Shift Work Sleep Disorder

Many people that work during the night suffer from Shift Work Sleep Disorder, also known as SWSD. This disorder affects about one quarter of the approximately 20 million people who do shift work. People affected by shift work sleep disorder are employed in many types of jobs. These include large numbers of workers in industries such as transportation, manufacturing, mining, power, health care, and emergency services including police and firefighters and EMTs. Many of these industries operate around the clock and many various shift schedules exist.

Working a shift job forces your body to function outside if it natural circadian rhythm. Their circadian rhythms never become fully adjusted to their hours. No matter how long a person works at night, when they are greeted by the morning sunlight a signal is sent to their brain saying it is time to wake up. A person suffering from this sleep disorder lives in a state of constant circadian disruption.

There are several coping strategies for people with shift work sleep disorder. The most important thing to remember when coping with the challenges of shift work is recognizing the importance of sleep and making it a priority.

Sleeping during the daytime can be very difficult for some people. Besides going against the body’s natural circadian rhythm, there are also the sunlight and the everyday life of the rest of the world, most of which is awake. Many people with this sleep disorder move their bedroom to an isolated place in the house and try to make the room as quiet and dark as possible.

It is best to try to avoid as much of the morning sunlight as possible if you plan to go to sleep right after your night shift. Wear sunglasses on the way home and try not to stop for gas or groceries. The more sunlight you are exposed to, the more likely you are going to have a difficult time falling asleep.

Another coping technique is to develop a sleep strategy. It is very important to set a specific time to sleep. Many people that suffer from shift work sleep disorder find it is best to follow the same sleep routine even on the days they are off from work. It is essential that family and friends know not to bother you during your sleep time unless it is an emergency. Generally, shift workers are chronically sleep deprived. Scheduling naps at specific times can be a great help in dealing with the sleep disorder that accompanies shift work.

People with this sleep disorder should limit the amount of caffeine during the later part of their shift. Some people establish a caffeine cutoff time, after that they drink juice or water.

The use of sleeping pills for shift workers can develop into a dependency on them. Taking sleeping pills on a daily basis can lead to other health problems.

Not everyone is able to tolerate working during the night. The constant battle with this sleep disorder may cause some people to find a different job.

Nocturnal Eating Syndrome – A Food Related Sleep Disorder

Nocturnal eating syndrome is a sleep disorder that is more common in women than men. It is one of two eating disorders that are related to sleep. The other is called sleep-related food disorder. Nocturnal eating syndrome and sleep-related food disorder are parasomnias

Nocturnal eating syndrome is a sleep disorder that is characterized by compulsive raids on the refrigerator at night. Usually people with this sleep disorder are very light sleepers. When they awake during the night they have an overly compulsive feeling that they will not be able to fall back to sleep unless they eat something. Once out of bed and at the refrigerator, the compulsion to eat makes them gobble down food. People with nocturnal eating syndrome are fully awake and remember eating the food the next day. This syndrome is a combination of a sleep disorder and an eating disorder. Insomnia is also a factor in nocturnal eating syndrome. Treatment for this disorder is usually received from a mental health professional that specializes in people with eating disorders. Improving sleep hygiene can also help with this disorder.

Sleep-related eating disorder also affects more women then men and is a variation of sleepwalking. During an episode of this sleep disorder, a person will eat during partial arousal form a deep sleep. Often they will eat very unhealthy or strange foods that they normally would not eat when awake. During an episode of sleep-related eating disorder, a person might eat frozen pizza, raw cookie dough, peanut butter on fish and even dog food.

Often they are very careless and sloppy and may get burns or cuts while preparing the food. It is very difficult to wake a person during an episode and they have no memory of it in the morning. There does not seem to be a correlation to hunger during a sleep-related eating disorder episode, even if the person has eaten just before bed, an episode can still occur.

Although the cause of food related sleep disorder is not known, several triggers have been identified. Medications such as lithium, a mood stabilizer, and the benzodiazepine receptor zolpidem are two of those triggers. People with mood and personality disorders or psychological problems such as bulimia are at higher risk of developing one of these food related sleep disorders. People suffering from other sleep disorders including insomnia, sleep apnea, periodic limb movement disorder or narcolepsy are also at higher risk

People with sleep-related eating disorder usually have a history of sleepwalking. Because of this, people suffering from this parasomnina are considered having more of a sleep disorder then an eating disorder. Treatment with prescription medication is often very effective. Antidepressants, dopimine agents, anticonvulsants and opiates are often prescribed. Once sleepwalking is stopped so are the trips to the refrigerator.

Sleep eaters often are overweight because of the high caloric intake at night. The weight gain can lead to other sleep disorders such as obstructive sleep apnea. Seeking treatment, either from a medical or mental health professional is essential for good health in the treatment of sleep eating disorders.

