Tag: Sleep

Sleep Disorder and Teenagers

There is a sleep disorder that affects between seven to ten percent of teenagers called Delayed Sleep Phase Disorder, also known as DNS. Most teenagers outgrow this disorder by the time they reach young adulthood. Less then one percent of adults are believed to have DSP. Often people mistake this sleep disorder for insomnia.

Left on their own, people with delayed sleep phase disorder would stay up until very late, sometimes until 4 or 5 a.m. They like to get up very late in the morning or early afternoon. Often they are referred to as night owls.

Many teenagers like to stay up late and sleep late in the morning. Sometimes this is because they want to socialize at that time of the day. However, it can also be due to the natural delay in the circadian sleep / wake rhythm at their age of development.

Teenagers with this sleep disorder often have a very hard time getting up in the morning for school. Even if they go to sleep at a regular time, such as 11 p.m., they toss and turn for hours like someone with insomnia. They difference is, unlike an insomniac, people with delayed sleep phase disorder have no difficulty staying asleep. They do have a very difficult time getting up early in the morning. Teenagers with this sleep disorder are very tired during the day and may even fall asleep in the classroom. The exact cause of this sleep disorder is not known. It is known for certain that it is a circadian rhythm problem.

Treatment for this sleep disorder is available for people that need to get onto a more traditional sleep / wake schedule. The types of treatment include, bright light, chronotherapy, melatonin and over- the-counter prescribed sleeping pills.

Bright light treatment for delayed sleep phase disorder uses bright light to trick the brain’s circadian clock . Exposure to bright light shifts the circadian rhythm if it is administered within a few hours of the body’s lowest temperature at night.

Using chronotherapy as a treatment for someone with delayed sleep phase disorder requires a block of time one week long. Each day bedtime is delayed by three hours successively. For example, for someone that falls asleep at 2 a.m. but wants to fall asleep at 11. p.m., their bedtime would move to 5 a.m. on the first day. The next day it would move to 8 a.m. and continue this cycle for a week. A teenager suffering with delayed sleep phase disorder would need a week off from school in order to complete this therapy. Once the desired bed time is reached it is very important to keep a consistent wake up time.

There are several treatments involving various drugs that are used to treat delayed sleep phase disorder. Melatonin has been successful in changing the sleep cycle of people with this sleep disorder. Prescription medication such as Ramelteon, and other sleeping pills, have been successful in treating teenagers and adults with delayed sleep phase disorder.

If your teenager has trouble falling asleep and always wants to stay up late, be aware of the possibility that a sleep disorder may be present.

Sleep Disorder Affecting Shift Workers

This is a fairly common form of sleeping disorder among medical professionals, police officers, and fireman. This is attributed mostly to people who change their work schedules and sleeping times around frequently. You’ll find this often in college students when they’re changing semesters and quarters when they get new schedules and can sometimes throw sleep patterns off.

Meaning if you were used to getting up early one semester and then you get to sleep late on another it can throw your sleeping patterns off, which can make you feel disoriented and confused which is the main cause for why people get up and retire late, and are late for their jobs and classes because they’re not giving themselves enough time to adjust between schedule changes.

This is why when a job or school schedules changes it’s ideal to give yourself adequate time to make the adjustment so that it doesn’t throw you off physically, so you’re able to wake up and retire at a reasonable time so you can make it to work and school on time.

This is why it’s not always wise to constantly change your schedule whenever possible because if you do it too much you’re going to confuse yourself on whether you’re coming or going. There are some people who’s jobs switch their schedules around so much that it can throw someone completely out of synch because the hours start to get rather conflicted when they’re coming and going and not making time for other things like having a life or maintaining their priorities outside of their job and school.

This also can happen if you’re running between more than one job and school because if you’re going to a job during the day and then running to another job at night it can throw you off as well. People are advised to give themselves so much time between things in order to make the full transition into the new schedule or time frame so they’re not feeling overwhelmed and stressed out since stress can play a huge thing in work related insomnia. The stress comes from having to make so many drastic changes too fast and at one time.

This is why people get burned out quickly and dealing with the physical things like indigestion and other things because they’re pushing themselves too hard and sometimes forcing themselves to do things that isn’t even normal and is considered unhealthy.

College students who are like this tending to gain or lose weight because of the stress they’re under to switch from one thing to another and not giving themselves a chance to really adjust fully to a schedule or lifestyle change. Even people who work as nurses and doctors occasionally go through this. Because hours are rather strange, and that can throw off the pattern your body has become custom to when to rise and sleep.

If you interfere with that, it can make you feel weird which can also affect appetite and mental focus and concentration which most people deal with the disorientation of switching things around too fast.

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.

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.