Podcasts about cbti

In this episode, Lyell K. Jones Jr, MD, FAAN, speaks with Karin G. Johnson, MD, FAAN, who served as the guest editor of the August 2026 Sleep Neurology issue. They provide a preview of the issue, which publishes on August 3, 2026. Dr. Jones is the editor-in-chief of Continuum: Lifelong Learning in Neurology® and is a professor of neurology at Mayo Clinic in Rochester, Minnesota. Dr. Johnson is a Professor in the Department of Neurology at the University of Massachusetts Chan School of Medicine–Baystate and the Sleep Medicine Division Chief at Baystate Medical Center in Springfield, Massachusetts Additional Resources Read the issue: continuum.aan.com Subscribe to Continuum®: shop.lww.com/Continuum Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @LyellJ Guest: @drsleepykarin  Full episode transcript available here Dr Jones: This is Dr. Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about subscribing to the journal, listening to verbatim recordings of the articles, and exclusive access to interviews not featured on the podcast.  Dr Albin: All right, welcome all. For the first time ever in the history of Continuum Audio, we are coming to you live from Chicago here at the AAN annual meeting. And now over to your host, the one and only editor-in-chief, Dr. Lyell Jones.  Dr Jones: Welcome, everybody. My name is Lyell Jones, editor-in-chief of Continuum, and I'm here today with Dr. Karin Johnson, and we're interviewing Dr. Johnson for the upcoming and recently published issue of Continuum on Sleep Neurology. We have been doing Continuum Audio for a while, but we're doing something different this time. As our listeners online can tell, we are recording this for the first time ever with a live studio audience at the American Academy of Neurology annual meeting in Chicago, Illinois. So, this is a fun experience for us. I hope it's been fun so far for you, Dr. Johnson.  Dr Johnson: Great to be here.  Dr Jones: It's great to have you. So, before we get into the interview, I do wanna introduce our team here for the live recording of the podcast. You've already heard Dr. Casey Albin's voice. Dr. Casey Albin is an associate professor of neurology at Emory University. Also serves as one of our associate editors at the journal and one of our Continuum Audio interviewers. So, she's going to be working the crowd today. Let's have a round of applause for Dr. Albin. And our guest of honor today is Dr. Karin Johnson. Dr. Johnson is a professor of neurology at UMass Chan Medical School and, Baystate Medical Center in Massachusetts. She is a world-renowned expert in sleep neurology and is the guest editor for the most recent issue of Continuum on Sleep Neurology. Dr. Johnson, welcome. Why don't you introduce yourself to our audience?  Dr Johnson: You did a great introduction, but I'm a clinical sleep medicine specialist. Spend my days seeing patients, taking care of people with narcolepsy, sleep apnea, restless legs, everything that comes my way. And then I have a side interest in doing sleep medicine advocacy, especially for permanent standard time.  Dr Jones: And we may get to that. I mean, that might be part of our conversation today. So, you've now read all of the articles in this issue, and it's a really great issue. There's a lot of new developments in sleep neurology. There are some updates for clinicians, people who see patients with sleep disorders that I think are, are timely and important updates. You have this unique view because you have just read all of these articles, really good articles by expert authors. When you read through these, Dr. Johnson, what was the biggest, what was the biggest thing that surprised you?  Dr Johnson: I think the biggest surprise for me is just so many changes in, in all of these articles. I realized how easy it was for us to make a journal that is so different from a few years ago. Whether it's Dr. Stahl's obstructive sleep apnea and new ways to think about endotyping sleep apnea that is gonna have treatment implications or the new treatments that are out there like tirzepatide, the changes that we're having with restless leg treatment. I particularly wanted to have a chapter on circadian neurology that Dr. Abbott did a great job really highlighting how if we think about the timing of when we give meds, the timing of when we eat, how that really can help neurological health, brain health, overall health, as well as mental health and cognition, especially as the AAN thinks about brain health as a whole, not just treating our patients, but how we can treat the population of people by improving sleep. I like how we hit on all these different areas in this issue.  Dr Jones: And I don't know how you managed to do it. They're just a small number of articles. We cover a lot of existing territory with well-characterized diseases, with new advances. But there's a lot of new stuff in sleep, and so somehow, it's all packed in there. It's really impressive. One of the things I was gonna ask you about was an evolution, and this has been a number of years now in how we manage restless leg syndrome. When I was training, it was all about dopamine agonists, and that was your first line. And over time, the evidence has supported moving away from that, and now we have more recent guidelines that have come out, and it's really the alpha-two delta-one calcium channel antagonists. How is that transition going? Do you still see people in practice who come in on dopamine agonists? How is that going? How's the field responding to that?  Dr Johnson: That's one of my most frequent restless leg consults. So even though it's been years since I have really initiated dopamine agonists in my patient, every day we get in people often on very high doses of dopamine agonists, and their doctors have just been escalating and escalating these meds over the years, and they come in with horrible augmentation. Their symptoms are much worse than they used to be, happening earlier in the day. And so, trying to get these patients off of these meds that are addictive, the way I like to teach about it is these dopamine agonists are the Fioricets of the sleep world. We know they work great, but in the long run, the patients are gonna be worse overall. And so, it's so hard to get people off these dopamine agonists, just like it's so hard to convince a headache patient that they don't need their Fioricet and that they're gonna be better off if we can get them off of it. What I think has really changed is we have more options to use. So, the alpha-delta-like agonists like gabapentin are now considered first line, but there's a lot of patients who they just don't work well enough with or they don't tolerate. And so, what do you do in that case? It's easy when that works, but and, when that doesn't work, we are being much more aggressive these days with iron replacement, potentially even trying to push ferritin levels in refractory patients up to three hundred, and using IV iron rather than just oral iron to get over the absorption issues to get the brain levels high enough. Motor stimulators, little cuffs that kind of go around the leg and stimulate the peroneal nerve in a certain way that not only can give people immediate relief, but also some data that suggests that over time it actually lessens their restless legs. We have agents like dipyridamole that work on the adenosine system in a sort of new novel pathway at addressing restless legs. And then the opiates, often meds like methadone or Suboxone can be used in some patients. But as we're getting more of these other options, often we don't need to go to those levels because we do have more to work with.  