Tag: anxiety

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How to get back to sleep and why it’s so important: @ClevelandClinic

cleveland back to sleep

Your bed should be a place of relaxation and rejuvenation. But if you’re having trouble sleeping, that’s likely not the case.

Not only can not sleeping be frustrating, but getting a good night’s sleep is vital to maintaining your overall health and mental well-being. Seven or more hours of quality sleep each night recharges your body physically, but can also help flush toxins from your brain and allow your mind to fully rest — which assist in your mental alertness, decision-making, and overall clarity the next day.  And if you’re sick, your brain needs to be in tip-top shape to help you recover.

That’s why sleep expert Nancy Foldvary-Schaefer, DO, says you should do everything you can to address any sleep issues you’re experiencing.

Different ways your sleep can be interrupted

Besides external influences like recurring noises (from a crying infant to a snoring partner) or travel-related time changes that keep you up at night, sleep deprivation may come in many other forms.

“For example, some people experience chronic insomnia — a sleep disorder in which you have trouble falling and/or staying asleep,” Dr. Foldvary-Schaefer says. “Others may experience cycles of waking up but not being able to get back to sleep.“

And sometimes, even if you’re able to fall asleep but were focused on unresolved issues or worries right before you closed your eyes — this may affect the quality of sleep you actually achieve. “You may find yourself groggy in the morning or feeling tired, cranky or unproductive,” Dr. Foldvary-Schaefer says. “Also, a lack of sleep can affect your judgement and emotional response to otherwise normal daily activities.”

How stress can affect your sleep

Many of us tend to bring our daily stress to bed with us — which is exactly the place it doesn’t belong. It’s not easy to leave stress at the end of your day. But keeping these stressful thoughts in focus right before sleep can definitely prevent you from getting some good shuteye.

“This is something you should try to avoid whenever possible, as it can cause a variety of sleep problems,” Dr. Foldvary-Schaefer notes. “It may take practice, but committing to stress-reduction behaviors at the end of your day is very important. The more active you are in kicking stress out of bed each night, the more likely your overall sleep quality will improve.”

How to de-stress before bed

You may not be aware that bringing stress to bed could be causing a negative cycle to form. If you have trouble falling asleep, the longer you lie awake, the more aggravated you may become. Soon you may unknowingly associate your bed as a place of discomfort, rather than one of comfort. The key is to remove any negative association with your sleep space by forming healthy pre-sleep habits. Dr. Foldvary-Schaefer offers these tips for developing better pre-sleep practices:

  • Plan for tomorrow earlier in the evening — Carve out time each night before or after dinner to “wrap up” your thoughts about the last 24 hours. Plotting out your next day well before bedtime can help you check that “planning box” early enough to give yourself time to transition and quiet your mind before bed.
  • Get up if you’re not asleep after 20 minutes — It may be a good idea to take your frustrations to a different room and leave them there — literally. A short walk will get your brain actively focused on motor coordination, rather than worrying. Write down what’s on your mind on a piece of paper and revisit it in the morning. You’ll return to bed anticipating a fresh perspective in the morning (a best practice, anyway) — and leave your bedroom as your special place to rest and relax.
  • Develop your pre-sleep ritual — Take a walk after dinner to catch a sunset, take a long bath or enjoy a nightly cup of caffeine-free herbal tea.
  • Avoid overstimulation — Avoid not eating, working, or browsing a screen of any kind in bed. Reading a book off-screen may help, or enjoying a relaxing playlist to give your mind something to connect with, but not be overstimulated by.
  • Practice yoga or meditation — Closing your eyes, practice simple mindfulness, awareness or concentrated focus on your breathing for five minutes. This can help your body and mind relax — and transition  you to a more restful sleep.

If trying some of the strategies above to reduce or manage your stress aren’t helping your insomnia, cognitive behavioral therapy (or CBT-i) might be a good option.

“CBTi is a structured program that helps you identify and replace thoughts and behaviors that cause (or worsen) sleep problems with new habits and thought patterns that promote healthy sleep,” explains sleep expert Michelle Drerup, PsyD.

“CBTi is offered by trained specialists nationwide, including at many larger hospitals or academic medical centers,” Dr. Drerup adds. “There are also several online programs, such as Cleveland Clinic’s Go! to Sleep program.”

