harris/when-they-people-with-insomnia-start-worrying-about-not-sleeping-i-ll/) [Shelby Harris](https://sms4smile.com/quotes/author/shelby-harris/) > [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…](https://sms4smile.com/quotes/shelby-harris/if-there-s-a-lot-of-fear-that-s-going-on-if-there-s-a-lot-of-anxiety/) [Shelby Harris](https://sms4smile.com/quotes/author/shelby-harris/) > [We try not using medications initially, and we use something called behavioral therapy for insomnia. This changes behaviors people do in bed, none of…](https://sms4smile.com/quotes/shelby-harris/we-try-not-using-medications-initially-and-we-use-something-called/) [Shelby Harris](https://sms4smile.com/quotes/author/shelby-harris/) > [And you cycle throughout so that you do about five to six cycles throughout the night. And we spend more time in REM later…](https://sms4smile.com/quotes/shelby-harris/and-you-cycle-throughout-so-that-you-do-about-five-to-six-cycles/) [Shelby Harris](https://sms4smile.com/quotes/author/shelby-harris/) > [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…](https://sms4smile.com/quotes/shelby-harris/night-terrors-are-very-different-from-nightmares-a-lot-of-people-will/) [Shelby Harris](https://sms4smile.com/quotes/author/shelby-harris/) > [ 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… ](https://sms4smile.com/quotes/shelby-harris/we-re-not-really-sure-why-it-broken-circadian-rhythm-continues-but/) [Shelby Harris](https://sms4smile.com/quotes/author/shelby-harris/) > [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…](https://sms4smile.com/quotes/shelby-harris/some-patients-are-still-having-insomnia-but-it-s-seems-worse-to-them/) [Shelby Harris](https://sms4smile.com/quotes/author/shelby-harris/) > [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…](https://sms4smile.com/quotes/shelby-harris/sleep-paralysis-is-something-that-is-actually-very-common-many-people/) [Shelby Harris](https://sms4smile.com/quotes/author/shelby-harris/) > [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…](https://sms4smile.com/quotes/shelby-harris/so-you-have-sleep-stage-one-two-and-then-three-four-one-is-a-little/) [Shelby Harris](https://sms4smile.com/quotes/author/shelby-harris/) > [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…](https://sms4smile.com/quotes/shelby-harris/the-other-option-we-have-are-medication-treatments-so-you-ll-have-the/) [Shelby Harris](https://sms4smile.com/quotes/author/shelby-harris/) > [So, sleep deprivation, and sometimes an insomnia, which is a little bit of a different form, but just getting a lack of sleep, can…](https://sms4smile.com/quotes/shelby-harris/so-sleep-deprivation-and-sometimes-an-insomnia-which-is-a-little-bit/) [Shelby Harris](https://sms4smile.com/quotes/author/shelby-harris/) > [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…](https://sms4smile.com/quotes/shelby-harris/so-when-it-comes-to-circadian-rhythms-it-s-a-clock-that-s-basically/) [Shelby Harris](https://sms4smile.com/quotes/author/shelby-harris/) > [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…](https://sms4smile.com/quotes/shelby-harris/there-s-confusional-arousals-there-are-states-in-deeper-sleep-that/) [Shelby Harris](https://sms4smile.com/quotes/author/shelby-harris/) > [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…](https://sms4smile.com/quotes/shelby-harris/so-someone-who-is-a-child-usually-goes-to-bed-about-8-00-or-9-00-at/) [Shelby Harris](https://sms4smile.com/quotes/author/shelby-harris/) > [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…](https://sms4smile.com/quotes/shelby-harris/people-tend-to-remember-their-dreams-in-the-morning-a-little-bit/) [Shelby Harris](https://sms4smile.com/quotes/author/shelby-harris/) [Explore all 65 Shelby Harris quotes ](https://sms4smile.com/quotes/author/shelby-harris/) ## More Causes quotes > [It appears to me that one great cause of our difference in opinion on subjects which we often discuss is that you have always…](https://sms4smile.com/quotes/david-ricardo/it-appears-to-me-that-one-great-cause-of-our-difference-in-opinion-on/) [David Ricardo](https://sms4smile.com/quotes/author/david-ricardo/) > [I pray that wherever we are and whatever duties we have in the priesthood of God, we will be united in the cause to…](https://sms4smile.com/quotes/henry-b-eyring/i-pray-that-wherever-we-are-and-whatever-duties-we-have-in-the/) [Henry B. 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Well, roll my breakfast cause I'm a hungry man.](https://sms4smile.com/quotes/big-joe-turner/get-out-from-that-kitchen-and-rattle-those-pots-and-pans-well-roll-my/) [Big Joe Turner](https://sms4smile.com/quotes/author/big-joe-turner/) > [This duo inside of me causes the perfect opportunity to live and learn twice as fast as those who choose to accept simplicity.](https://sms4smile.com/quotes/tupac-shakur/this-duo-inside-of-me-causes-the-perfect-opportunity-to-live-and/) [Tupac Shakur](https://sms4smile.com/quotes/author/tupac-shakur/) > [Jobs and money are never the primary cause of stress. Thinking, negative thinking causes stress. 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So when we look at the cause, we definitely want to treat whatever else is going on, but insomnia often because it becomes its own diagnosis and that requires its own treatment.", "creator": { "@type": "Person", "name": "Shelby Harris" }, "isPartOf": { "@id": "https://sms4smile.com/quotes/#website" }, "url": "https://sms4smile.com/quotes/shelby-harris/there-are-some-patients-who-just-have-insomnia-and-they-ve-had-it/", "about": { "@type": "Thing", "name": "Causes" }, "@id": "https://sms4smile.com/quotes/shelby-harris/there-are-some-patients-who-just-have-insomnia-and-they-ve-had-it/#quotation", "image": { "@type": "ImageObject", "@id": "https://sms4smile.com/quotes/i/f15/shelby-harris-10520_causes_there-are-some-patients-who-just-have-in_758435.jpg", "contentUrl": "https://sms4smile.com/quotes/i/f15/shelby-harris-10520_causes_there-are-some-patients-who-just-have-in_758435.jpg", "url": "https://sms4smile.com/quotes/i/f15/shelby-harris-10520_causes_there-are-some-patients-who-just-have-in_758435.jpg", "width": 1080, "height": 1080, "caption": "“There are some patients who just have insomnia and they've had it since they were a kid and we don't quite…” — Shelby Harris", "creditText": "SMS4Smile Quotes", "creator": { "@id": "https://sms4smile.com/quotes/#organization" } } }, { "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://sms4smile.com/" }, { "@type": "ListItem", "position": 2, "name": "Quotes", "item": "https://sms4smile.com/quotes/" }, { "@type": "ListItem", "position": 3, "name": "Shelby Harris", "item": "https://sms4smile.com/quotes/author/shelby-harris/" }, { "@type": "ListItem", "position": 4, "name": "There are some patients who just...", "item": "https://sms4smile.com/quotes/shelby-harris/there-are-some-patients-who-just-have-insomnia-and-they-ve-had-it/" } ], "@id": "https://sms4smile.com/quotes/shelby-harris/there-are-some-patients-who-just-have-insomnia-and-they-ve-had-it/#breadcrumb" }, { "@type": "WebSite", "@id": "https://sms4smile.com/quotes/#website", "name": "SMS4Smile Quotes", "url": "https://sms4smile.com/quotes/", "publisher": { "@id": "https://sms4smile.com/quotes/#organization" } }, { "@type": "Organization", "@id": "https://sms4smile.com/quotes/#organization", "name": "SMS4Smile Quotes", "url": "https://sms4smile.com/quotes/", "logo": { "@type": "ImageObject", "url": "https://sms4smile.com/quotes/wp-content/themes/sq/assets/icons/icon-512.png", "width": 512, "height": 512 } } ] } ```