Dr Jones: So, the key point is lots of options. We're not starting with dopamine agonists anymore. And I think the fact that you're still seeing a lot of patients who have been initiated on that probably tells us there's an education gap field that we need to work on. So, another thing that I noticed reading through the issue was, and this feels like a change over the last few years, is the availability and the tendency to use in-home sleep apnea testing as opposed to formal, traditional in-lab. And that feels like a great new option, and maybe that increases and improves availability for patients who need access to the test. But how do you work through that?  Dr Johnson: So, I love in-home testing. We've been using it for over a decade. Other parts of the country where insurances didn't sort of mandate it are now being more mandated. I think the real change happened for a lot of places over the pandemic when labs closed down. But I think it's good because it brings a lot more patients to us. They get tested, they get tested quicker. People who would say, "I would never go into a lab. Oh, I'll do a home study." So, it just does bring more people in, and it gets them to treatment that they need that can really be life-changing. But it's not for everybody. The biggest people are people that have other bad pulmonary issues. If you're on oxygen therapy, you should not be getting a home study. That really should be a group of people that come in the lab. Similarly, if you have bad COPD, you probably should be getting a full in-lab study, so we can get more monitoring. Central sleep apnea is an interesting one. It can be very hard in some cases to differentiate the centrals and obstructive nature as well on a home study. Doesn't mean you can't do a home. So, if it's a person that just can't get an in-lab study easily, maybe you start with the home. If it looks purely obstructive, and you're all set, then you got an answer, and you can move on. But if you get back a home study that looks questionably central, they're gonna need to come into that lab. So, if you already know they're high risk because they're on narcotics, cause they have congestive heart failure, it's usually worth going straight to the lab. But again, you may consider a home study based on the patient. Patients that really cannot use the equipment can also be an issue. So, if they've had a debilitating stroke and have no one to help them put on that device, or cognitively they just can't handle the device, they're gonna be someone who's gonna benefit from coming into the lab and getting the help from the techs. So, those are the big populations that you might go starting for a home. And then the other thing that confuses a lot of people, the home is only for diagnostics. It really isn't for treatment. So, I have patients that say, "Oh, like, you can just titrate my CPAP with a home study." No. So if it's a treatment decision where they're not doing well on treatment, or I need to figure out do they need CPAP or BiPAP or IVAPS or one of these more complicated treatments, those are people that are gonna need to come into the lab to get that treatment portion of the evaluation.  Dr Jones: What a great summary. That's like everything I needed to know about who do I need to bring into the lab and who do I think maybe could do an at-home study. Really great. And speaking of devices, I think all of us who see patients in the room here and our listeners out there online have experienced patients, and this feels like a very recent phenomenon to me, are coming in with their commercial at-home wearable device. And they have printouts sometimes, and they show me their phone, and they give me some numbers that I don't really know how to interpret. Reading through this issue, I learned a couple of great new words. I learned about orthosomnia, right? So, people who become so preoccupied with their sleep, it keeps them awake at night, literally, right? I mean, it's a complete paradox. I learned about nearables, so things that aren't necessarily wearables that are just in the room while the patient is sleeping that monitor proxies for sleep quality, sleep stage, and other things. And I frankly, I'm not really sure what to tell patients. So, what do you tell patients who come in with all the data? Like, or how do you tell patients to use these?  Dr Johnson: I think these devices can go both ways. So, I do kind of say the pros and cons of these devices. I think for a lot of patients, they're empowering. It's getting them to think about sleep, to wanna know how good their sleep is. Are they getting enough sleep? So, if it's used in those ways, it's gonna be very helpful. I actually had a patient last week, and they noted that they're having big desats all night and could show me essentially an overnight oximetry data rather than me having to order it, and I had days of data, which sometimes can be too much. But in this case, it's like, oh, when he was on his side that night, he looked a lot better, so I can use that to give advice to the patient about particular treatments. He actually went down to Mexico, and a doctor friend gave him oxygen therapy while he was there randomly. And we could see on the nights that he had the oxygen therapy, it did really help his central sleep apnea pattern. And so that pushed us towards saying, "Let's qualify you for that up here in the States." So, I think in some cases it can give really important data. Now, I saw a posting on social media the other day of someone saying, "Can I get advice on how to improve my REM sleep? My tracker says I have no REM sleep, and I need to do something about it." There's really not data to support needing to do something about it. And so, I do think it can get some people on these wild goose chases, trying to get to a certain percentage of sleep. And these trackers, they're