Illness may be the reason you can’t sleep

A lack of sleep may also indicate a variety of sleep disorders or other health concerns that need to be addressed with proper medical diagnosis and treatment. Once your medical conditions are treated, you may eventually see your sleep improve.

Underlying medical conditions that may prevent you from sleeping include:

  •  Chronic pain.
  •  Acid reflux.
  •  Restless legs syndrome (RLS).
  •  Sleep apnea (in both men and women).
  •  Hormonal changes caused by menopause.
  •  Narcolepsy.
  •  Diabetes.
  •  Night terrors.
  •  Sleepwalking.
  •  Depression.
  •  Common issues related to aging.

“If any of these are the case, you likely won’t sleep comfortably through the night until the problem is identified and properly treated by a knowledgeable primary care physician or specialist,” Dr. Foldvary-Schaefer says.

Make sure you keep track of symptoms you are experiencing, and tell your doctor about them as soon as possible. Your primary care physician may explore your sleep history and/or give you a physical examination. This could include examining your upper airway muscles, for example. If sleep apnea is suspected, you may be referred to a sleep disorders center for a comprehensive sleep study. Or you may be suffering from other conditions that could result in treatments like short-term hormone replacement therapy, antidepressants or other kinds of medicines — all which depend upon proper diagnosis.

Be aware and stay proactive 

Overall, the key to getting better sleep comes from first identifying your sleepless activity, reducing your stress before you hit your bed, and talking with your doctor if you notice other symptoms — so you can get back on track to a good night’s sleep.

https://health.clevelandclinic.org/what-to-do-if-you-cant-sleep

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Stress Dreams: Why Do We Have Them ― and How to Stop? @ClevelandClinic #healthaware

Learning to control stress is your best defense against these anxiety-ridden dreams

Contributors: Michelle Drerup, PsyD, DBSM and Alexa Kane, PsyD.

There are a lot of areas of sleep that science and medicine can understand and explain. But dreams are an entirely different territory, as the question ‘why we dream’ remains largely unanswered.

Vivid and frequent dreaming is often left open to interpretation through things like dream dictionaries and discussing with friends. Did that dream about your ex-boss really mean you have pent-up guilt and anxiety about your last job? Frequently having stress or anxiety-ridden dreams is usually a red flag for real life stress and the role it’s playing on your body. If you’re constantly waking up panicking in a cold sweat over a dream, it’s time to get your thoughts and stress in order.

Stress: we all have it, but it doesn’t have to control us

Stress is an emotional, physical or mental tension that results from something that’s outside of us.

Some of the bigger stressors or stressful life events include moving to a new place, changing roles at school or work, relationship issues or losing a family member. Stress can cause sleep difficulties, including insomnia, by making it difficult to fall asleep and stay asleep. This impacts the quality of rest. Stress can also cause hyperarousal, which can upset the balance between sleep and wakefulness.

Being stressed is associated with poor sleep in general, and may trigger more frequent dreams. So it’s not uncommon to experience a distressing dream prior to a big event like a job interview, taking an exam or an important appointment.

And although there’s limited research about controlling the content of dreams, anxiety dreams can generally be a result of increased stress during our day-to-day lives. Daily stress can also increase the frequency of these dreams.

The good news? You have a great deal of control over your stress. If you learn to better manage stress in your life, you’ll likely decrease anxiety-ridden dreams and improve your sleep.

Here are four simple strategies to help your mind and body relax before turning in for the night:

  • Spend time winding down before bed: This can be thought of as a “buffer zone,” which is a period of time to allow the activating processes in the brain to wind down and allow your sleep system to take over. It’s generally a good rule of thumb to start about an hour before bedtime. During this time, engage in relaxing activities that you enjoy like reading or listening to music.
  • Schedule “worry time”: If you’re finding it difficult to control your worrying prior to bedtime, scheduling a specific time when you’re allowed to worry may help. Find a time that’s convenient for you and write down your concerns. Limit the time to a specific amount and stick to it by planning something to do afterward. For example, you can plan 15 minutes in the evening, before your favorite TV show.
  • Think of your bedroom as a place just for sleep, sex and pleasant activities: Try to limit the time you spend in bed worrying or being anxious. If you find yourself lying awake in bed stressed out, leave the bedroom and spend time in another room until you feel sleepy.
  • Practice relaxation techniques: There are other ways to relax while getting ready for bed, such as breathing exercises, guided imagery and progressive muscle relaxation movements. (You can even check out free apps that help guide you through these exercises.) These techniques can be some of the most critical aspects of stress management and you can use them close to bedtime or throughout your day.

