The self-care sleep movement
The current economy is driving a prevalence of sleep complaints, particularly insomnia, as measured by the National Sleep Foundation . Few Americans can afford to either lose sleep or absorb new medical costs in treating it.
Much of the treatment of sleep disorders involves detailed, labor-intensive investigations, medications and time-consuming behavioral therapy all of which have their appropriate place. When we combine these strategies with dedicated patient education by board-certified, fellowship-trained sleep experts, these efforts can be highly effective and entire families can be helped as sleep improves.
Sadly, most Americans, if they mention sleep complaints to their doctors will receive only a hastily scribbled drug treatment in isolation, devoid of the educational and behavioral support they need. This sets them on a course for treatment failure and ultimately undermines the patient's confidence in the entire field of sleep medicine.
When it comes to treatment of sleep disorders, few people understand they can engage in behaviors that can help them manage their own sleep. We have all heard about dental or oral hygiene but how many of you have ever had a professional talk to you about sleep hygiene?
Along with exercise and nutrition, proper sleep is another missing element in America's losing battle against weight gain and obesity. But while many Americans understand ideal weight and healthy nutrition, most will never get to discover how much sleep they need, constantly forced to operate on severely sleep-deprived schedules.
Unfortunately the American way is to burn the midnight oil, working long days and still insisting on catching up with late-night television and running eternally on empty. Before they ever come to my office, most Americans have resorted to a few of their own remedies, which sometimes can themselves be very destructive to sleep. And why are Americans struggling in their efforts alone so much of the time?
Of all people experiencing disordered sleep, fewer than six percent will ever seek out a doctor of any kind specifically to address the issues pertaining to their sleep – and that's not even reaching out to a sleep specialist. And, as physicians, unless we are sleep specialists, we are notoriously poor at broaching the subject ourselves. Most insomnia therefore goes unnoticed and untreated.
In contrast, just as their doctors fail them, marketing and advertising executives see them very clearly. These same sleepless Americans are very much noticed by an aggressive over-the-counter industry briskly developing "sleep aids" in the form of "PM" formulations that do little more than attempt to smother symptoms with crude sedatives.
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In the exhausting daytime that follows such poor sleep and an antihistamine hangover, patients seek out artificial stimulants like Red Bull, Monster Bean, Volt and other increasingly popular energy drinks. Recently, one of my patients disclosed he was
Not everyone gets a morning hangover from DPH, but some people experience confusion, drowsiness and impaired judgment. We are sending you our Guide to Getting a Good Night's Sleep, with our do's and don'ts and suggestions for nondrug options.
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