good in a lot of ways, but they're not perfect. He could be getting REM sleep that the tracker on him does not show. You want to relate it to what symptoms are they having. I think they can be very good for trying something out. So, let's say someone, has their tracker telling them they get five hours of sleep, and they try this intervention, and that helps them show that they got the seven hours of sleep, or they went from no REM to REM and it goes in the right direction. It can help give them that positive feedback that something they're trying, is working. But the absolutes for any given patient, it's hard to over-- What does it mean if it says you've got a 50% score versus a 70% score? That may or may not be meaningful in any given person, but again, they can compare themselves to themselves. If they were a lower score and now they're a higher sleep score because they did something that was meaningful, and that goes along with them feeling better, that can help give them that positive feedback to do something good.  Dr Jones: So, a little bit of a mixed picture.  Dr Johnson: Yeah.  Dr Jones: Sometimes they help. Sometimes they distract. Hopefully- Dr Johnson: And as a provider, sometimes it can be overwhelming because they're like, "Come look at my year's worth of data." And you're like, "No."  Dr Jones: Yeah.  Dr Johnson: You know, let me see one page or two pages of data and be like, "Yep, okay, I get it." Dr Jones: Just show of hands in the audience, who in the room wears a sleep device at night, like a ring or a, some kind of sleep monitoring app? That's about half the audience.  Dr Johnson: This is why they're here.  Dr Jones: So that's really helpful, and I think it is. You want to be supported by the data. You want to be supported by evidence and high-quality biometric evidence. Another big trend, and this has been a number of years in the making, is the understanding, Dr. Johnson, of the relationship between sleep physiology and neurodegenerative disease. One of the things I love about neurology is there's still so much left to learn about the normal physiologic functioning of the brain. So glymphatics and other aspects of sleep physiology that we didn't know about a decade or two ago. When you think about how that relationship has developed, sleep physiology, maybe sleep disorders and neurodegenerative disease, how has that changed your approach to talking to patients? Do you counsel patients differently now because of what we understand better about that?  Dr Johnson: Yeah, I mean, we are still limited with our data. We have so many studies that show the associations between whether it's not enough sleep, too much sleep, or having a sleep disorder like obstructive sleep apnea, and that being a risk factor for stroke or Alzheimer's or Parkinson's. But we still sort of lack the treatment trials that necessarily say, "If you treat obstructive sleep apnea, you're gonna have less dementia," or, "You're gonna be less likely to have that stroke." So, we have a lot of physiological studies, a lot of reasons why it makes sense, but we don't have that final, nail in the coffin to say, "If you do this, you'll definitely be better." So, we know certain groups are more at risk. If you have obstructive sleep apnea and you are symptomatic, you seem to have higher cardiovascular risk. If you have a person who's had a stroke and we find a milder case of sleep apnea, and they're someone that's totally asymptomatic. They say, "I sleep fine. I feel fine." There's not great data to say, "If you treat your sleep apnea, you're gonna be less likely to have a stroke." Now, if they come in and they're sleepy and their sleep apnea is really severe, and they have more hypoxic burden, which is also more connected with a lot of these risks, I'm going to say, "I think you are in the higher risk group of sleep apnea people who it's probably gonna be more likely to help your cardiovascular risk, your dementia risk." We can counsel them, and then it's really a personal decision. Some people are like, "No way. I'm never gonna use a CPAP machine, ever." And other people are like, "You know, my mom had a stroke. My dad had Alzheimer's. I want to do every possible thing I can to make it less likely that I have this outcome that I want to avoid." And so, you're going to take that in to, you know, do you want to try this treatment or not? It's a lot easier when you have outcomes that you can follow, like, "If I try CPAP, does my blood pressure get better? Do I stop having AFib attacks?" It's a lot harder when, will I or not get Alzheimer's ten years down the road or have that stroke?  Dr Jones: It's hard to get people to do things for kind of an abstract prevention down the road, but could be important. Are there trials going on that are going to assess this data?  Dr Johnson: Yeah. We currently have a big trial getting people right away, right after their stroke, on CPAP, and not only looking at prevention, but also looking at recovery outcome. It's been running for several years. Hopefully, we'll get enough data to close out the study coming up.  Dr Jones: We'll look forward to that.  Dr Johnson: Yeah.  Dr Jones: So, I'm really excited to get to our audience here, but before we do that, I do want to ask Dr. Johnson one more question. Dr. Johnson is famous for her advocacy for sleep in general, but specifically related to Standard Time. So, let's do a little experiment here. I didn't warn Dr. Johnson about this, so we'll see how she does. She does a ton of advocacy. She's a pro. So, pretend like we're in DC, and I'm a senator, and we just got in an elevator. You're going to give me your elevator pitch on what we should do.  Dr Johnson: So, you know, sleep is one of the few essential things in life. We need to eat, we need to drink, we need to have clean air, and we need to sleep and when we improve sleep, we can improve basically every outcome, whether it's academics, whether it's productivity, whether it's our physical health, our mental health. And the problem is we structure our lives in a way that really keep people, and especially our teenagers, from getting the sleep they need. And one of these structural things we do is permanent daylight savings time. Essentially, what you're doing is you're putting the sun out later, makes it harder to go to bed. I was just talking to someone, the sun's going down at 9:00, and you need to get your kid to sleep at 7:30, 8:00 so they can get the amount of sleep they need. That is almost an impossible task because their circadian rhythms are being pushed later, they can't fall asleep on time. Then you're setting their clocks an hour earlier, so when that alarm clock is going off at 6:00 AM in the morning, it's actually 5:00 AM in the morning. You're squeezing sleep from both sides, and it's basically impossible to get enough sleep. A lot of people think the only problem with daylight savings time is twice a year with the changes, and there are certainly harms related to that. So, a lot of people think if we went to permanent daylight savings time it would be better, and we got rid of those changes. What they don't realize is that permanent circadian misalignment by setting the sun more ahead, at 1:00 to 2:00 instead of at noon causes the sleep and circadian disruption all year round that leads to increased incidents of strokes, of heart attacks, of obesity, of cancer, of suicides, of depression, of worse academic grades. Again, pretty much every outcome you have there that relates to brain health, we have now data that shows that it's worse. And so, we can improve our lives if we can go to permanent Standard Time.  