When you wake up panicking at 3 a.m.

We’ve all been there – a nightmare or stress dream causes you to wake up. The next thing you know you’re lying there overthinking your finances and everything you have to do the next day.

When this happens, what can you do to get back to sleep?

  • Stop watching the clock: Counting the minutes will only heighten your distress. Turn your alarm clock around and don’t pick up your phone.
  • Try to relax your body: Use a relaxation strategy that helped prior to bed to relax your body and mind.
  • Get out of bed: If you can’t fall back to sleep after a stressful dream, then try getting out of bed to help decrease the frustration. Don’t spend time in bed hopelessly trying to get back to sleep or interpreting your dream. (If your dream caused you anxiety, you may find yourself attempting to interpret it. But this can further increase the worry. This process will result in your brain associating your bed with stress and not sleeping well.)  Once you leave your bed, find an activity that is uninteresting or boring. When you start to get drowsy, go back to bed.

Since dreams obviously aren’t measurable, there’s no real answer to what meaning they hold in our day-to-day life. But we do know that we generally have control over daily stress, which can trigger weird or anxiety-clad dreams. Learning to control the crazy and manage your stress is your best defense to help you sleep peacefully

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Alcohol can alter your mood, cause feelings of depression and anxiety @ClevelandClinic

health.clevelandclinic.org
Emotional Hangover? Why Alcohol Can Give You Anxiety
8 reasons drinking can make you anxious or jittery

Alcohol depletes folic acid, particularly in women. When women are low in this mineral, they are more at risk for breast cancer. There’s also a preliminary belief that lower levels of folic acid can alter your mood, and cause feelings of depression and anxiety.

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The health hazards of insufficient sleep @HarvardHealth #takeanap

Skimping on sleep can raise the risk of many health problems and leave you prone to accidents.

Sleep experts say we should get at least seven hours of slumber each night. But as many as one in three Americans routinely sleeps for less than six hours—a trend that can have serious health ramifications.

A single night of poor sleep can leave you feeling cranky and unmotivated. You may be too tired to work efficiently, to exercise, or to eat healthfully. And over time, continued sleep deprivation raises the risk for a number of chronic health problems, including obesity, diabetes, high blood pressure, and heart disease. Insufficient sleep can also leave you more vulnerable to mental health issues such as depression and anxiety. There’s even some evidence that insufficient sleep makes your more prone to the common cold if you’re exposed to the cold virus.

In rare cases, insufficient sleep can even more dangerous. A sleep shortfall can lead to daytime drowsiness and “microsleeps.” Microsleeps are brief bouts of sleep that occur during the day that usually last just a few seconds. If you’ve ever briefly nodded off while sitting through a lecture, you’ve experienced a microsleep. They usually last just a few seconds but can go on for 10 or 15 seconds—and pose a grave danger if they happen while you’re driving.

During a microsleep, your brain does not respond to noise or other sensory inputs, and you don’t react to things happening around you. Because people are poor judges of when microsleeps will occur (and are equally poor at preventing them), they’re a major factor in many motor vehicle accidents. One in 24 American drivers admitted to falling asleep while driving at least once in the previous month, according to a government report. The National Department of Transportation estimates that each year, drowsy driving is responsible for 1,550 fatalities and 40,000 nonfatal injuries in the United States.

So how do you combat insuficient sleep? The best solution is to figure out how many hours of sleep are right for you and then stick with it—even on weekends, holidays, and vacations. Basic lifestyle changes that promote sleep can also help. Exercise, avoiding caffeine, and practicing good sleep hygiene are some of the ways to get your best rest.

– By Julie Corliss
Executive Editor, Harvard Heart Letter

You can read more about sleep problems—and how to treat them—in the Harvard Special Health Report, Improving Sleep: A guide to a good night’s rest.

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Effects of Social Media on Children @ClevelandClinic #healthaware


Cleveland Clinic

@ClevelandClinic

·

The potential dangers of kids using social media and — if you’re allowing them to use it — how to talk to them about how to stay safe, not overdo it and not take a lot of what they see on there too seriously:

Spending time on social media has become almost a way of life for most adults — scrolling through videos of cuddly cats and wacky dances for hours a day.

