We’re delighted to gather members from our Women’s Mental Health Network this morning for an online networking event.@StPatricks

St Patrick’s Mental Health Services

@StPatricks

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We’re delighted to gather members from our Women’s Mental Health Network this morning for an online networking event. Our Advocacy Manager, Louise O’ Leary, is now taking us through why we decided to create a space to focus on topics around #women’s #mentalhealth.

@NWCI

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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

.@McDonalds use influencer Laura Whitmore (@thewhitmore) #heartaware

thewhitmore
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Chronic Lower-Back Pain. Physical therapy focused on core strengthening is one of the most effective treatments. #depression

“Lower back pain is like death and taxes; everybody gets it at some point,” says out Sean Mackey, MD, PhD, chief of the division of pain medicine at Stanford University School of Medicine. About 9 in 10 of those patients recover fairly quickly, he says, but for the remainder, the pain becomes chronic and life-altering. (Try this 60-second fix for back pain.) “The severity of the original injury and how prone you are to anxiety plays a role in whether your pain will persist,” he says. Physical therapy focused on core strengthening is one of the most effective treatments.

Use a foam roller to roll away your back pain:

https://www.prevention.com/health/a20486144/top-painful-medical-conditions/

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.

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.