Dr Jones: You convinced me. How about that? If there were any skeptics in the room, I doubt there are any left. We only went to like the fifth floor there, and she... I'm like, "I'm voting for this. Whatever, whatever this bill is, I'm gonna vote for it." So, I'm excited to get to the audience here. Before we get to questions and answers, and we want you to get your questions ready for Dr. Johnson. I do have a couple of trivia questions. And we've been doing this for a little while now on the podcast. The first trivia question actually relates to arts and culture.  Dr Jones: What famous artist used transitions between sleep and wake states to inspire his art? Anybody know?  Guest Speaker 1: Is it Van Gogh?  Dr Jones: Not Van Gogh that I know of. There in the back.  Guest Speaker 2: Picasso.  Dr Jones: Picasso, not that I know of. Right here.  Guest Speaker 3: Salvador Dali.  Dr Jones: Salvador Dali. We have a winner. Thank you for your answer. So apparently, I read this. Salvador Dali would sit in a chair holding onto a metal key and wait until he fell asleep, and it would fall out of his hands and drop into a bowl, and it would wake him up. So, then he would pick it back up, and he would go in and out of sleep trying to generate hypnagogic hallucinations, basically, and he would use that to inspire his art. And you think about his art, maybe that kind of makes sense. All right, now I've got a neurology trivia question. Okay, so maybe we're a little more comfortable with the neurology trivia in here. What is the center in the brain that is responsible for REM sleep atonia?  Guest Speaker 4: The receptor is for erection in the lateral hypothalamus.  Dr Jones: That is not correct. REM sleep atonia. Right here.  Guest Speaker 4: Emilio Malgona, Hyannis, Massachusetts. Dorsal raphe nucleus.  Dr Jones: We'll give you credit for that. Very good. Excellent. So, the-  Dr Johnson: Well, no. That's actually the serotonin. He's talking about another one.  Dr Jones: Oh, I thought I heard, I thought I heard-  Dr Johnson: You heard dorsal  Dr Jones: ... I heard dorsolateral tegmental nucleus of the pod.  Dr Johnson: Not quite.  Dr Jones: You get a prize anyway, sir, just for, just for answering. Thank you very much. All right. So, we're all warmed up here. So, Dr. Albin, what do you think? Should we get some questions from the audience?  Dr Johnson: All right, we've got some questions.  Guest Speaker 5: I have a statement and a question.  Dr Jones: Please tell the podcast your name again, sir.  Guest Speaker 5: Steve Spar, New York City. The tyranny of the morning people. You don't want people, you don't want the sun to go down too late because it'll keep people up longer. I spent my whole life fighting people like you. I am a nighttime person. Why do I have to go to sleep earlier? I want to go to sleep later. I want to wake up later. I don't want to wake up at 7:00 in the morning. I want to wake up at 10:00. There's a certain tyranny that we must use circadian rhythms of the majority, and it persecutes people like me who are night people.  Dr Johnson: So that is a great question.  Guest Speaker 5: What say you?  Dr Johnson: What say me is actually the harms of daylight savings time are actually to the night owls, and don't really affect the morning people. I can still go to sleep on time and get up on time without that pressure of needing to go to work. The night owl people, they can't fall asleep until later. They want to sleep in earlier, but we're forcing them to get up an hour earlier for work and school. And because we're doing daylight savings time, you're not getting the morning light you need, you're getting too much light at night, and you are more sensitive to a delay in your circadian rhythm, which makes you even more of a night owl and increase the degree of social jet lag. So, we actually see that the harms and risks of things like depression, cardiovascular risks are much greater in night owls than they are in normal people or morning larks. And this is again why the risks are the highest for our teenagers, who are essentially all night owls. You're making it harder for them to fall asleep on time. You're making them more and more of a night owl that it becomes more out of line with our standard social schedule. So, what we can do for a night owl is say to our schools, say to life that we want to change our society norms of getting up early. But that has nothing to do with daylight savings time. That has to do with how we make our schedule Dr Jones: All right, next question. And introduce yourself to the audience.  Guest Speaker 6: Sure. I'm Sanjay Rathi from New Haven area, Neurology. Movement disorders, Parkinson's disease, sleep disruptions, sleep-regulating REM, RBD issues, what are your recommendations? And as things get worse, what additional intervention should we do?  Dr Johnson: Yeah, I think it's hard with a lot of our neurodegenerative disorders, it's a two-way sleep. The disorders themselves often worsen sleep quality, have decrease in their sort of circadian amplitudes, and so that can affect sleep ability. And so, trying to do the things that promote sleep, like getting lights down in the evening, keeping things dark and quiet, doing cognitive behavioral sort of therapies if that's needed can all be helpful. Very high incidence of obstructive sleep apnea or other sleep-disordered breathing, whether it's Parkinson's or other neurodegenerative disorders, so evaluating and treating that if need be. And some of these people, especially as they get later on, you may end up considering medication for insomnia because their underlying disorders was causing it and there's, and you're not going to CBTI your way out of it. We do have the new orexin antagonist sleep agents, which are more recommended for older people and probably safer agents than your Z drugs and some of the other sleep meds out there. So, some people should be on some of those meds if their sleep is so disrupted. I've seen some sleep studies where it's basically like wake, sleep, wake, sleep, wake, sleep all night long. And it's like, wow, you really cannot sustain sleep, and we think it's not just a behavioral thing. I think it is part of their underlying Parkinson's and underlying disorders that can really cause major sleep disruption.  