Sleep deprivation therapy for depression,sleep bruxism treatment,work shift disorder,toddler convulsions in sleep - PDF Books

admin | What To Eat Before Bed | 22.02.2014
For those of us who chronically seem to work and play too hard and deprive ourselves of sleep, it may be difficult to believe that sleep deprivation can have benefits.
Figure 1  Therapeutic effect of sleep deprivation The effect of sleep deprivation on a profile of symptoms in patients with unipolar depression.
Figure 2  Effects of sleep deprivation on mood rating for two groups of patients Notice that individuals who respond to sleep deprivation with reduced depression rating scores (responders) return to their previous condition after one night of sleep.
A more practical approach uses partial sleep deprivation, especially effective during the second half of the night, or sleep phase shifting. Getting a good amount of sleep is an important part of keeping yourself physically and mentally healthy.
Most people with mental health problems who are also suffering from sleep disorders can benefit from sleep therapy. In the beginning, you might be asked to sleep longer hours, as much as 17 hours a day. This treatment can last from a few days up to 2 weeks, wherein the number of hours of sleep will be adjusted until a patient gets back to having a normal sleeping pattern. The people who can benefit the most from sleep therapy are those who still aren’t able to get that ‘well rested’ or ‘refreshed’ feeling when waking, despite spending the entire night sleeping. Sleep deprivation therapy is considered as one of the unconventional approaches to treating depression that works 60-70% of the time. However, it’s important to understand that a prolonged sleep deprivation can cause fatigue and cognitive defects, such as poor concentration and the inability to make good decisions. There are ongoing research studies about the use of other forms of sleep therapy in treating different types of sleep disorders, such as sleep apnea, insomnia, narcolepsy and restless legs syndrome or RLS. Do what you can to ensure a good nights sleep and it will be easier for you to overcome depression.

But according to a summary of results compiled from 61 studies completed over 20 years, involving more than 1700 individuals with depression, total sleep deprivation significantly reduced depressive symptoms in 59% of the patients (Wu and Bunney, 1990). The difference between the two curves represents changes in symptom severity before (the upper profile line) and after (the lower profile line) 24 hours of sleep deprivation. However, the fact that most of the classical antidepressant drugs affect circadian rhythms, especially sleep, supports the argument that sleep may be critical to mood changes in depressed patients. These thoughts, constantly churning around in your mind can prevent you from getting a good nights sleep. This can then trigger or cause an onset of a depressive episode, and can even lead to other kinds of health problems as well. In fact, a change in a person’s sleeping pattern is often one of the first obvious symptoms of a mental health problem.
They may have the option of getting more sleep by taking naps in between their usual bedtime. They are the ones who are usually going through too much stress, and experiencing depression symptoms as well.
Studies show that a depressed person can experience an ‘antidepressant effect’ when staying up all night, or even just the last half of the night. Total sleep deprivation or a chronic partial sleep restriction is also considered to help elevate a person’s mood even if he or she isn’t suffering from a depressive disorder.
Previous studies suggest that this can be effective when used together with antidepressants in treating patients with depression. The most consistent effects involve the correction of REM sleep abnormalities characteristic of depressed individuals.
In this article, you’ll find out more about how sleep therapy can be helpful for depression.

Studies show that most depressed people experience difficulties in getting an adequate amount of deep sleep. It may be worth noting that the patients who responded to sleep deprivation were those who did not show the normal hormonal response to dexamethasone.
Some have a hard time falling and staying asleep, while there are others who sleep too much and find it almost impossible to get themselves out of bed. For example, following a single night of wake therapy, sleep phase advance with a 5-day gradual return to normal sleep time prevented relapse in two-thirds of wake therapy responders. Of course, since sleep is regulated by synergistic actions of several neurotransmitter systems, the sleep therapies and antidepressant drug therapies may have similar neurochemical targets. An additional benefit is that when classic antidepressant medication is used along with partial sleep deprivation, depressed patients respond more quickly than they do using the antidepressant drugs alone or using partial sleep deprivation alone. In support of this idea, it has been found that genetic polymorphisms of the 5-HT transporter, which alter the antidepressant effects of serotonergic antidepressants, also alter the antidepressant effects of light therapy and wake therapy in a similar fashion. Unfortunately, the depressive symptoms returned following a single night of sleep (Figure 2) for most individuals who were responders. However while 83% of the patients not receiving medication relapsed after one night’s sleep, only 59% of those given antidepressant medication relapsed after sleeping.

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