Nightmares and Night Terrors – A Frightening Sleep Disorder

At some time in their childhood almost all children experience the sleep disorder of having a nightmare. They are common in children and can begin as early as two years old. They are most common in children between three and twelve years old and are considered part of the normal developmental process. However, only about 3 percent, experience night terrors, also called sleep terrors. Both of these sleep disorders can be very frightening to a child.

Nightmares are dreams that are so frightening that they wake the person up. Everyone has had nightmares occasionally throughout their life and they usually are not something to worry about.

Nightmares occur several hours after going to sleep during the REM stage of sleep when there is general body paralysis and active dreaming.

A child can remember the nightmare once they awake and they still remember it in the morning. Sometimes this nightmare sleep disorder can become a problem if the child has nightmares very often and becomes afraid to go to sleep or becomes sleep deprived. When a nightmare occurs it is important that the parent remains calm and reassuring.

There are several things that a parent can do to prevent nightmares. Discuss calm and comforting things with your child just before putting then to bed. Reading to them, or telling them a story can also be very comforting. Don’t let a child watch violent or scary shows on television, especially just before going to bed. Maintaining a relaxing bedtime routine is also important. Sometimes, nightmares indicate a more severe emotional problem within your child.

Night terrors usually occur during the first few hours of sleep, during deep non-REM sleep. They often occur at the same time each night. Night terrors are characterized by screaming, crying or moaning. It is not unusual for a child experiencing a night terror to sit straight up in bed and scream. Their heart rate is increased and they experience rapid breathing. An episode of this sleep disorder can last from 10 minutes to over an hour. Although the child’s eyes are open, they are actually still asleep and when they wake up in the morning there is no memory of what happened during the night.

Although night terrors can be frightening, they are not dangerous. They usually are not a sign of any type of mental distress. A parent should not try to wake the child, or comfort them, during a night terror. The best thing for a parent to do when their child is experiencing a night terror is to make sure they are safe. Generally, most children outgrow this sleep disorder after a few months or years.

Several of the factors that can contribute to night terrors include being overly tired, staying up extremely late, eating a heavy meal just before going to bed, and taking certain medications.

Although nightmares and night terrors can seem like a very scary type of sleep disorder to both the parents and the children involved, they are generally harmless.

Narcolepsy: The Sleeping Disease

There are over 3 million cases of narcolepsy and is estimated by medical reports that 200,000 Americans, but just under 50,000 are actually officially diagnosed by a doctor. It has been said that it’s widespread like the neurological disease Parkinson’s disorder. This condition is usually recognized in both men and women at any age, yet the symptoms are usually first noticed in teenagers and younger age adults usually in their 20s and early 30s.

It’s been noted that there is a 15-year between the onset and actual diagnosis of the problem, which has contributed to the debilitating features of this particular disorder. Those who deal with narcolepsy have a plethora of cognitive, educational, occupational, and psychological issues that can arise from this problem. The presence of narcolepsy is 1 in 2000 people and is also found in people with diagnosed learning disabilities and currently the treatment options are very limited.

The studies that were conducted for this concluded that this problem is constantly under diagnosed in the general population in society. Some narcoleptics don’t show any signs visibly and the severity of the condition varies from person to person.

This is where medical science has its blunders because of the fact that this condition is so under diagnosed that it’s hard to really get a grasp of the severity of this problem, because it varies in levels from noticeable to barely obvious.

Polysonogram and Multiple Sleep Latency exams are the two tests that are done to give a formal and correct diagnostic approach to the condition and usually this is where the diagnosis presents the level of severity so that it’s properly noted by a specialist to ensure a proper treatment plan for that person. Tests are conducted in two-hour increments to allow the person to sleep and usually the polysonogram test does a continuous test of brain activity when it’s in REM sleep mode when sleep happens at night.

Usually most narcoleptics fall asleep in nighttime sleep mode fairly quickly. There are several methods of treatments for people with narcolepsy and usually it consists of anti-depressants and planned short-timed naps have also been helpful to lower the dependence on medicinal treatments and allowing the body to do what it should be doing naturally. Retraining the body to sleep at a reasonable time has helped those with narcolepsy to recognize sleeping at night and taking short naps during the day so that their body stays alert because a lot of narcoleptics have been putting themselves and others at risk when they fall asleep during their normal work day or even driving or operating machinery.

With the new wave of holistic medicine being readily available to help people with conditions from skin to psychological issues. Narcoleptics can also work with a treatment plan that includes a change in diet and incorporating exercise and taking nutritional supplements and formulas to give someone added nutrition if they’re not getting enough from the food they eat.

Narcolepsy is manageable if you follow the doctor’s instructions and taking medications when you’re supposed to and following therapy plans that are designed for that person to follow to the last detail.