Dr Jones: It's a great question. Before we get more from the audience here, Dr. Albin, I'm just curious, you know, you got some questions from online. Don't know if any of those stood out to you. And the other thing is, I think about your practice, Dr. Albin, as a neurointensivist, there's some great content in this issue on how to maintain an adequate sleep environment in the hospital and the importance of that for the acute episode, maybe for some long-term outcomes. When I was reading the article, I didn't really didn't think about the ICU setting. That must be-- what do you do in the ICU?  Dr Albin: Well, we happen to have a question about just that. Dr Jones: Well, there you go  Dr Albin: From Dr. Manners of Baltimore, Maryland. "What meds should I be giving patients in the ICU or the inpatient setting to preserve or recalibrate their sleep-wake cycles? Is there anything that we can do besides just getting them out of bed during the day?"  Dr Johnson: Meds are always hard cause as sleep doctors, we're usually the last one to recommend meds. But there are situations and scenarios where meds may be appropriate. I can't say what's one better than the other, and some of the meds we have probably aren't even available as options in the hospital. So, the, you know, again, the orexin antagonist may be a good class to try to use, but they may not be an option. There was a good study that looked at empowering the patient and whether or not the ICU patients are empowerable. But they give a card to the patients in the hospital and say, "Tell your nurse to turn off my TV and my lights. Do I need all the blood draws all throughout the night, or can it be put off to the morning?" And trying to empower the patient to ask for these things and do some of the behavioral things. And they found that doing that did improve the duration of sleep, did reduce some of the number of awakenings that people ended up having at night. So, I think the ICU is a very particular population where there's a lot of things you can't get rid of. But certainly, turning on the lights, turning off the lights, and trying to limit noises as much as you can, in those night hours, trying to give some sense of a 24-hour day. The other thing is feeding is really important to circadian rhythms. I had a patient that had a brain bleed and, after it, she just her circadian rhythms were just off, and part of it was she was getting tube feeds through the night. So, one of the very first interventions we did was to move her timing of her feeding so that it wasn't in sleep, and that really did help make a difference in getting her back on a pattern, along with light therapy and other behavioral techniques as well.  Dr Jones: It's a great question.  Dr Albin: Absolutely. I mean, I think that validates just that we spend a lot of time actually asking like, "Can we feed people during the day?" Or, "Can we, can we limit the amount of baths that are happening at 3:00 in the morning?" We also had another one from the audience that came from Dr. Lavina Singla of Mississippi, and I think a lot of our patients are asking this question. Is melatonin addictive?  Dr Johnson: Is melatonin safe? Is melatonin addictive? I think with any sleeping aid, people become addictive to what they perceive is the outcome. So, if they said, "This got me to sleep, and now I'm sleeping great, I don't want to come off of it." And so, you get this to meds that are truly addictive, but even meds that aren't felt to have that addiction, there is certainly a behavioral change. And that's a lot of what cognitive behavioral therapy is working with these patients on, is challenging that belief of maybe it isn't the med, maybe it's your internal belief and your worry about doing this. One thing about sleep is sleep happens when you are relaxed and calm and not worried. When you're worried about thinking that thing you're worried about is whether or not you're getting sleep, then you don't sleep. In terms of melatonin, if you don't need to use it, I wouldn't use it. If you are gonna use it, I'd try to use as low doses as possible. Do we know all the risks? We don't know. And especially I think there are potentially more risks in a growing child than, maybe someone who isn't having the same sort of hormonal, needs and growth needs. But then again, if you have, let's say, a kid with autism and melatonin helps him sleep, I'd much rather use melatonin than a lot of other agents, and if that really changes their functionality, that probably is very good for them and better than having them not get sleep. So, I think you have to weigh each individual situation and combine it, especially with the behavioral approaches so that hopefully this is not a long-term addictive thing you're on.  Dr Jones: So, it's complicated. Sounds like it.  Dr Albin: Not a straightforward answer.   Dr Jones: I thought that was gonna be just this hard no, but I guess it is something you have to think about. So, I want to really take a minute here to thank Dr. Karin Johnson, who has been our interviewee for this episode of the Continuum Audio Podcast sleep issue just came out. Really want to encourage our subscribers, our listeners, and our studio audience here to enjoy it. Thank you, Dr. Johnson, for joining us today. I want to give a big round of applause to Dr. Casey Albin for managing this crowd. Thank you to our listeners. Thank you to our subscribers. Thank you to you all for coming today.  Dr Monteith: This is Dr. Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. Thank you for listening to Continuum Audio.   

Insomnia and depression are two serious and debilitating conditions. Insomnia on its own is linked to an increase in suicide risk, and insomnia can also exacerbate the severity of depression.Andrea Goldstein-Piekarski, assistant professor in the department of psychiatry and behavioral sciences at Stanford, and Adam Krause, post-doctoral research fellow in Stanford's psychiatry department, are two of the authors of a recent study in the journal Neuropsychopharmacology. Cognitive behavioral therapy for insomnia, or CBTI, is the gold standard for treating insomnia, and it's been shown to relieve depressive symptoms as well.Read the full study here: https://www.nature.com/articles/s41386-026-02431-0 Hosted on Acast. See acast.com/privacy for more information.