But is it healthy for your children to have the same habits? And how do you know if they’re being safe on social media?

Child psychologist Kate Eshleman, PsyD, discusses the potential dangers of kids using social media and — if you’re allowing them to use it — how to talk to them about how to stay safe, not overdo it and not take a lot of what they see on there too seriously.

How social media affects children

Most social media apps require users to be at least 13 years old. But in a recent poll, parents shared that 50% of children 10 to 12 years old and 33% of children 7 to 9 years old use social media apps.

If your child is currently on social media or if they’ve been asking to join, it’s important to talk to them about what social media is, what rules you have for it and how it doesn’t always show an accurate picture of someone’s life.

“Social media makes it easy to compare oneself to another,” says Dr. Eshleman. “Most people put on social media what they want you to see. And by using social media, all of us have the ability to access endless information anytime we want to and that can be very hard for kids.”

Impact on children

While experts are just beginning to understand social media’s impact on children, one study shows that children younger than 11 years old who use Instagram and Snapchat are more likely to have problematic digital behaviors like having online-only friends and visiting sites parents would disapprove of, as well as a greater chance of taking part in online harassment.

That same study says limiting how much time a child spends on social media may reduce some of the negative effects of using social media at such an early age.

Another study talks about how children who use TikTok are developing tics and having tic-like attacks. They’re experiencing a movement disorder brought on by stress and anxiety — presumably made worse by the pandemic and teens’ increased social media consumption.

In addition to problematic digital behaviors, there may be changes in children’s daily behavior at home like:

“If kids are being asked to get off social media and do their homework, then parents might see increased periods of irritability or frustration directed towards parents,” says Dr. Eshleman. “They’re being asked to do something they don’t want to do and stop doing something they enjoy.”

Dangers of social media

As a parent, it can be hard knowing what your child is doing online. There are dangers to be aware of, though, including:

“Kids don’t have the cognitive and executive functioning to think through harmful situations and why those might be a bad idea,” says Dr. Eshleman. “So sometimes they’re placing themselves in physical risk.”

What’s the solution?

Social media can have a positive effect on your child like helping them learn how to communicate with others, navigate relationships and how to manage somebody who isn’t being kind to them. So, no social media at all might not be the best (or realistic) solution for your kids.

But if you decide to let your children use social media, make sure to talk to them about expectations — both yours and theirs. Here are a few tips on how to navigate the social media world together:

  • Determine if your child is ready. Even if your child is old enough to join a social media platform, they might not be ready for it. As the parent, you have a good sense of their maturity level and how they interact with others like coaches and friends. If you’re unsure, Dr. Eshleman suggests doing a test period on social media. “Parents should identify their expectations and communicate those to their children,” she says. “Also, identify consequences of not following them.”
  • Talk to your kids. From the beginning, it’s important to have an open and honest conversation with your children on what social media is and what it can be used for. Ask why they’re interested in having an account on a particular platform and what they want to use it for. But as they start venturing into the world of social media, keep talking. “If you hear about a popular TikTok trend or that a newsworthy story is trending, talk to your children about what they think and what they’ve seen,” says Dr. Eshleman.
  • Limit screen time. The American Academy of Pediatrics recommends limiting screen time to two hours a day for children. Eshleman says that’s a good guideline but wants parents to also focus on the big picture — making sure your kid is still getting enough physical activity and face-to-face interactions. “It’s not always just the screen time that’s the problem,” she says. “It’s what the screen time is in place of.” You can always use a screen time app that automatically sets limits, too, to prevent arguing!
  • Monitor their usage. Dr. Eshleman suggests checking on what your child is consuming, whether that’s scrolling through their tablet or phone or using a social media monitoring tool. “See what apps are there and familiarize yourself with those,” she says. “Ask yourself if this tool is going to fit your goal.”
  • Model good behavior. Easier said than done, right? But Dr. Eshleman says practicing safe and healthy social media behaviors in front of your child can go a long way. “It’s much harder for kids to understand the potential dangers or risks of social media when parents engage in the same behaviors themselves,” she says.

The biggest takeaway? Go easy on yourself as a parent when it comes to social media and your kids. Don’t be afraid to talk to other parents about what they do or ask for help if you are struggling with how to navigate social media and keep your kids safe.

“For many parents, this is uncharted territory,” Dr. Eshleman says. “It takes time and energy, and it can be difficult for parents who are working, raising children and managing household tasks. It’s OK to ask for help.”

