How to Diagnose Sleep Disorders Secondary Causes of Insomnia
As I said in prior segments, insomnia oftenhas a different underlying cause where insomnia merely becomes, sort of, a symptom of thecause. People with obstructive sleep apnea often arrive in a sleep disorders office reportinginsomnia or daytime fatigue. The insomnia is coming from the multiple awakenings thatthey are having during the night due to apneas and hypopneas. It's not truly a case of insomnia.Once all diagnostic tests are performed and reviewed, generally this can be shown to thepatient and a different course of treatment can be taken that rarely has little to dowith actual insomnia. People with depression and bipolar disorder, both treated and untreated,often experience forms of insomnia. It's not
uncommon, in the manic stages of bipolar,for a person to sleep very little or not want to sleep at all. Even once the mania is treated,it's not uncommon for the drugs that get used in that treatment to cause disruptions insleep or cause a change in the quality of sleep. Certain people with schizophrenia andolder atypical antipsychotics will have sleep issues or just feel that they don't sleepas well as others. Again, it's a thing that's hard to differentiate because you don't alwaysknow what a schizophrenic patient is reporting. Even the most lucid and medicated ones stillmay not have a good sense of what's going on at night or why they're sleeping poorly.People with restless leg syndrome, of course,
generally aren't sleeping well even once theyget to sleep because their legs are moving and twitching. They're having issues and theirbodies can't fully relax. So, it's important to ruleout the causes of insomnia. Thyroidissues can be a problem. Women sometimes experience insomnia during pregnancy. It is importantto ruleout these secondary causes of insomnia and treat them before treating a patient primarilywith sedatives and other drugs that can cause physical and psychological dependence. It'sjust more efficient to treat underlying problems and eliminate any sort of dysfunction thatthey're creating in a patient's life.
Insomnia Webinar Causes and Beating Insomnia Naturally
Okay, well, welcome, everyone. This is Nik Hedberg, and tonight we're talking about sleep disorders. And this one of my favoritetopics, just because it's something that I encounter a lot in practice. Many, many peoplehave issues with sleep, many chronically people. And it's really one of those fundamental thingsthat it's just very difficult to help someone get healthy when they're not getting a goodnight's sleep. Sleep is when your body repairs itself; it'swhen your body releases the greatest amount of growth hormone; it's when a lot of yourneurotransmitters in the brain, like serotonin, dopamine, etc. are restored and regeneratedwhile you're sleeping. Sleeping, of course,
reduces stress, and it's definitely becominga bigger and bigger problem in today's society for a variety of reasons. So tonight we're going to talk about threedifferent types of sleep disorders that we see. People can have one of these types, orthey can have a mixed type. But we have pretty good success getting people to sleep oncewe figure out what kind of type they are and what they do well on. Then, of course, theunderlying cause. So, these are really the main things thatreally cause sleep disruption, stress is obviously going to be number one. Stress raises cortisollevels, and then cortisol, when it's high,
that will prevent you from sleeping. And thenof course caffeine, coffee, black tea, chocolate, things like that. Caffeine, of course, stimulatesthe thyroid and the adrenal glands, giving you a false sense of energy. But there isa price to pay when you do consume caffeine for energy. Sugar and of course poor dietary choices,blood sugar imbalances. And one of the things that happens when you sleep is you're actuallyin a fasting state, a very long fast, up to six to eight hours on average. And so whenyou're fasting, your body has to maintain a stable blood sugar level, and if you'rebody is not able to do that, that's mainly
regulated by the liver, the pancreas and theadrenal glands. If you're body is not able to do that, regulate blood sugar while you'reasleep, that can wake you up. We'll talk a little bit more about that later. Light in the bedroom, and that can be anything,like from a clock radio, street lights coming in, computer lights, things like that, anykind of light. Even though your eyes are closed, the brain still picks up on light in the room,and that will disrupt your sleep. Lack of exercise, chronic infections, food sensitivities.Really the big food sensitivities are going to be gluten, dairy, corn, soy, and eggs.
A magnesium deficiency, because magnesiumhas an overall calming effect on the nervous system, the brain and the muscular system.Just kind of relaxes everything. And television, watching television in bed,watching violence or traumatic movies or shows before bed, all of these things can contributeto sleep disruption. You would also want to add in there sex hormoneimbalances, especially in perimenopausal and postmenopausal women. When progesteronelevels begin to drop, that can make it more difficult to get a good night's sleep. So let's begin with the Type 1 sleep disorder.This is going to be the most common type of
sleep disorder out there. This is mainly aserotonin or melatonin deficiency. So melatonin is the hormone produced in the brain thatreally puts you to sleep. Serotonin is the precursor to melatonin. The reason that people become depleted inserotonin and melatonin is basically due to chronic inflammation. So it's matter of figuringout where the inflammation is coming from. This can be genetic, these people tend tobe the worrier, always worrying about things, and these people will typically either havedifficulty falling asleep, and or staying asleep.