Pain is an important warning signal, helping you protect your body from damage. That's why we can view acute pain as an asset. Chronic pain, though, can be debilitating. In this episode, a pain psychologist offers a roadmap for managing chronic pain. At The People's Pharmacy, we strive to bring you up to date, rigorously researched insights and conversations about health, medicine, wellness and health policies and health systems. While these conversations intend to offer insight and perspective, the content is provided solely for informational and educational purposes. Please consult your healthcare provider before making any changes to your medical care or treatment. How You Can Listen You could listen through your local public radio station or get the live stream at 7 am EST on Saturday, June 13, 2026, through your computer or smart phone (wunc.org). Here is a link so you can find which stations carry our broadcast. If you can't listen to the broadcast, you may wish to hear the podcast later. You can subscribe through your favorite podcast provider, download the mp3 using the link at the bottom of the page, or listen to the stream on this post starting on June 15, 2026. Managing Chronic Pain Nobody likes feeling pain. Joe remembers that as a child, he would ask the doctors and nurses if the procedure was going to hurt. They always lied and told him it would not. As a result, he ended up not trusting them. We often think of pain as located in the body part that hurts (hence, tell me where it hurts). In actuality, though, pain is a complex phenomenon the brain and its interpretation of the situation at least as much as the body. That is why Dr. Rachel Zoffness maintains that pain is biopsychosocial–the result of three overlapping circles in a Venn diagram: biological, psychological and sociological. The biological circle includes our genetics, tissue damage, diet, sleep and movement. Psychological factors are never just psychological. The brain uses the same limbic system to process emotions and pain, so our feelings about our situation have a major impact on our pain experience. In the sociological realm, we find access to care, a history of trauma, and factors like racism or poverty. One result is that pain is incredibly subjective, varying from one individual to another and even from day to day. Another example of the power of the brain to generate pain is phantom limb pain. You may have heard of someone whose foot hurts even though the leg was amputated. Dr. Zoffness tells us about a boy with hand pain after a fireworks accident that resulted in his arm being amputated. The hand wasn't there, but the pain was real. What Is Your Pain Recipe? In managing chronic pain, it helps to know what your pain recipe is. What factors contribute to a bad pain day? A few common ones are poor sleep, too much junk in the diet, lots of stress, too little movement. Once you have the recipe for a bad pain day, you may be able to turn that around to find the recipe for a low pain day. If you get enough sleep, does that turn down the pain dial? How about diet? We also discuss the power of self-hypnosis and biofeedback. If you can practice warming your hands up, as Dr. Zoffness has learned to do, you can also practice making yourself more comfortable. She shares another story of a teenager who suffered from crippling migraines, social anxiety and generalized body pain. He had not been to school in years, but taking very small steps at first–just standing in the sun on his front porch–he was gradually able to build himself a low-pain recipe. Taking the dog to the dog park helped him move his body and his brain started producing chemicals like dopamine and serotonin. Eventually Sam was able to return to high school, even graduating. Using Pain Medicines in Managing Chronic Pain Physicians have often learned that managing chronic pain is something of a prescription puzzle. Which drug will work best for this patient? A decade or more ago, the answer was frequently opioids. That's no longer the case. As a result of the overdose epidemic, doctors usually try to prescribe some other type of medication. Two of the most popular are gabapentin and tramadol. When our listeners tell us about their experience with gabapentin, the results range widely. For some people, it seems to be a life-changing medication. For many others, it is lackluster at best, and for some, the side effects of brain fog, dizziness, breathing problems, edema and an increased risk of dementia are too much. Dr. Zoffness has heard similar reports about gabapentin. Her guideline for pain medicine is to try it for three months and see if it makes a (positive) difference. If not, ask the prescriber to help you taper off. Stopping any pain medicine suddenly could be a mistake. For managing chronic pain, people need a healthcare professional who can help them create a personalized pain management plan. For improving sleep, which is often a key ingredient in the pain recipe, she recommends cognitive behavioral therapy for insomnia (CBTI). The sleep hygiene protocol she suggests can also be helpful, dimming lights and gearing down as the day comes to a close. The Roadmap for Managing Chronic Pain The last section of Dr. Zoffness's book is a detailed pain protocol. She reminds us that there is no quick hack for pain. If trauma is part of the pain recipe, addressing the trauma will be useful. Medications are important tools, but they are not a permanent fix for chronic pain. She wants us all to remember that if the brain can change, pain can change. It is in our power. This Week’s Guest Dr. Rachel Zoffness is a leading global pain expert, pain psychologist, speaker, author, and thought leader in pain medicine. She is faculty at the UCSF School of Medicine, teaches pain science at Stanford, and is a winner of the prestigious Mayday Fellowship. Dr. Zoffness is the author of Tell Me Where It Hurts: The New Science of Pain and How to Heal. Her website is www.zoffness.com Dr. Rachel Zoffness, pain expert at UCSF The People's Pharmacy is reader supported. When you buy through links in this post, we may earn a small affiliate commission (at no cost to you). Listen to the Podcast The podcast of this program will be available Monday, June 15, 2026, after broadcast on June 13. You can stream the show from this site and download the podcast for free. Download the mp3, or listen to the podcast on Apple Podcasts or Spotify.