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Stress Dreams: Why Do We Have Them ― and How to Stop? @ClevelandClinic #healthaware

Learning to control stress is your best defense against these anxiety-ridden dreams

Contributors: Michelle Drerup, PsyD, DBSM and Alexa Kane, PsyD.

There are a lot of areas of sleep that science and medicine can understand and explain. But dreams are an entirely different territory, as the question ‘why we dream’ remains largely unanswered.

Vivid and frequent dreaming is often left open to interpretation through things like dream dictionaries and discussing with friends. Did that dream about your ex-boss really mean you have pent-up guilt and anxiety about your last job? Frequently having stress or anxiety-ridden dreams is usually a red flag for real life stress and the role it’s playing on your body. If you’re constantly waking up panicking in a cold sweat over a dream, it’s time to get your thoughts and stress in order.

Stress: we all have it, but it doesn’t have to control us

Stress is an emotional, physical or mental tension that results from something that’s outside of us.

Some of the bigger stressors or stressful life events include moving to a new place, changing roles at school or work, relationship issues or losing a family member. Stress can cause sleep difficulties, including insomnia, by making it difficult to fall asleep and stay asleep. This impacts the quality of rest. Stress can also cause hyperarousal, which can upset the balance between sleep and wakefulness.

Being stressed is associated with poor sleep in general, and may trigger more frequent dreams. So it’s not uncommon to experience a distressing dream prior to a big event like a job interview, taking an exam or an important appointment.

And although there’s limited research about controlling the content of dreams, anxiety dreams can generally be a result of increased stress during our day-to-day lives. Daily stress can also increase the frequency of these dreams.

The good news? You have a great deal of control over your stress. If you learn to better manage stress in your life, you’ll likely decrease anxiety-ridden dreams and improve your sleep.

Here are four simple strategies to help your mind and body relax before turning in for the night:

  • Spend time winding down before bed: This can be thought of as a “buffer zone,” which is a period of time to allow the activating processes in the brain to wind down and allow your sleep system to take over. It’s generally a good rule of thumb to start about an hour before bedtime. During this time, engage in relaxing activities that you enjoy like reading or listening to music.
  • Schedule “worry time”: If you’re finding it difficult to control your worrying prior to bedtime, scheduling a specific time when you’re allowed to worry may help. Find a time that’s convenient for you and write down your concerns. Limit the time to a specific amount and stick to it by planning something to do afterward. For example, you can plan 15 minutes in the evening, before your favorite TV show.
  • Think of your bedroom as a place just for sleep, sex and pleasant activities: Try to limit the time you spend in bed worrying or being anxious. If you find yourself lying awake in bed stressed out, leave the bedroom and spend time in another room until you feel sleepy.
  • Practice relaxation techniques: There are other ways to relax while getting ready for bed, such as breathing exercises, guided imagery and progressive muscle relaxation movements. (You can even check out free apps that help guide you through these exercises.) These techniques can be some of the most critical aspects of stress management and you can use them close to bedtime or throughout your day.

When you wake up panicking at 3 a.m.

We’ve all been there – a nightmare or stress dream causes you to wake up. The next thing you know you’re lying there overthinking your finances and everything you have to do the next day.

When this happens, what can you do to get back to sleep?

  • Stop watching the clock: Counting the minutes will only heighten your distress. Turn your alarm clock around and don’t pick up your phone.
  • Try to relax your body: Use a relaxation strategy that helped prior to bed to relax your body and mind.
  • Get out of bed: If you can’t fall back to sleep after a stressful dream, then try getting out of bed to help decrease the frustration. Don’t spend time in bed hopelessly trying to get back to sleep or interpreting your dream. (If your dream caused you anxiety, you may find yourself attempting to interpret it. But this can further increase the worry. This process will result in your brain associating your bed with stress and not sleeping well.)  Once you leave your bed, find an activity that is uninteresting or boring. When you start to get drowsy, go back to bed.

Since dreams obviously aren’t measurable, there’s no real answer to what meaning they hold in our day-to-day life. But we do know that we generally have control over daily stress, which can trigger weird or anxiety-clad dreams. Learning to control the crazy and manage your stress is your best defense to help you sleep peacefully

FACEBOOKTWITTERLINKEDINPINTERESTEmaildreams