Most people blame stress or bad habits for insomnia—but the real culprit will surprise you. Discover why your sleep tracker might make things WORSE.If you've ever tossed and turned, blamed your mattress, or obsessed over your sleep tracker score, this episode is your wake-up call. Behavioral sleep medicine expert Andrew Colsky (the “Sleep Science Guy”) joins us to reveal why most people treat insomnia the wrong way—and how science-backed methods like CBTI can transform your nights without pills or pricey gadgets.Andrew unpacks the three hidden forms of insomnia, exposes the truth about anxiety's role in sleeplessness, and shares why chasing “perfect” sleep scores could be sabotaging your rest (hello, orthosomnia!). Learn what really works: the power of consistent behaviors, why quick sleep fixes fail, and how to reset your body for deep, restorative sleep.We also dive into nightmare therapy, the pitfalls of over-relying on sleep tech, and what mattress retailers need to know to truly help their customers. Plus, actionable tips for beating jet lag that even Navy SEALs use!If you want better sleep, more energy, and proven solutions, this episode is packed with expert insights, real stories, and strategies you won't hear anywhere else.Timestamps:- 03:15 – The 3 types of insomnia (and why you probably have one)- 06:20 – How anxiety sabotages sleep (and the “doomscrolling” trap)- 08:45 – The shocking truth about sleep trackers and orthosomnia- 11:00 – Why CBTI works when everything else fails- 13:20 – Nightmares: The science of erasing recurring bad dreams- 16:30 – Why most sleep aids don't deliver real rest- 19:45 – The hidden shortage of sleep specialists (and what to do)- 23:10 – Can AI replace human sleep therapy? Surprising realities- 27:25 – How your mattress (and menopause) impact sleep quality- 31:30 – Jet lag decoded: The Navy SEAL approach to beating time zonesConnect with The FAM Podcast:

In this episode, Dr. Jockers sits down with Cynthia Thurlow to break down how your gut directly influences hormone balance during perimenopause and beyond. You'll learn how the microbiome regulates estrogen and why poor detoxification can amplify symptoms. This conversation connects the dots between gut health, hormones, and how your body changes with age.   You'll discover what's really happening inside the gut when symptoms like bloating, brain fog, and weight resistance show up. Cynthia explains the role of the estrobolome, leaky gut, and inflammation in driving hormone imbalance. She also unpacks why many women feel worse in perimenopause—and what that signals about overall health.   You'll also learn practical strategies to support your gut and hormones without overcomplicating your routine. From protein intake and fiber to stress, sleep, and fasting, this episode highlights what actually moves the needle. Along the way, you'll pick up simple shifts that can create meaningful changes over time.   In This Episode:  00:00 PCOS Not Thyroid 00:27 Gut Hormone Podcast Intro 05:14 Why Menopause Gut 08:16 Estrobolome Estrogen Detox 12:33 Progesterone Drop Symptoms 13:08 PCOS Estrogen Dominance 15:29 Progesterone GABA Sleep 17:41 What Gut Changes Look Like 22:07 Fiber SCFAs GLP1 27:26 Gut Health Strategies 32:58 Ramp Up Fiber Slowly 33:18 Movement for Microbiome 34:55 Recovery Beats Overtraining 35:51 Protein Fat Fiber Balance 37:21 Bioindividual Nutrition 42:22 Plant Variety Polyphenols 43:49 Sleep Strategy Stack 48:10 Wearables and CBTI 50:08 Fasting for Women Nuance 52:52 Growth Hormone Cortisol 56:19 Microbiome Small Changes 57:08 Book Bonuses and Wrap Up 58:00 Final Podcast Outro   Quality sleep is crucial for healing, recovery, and overall health. Paleovalley's Superfood Sleep Protein supports your body's natural sleep process with whole food ingredients like melatonin from tomatoes, magnesium for relaxation, and chamomile for stress relief. Say goodbye to grogginess and hello to restorative rest. For a limited time, save 15% on your purchase at paleovalley.com/jockers with the code JOCKERS. If you want practical, natural strategies to balance your hormones, heal your gut, boost your energy, and slow aging, don't miss The Dr. Josh Axe Show. Dr. Axe blends ancient wisdom with cutting-edge science and brings on world-class experts for unfiltered conversations you won't hear anywhere else. Transform your health from the inside out and subscribe to The Dr. Josh Axe Show, with new episodes every Monday and Thursday. Most skincare products only treat the surface, but OneSkin is built differently. Developed by longevity researchers, their proprietary OS-01 peptide is scientifically proven to target aging at the cellular level by switching off damaged senescent cells—the root cause of visible skin aging. Backed by clinical studies and thousands of 5-star reviews, OneSkin helps you achieve healthier, younger-looking skin without a complicated routine. For a limited time, get 15% off your order at oneskin.co/drjockers using code DRJOCKERS. If you're tired of being told everything is "fine" without real answers, SuperPower Health gives you a deeper look into your health with 100+ biomarkers from a single blood draw. Their platform breaks down insights across hormones, metabolism, heart health, toxins, and more—plus tracks your results over time so you can see real progress. You'll also get access to an on-demand clinician team to help interpret your results. Right now, memberships are just $199, and you can get an extra $20 off when you use code JOCKERS at superpower.com.   Looking for a reset that actually works at the cellular level? L-Nutra's ProLon 5-Day Fasting Mimicking Diet is a science-backed program developed with the USC Longevity Institute to support fat loss, metabolic health, and healthy aging—without fully fasting. This plant-based program includes ready-to-eat meals designed to keep your body in a fasting state while still nourishing it, triggering deep cellular repair and rejuvenation. For a limited time, get 15% off sitewide plus a $40 bonus gift when you subscribe at prolonlife.com/jockers. "Small changes in your gut health, like adding fiber or deep breathing, can make a big impact on your overall well-being."     Subscribe to the podcast on: Apple Podcast Stitcher Spotify PodBean  TuneIn Radio   Resources: Support deeper sleep with PaleoValley's Superfood Sleep Protein and save 15%: https://paleovalley.com/jockers Try OneSkin's longevity-based skincare and get 15% off your order with code DRJOCKERS: https://oneskin.co/drjockers Unlock advanced health insights with SuperPower's 100+ biomarker test and take $20 off using code JOCKERS: https://superpower.com Reset your metabolism with ProLon's 5-Day Fasting Mimicking Diet and enjoy 15% off plus a $40 bonus gift: https://prolonlife.com/jockers     Connect with Cynthia Thurlow: Book: https://a.co/d/0cKm0liM   Connect with Dr. Jockers: Instagram – https://www.instagram.com/drjockers/ Facebook – https:/www.facebook.com/DrDavidJockers YouTube – https://www.youtube.com/user/djockers Website – https://drjockers.com/   If you are interested in being a guest on the show, we would love to hear from you! Please contact us here! - https://drjockers.com/join-us-dr-jockers-functional-nutrition-podcast/

If you're lying awake at 3am, waking up exhausted, or spending hours in bed just waiting for sleep to come you are not alone, and more importantly, it is not your fault. In this deeply informative episode of The Body Pod, we sit down with Dr. Aric Prather, clinical health psychologist, sleep researcher at UC San Francisco, and author of The Sleep Prescription, to have the most comprehensive conversation about sleep you've probably ever heard.Dr. Prather breaks down exactly what happens to your body and brain during sleep, walking us through the critical stages of sleep — from light sleep and deep slow-wave sleep to REM sleep — and why each stage matters more than you might think. He explains why your Oura Ring or Apple Watch sleep data might be stressing you out more than helping you, and how to actually use wearable sleep tracking data to your advantage without spiraling into what researchers call "orthosomnia."We dive deep into insomnia and what it actually means clinically, how many people truly have it, and why so many women in midlife and the menopausal transition experience some of the worst sleep disruptions of their lives. Dr. Prather explains the powerful hormonal, psychological, and lifestyle factors at play, from fluctuating estrogen and hot flashes to peak career stress, caregiving demands, and revenge bedtime procrastination.Most importantly, Dr. Prather walks us through Cognitive Behavioral Therapy for Insomnia, or CBTI — the gold standard, evidence-based treatment that works better than medication for over 70% of people — and shares the exact behavioral strategies that his patients use to reclaim their sleep without pills. From setting a consistent wake-up time seven days a week, to understanding your homeostatic sleep drive, to why spending too much time in bed is actually making your insomnia worse, this episode is packed with practical, science-backed tools you can start using tonight.Whether you've struggled with sleep for years or are just starting to notice changes in your sleep quality as you get older, Dr. Prather leaves you with real hope — and a very clear message: sleep is in there, your body knows how to do it, and sometimes the best thing you can do is just get out of your own way.

Click to Text Thoughts on Today's EpisodeIf you've ever stared at the ceiling at 3 AM wondering why your brain won't shut off, this episode is for you. Therapist and sleep specialist Kathleen Saucier joins the Graced Health Podcast to break down CBTI — the evidence-based method that outperforms sleep medication and is recommended as a frontline treatment even for sleep apnea. From why lying in bed too long is actually making things worse, to the simple cognitive shift that can rewire how your brain approaches sleep, Kathleen makes the science approachable and the solutions actionable. If you've accepted poor sleep as just part of life — especially through the hormonal changes of midlife — this conversation might change everything. Kathleen is a licensed therapist with over 30 years of experience in community mental health, trauma, domestic violence, military and first responder support, and substance use treatment. She is also trained in equine-assisted therapy and CBTI, and completed her CBTI certification at the University of Pennsylvania under Dr. Perlis, one of the leading experts in the field. Kathleen currently practices via MD Live and Amwell and is licensed in Connecticut, Florida, Washington, and Oregon.Main Points Discussed:What is CBTI?The Three Types of Insomnia Stimulus ControlSleep Restriction & Sleep Compression The "Swiss Cheese Sleep" Problem The Cognitive Piece: What Are You Telling Yourself? Relaxation Strategies Sleep Hygiene Hot Flashes & Menopause Do You Need a Therapist? Connect with KathleenMD LiveAmwellLinks MentionedCBT-i Coach AppMindfulness Coach AppInsomnia Coach AppEpisodes MentionedMeditation Myths Busted: A Guide to Everyday Mindfulness with Ann SwansonMy latest recommended ways to nourish and move your body, mind and spirit: Nourished Notes Bi-Weekly Newsletter30+ Non-Gym Ways to Improve Your Health (free download)Connect with Amy: GracedHealth.com Instagram: @GracedHealthYouTube: @AmyConnell

Dr. Eric Zhou, PhD, a specialist in sleep disorders, joins TheNPRD Podcast for the first episode of season 5. His expertise and care of so many patients utilizing CBTi (Cognitive Behavioral Therapy for Insomnia) has been incredibly beneficial to their mental health and overall well being. Join us as we discuss how and why CBTi can and does work and why for women in mid-life this is such a crucial piece to their wellbeing. Learning to ask our patients and ourselves ‘Are You Happy With Your Sleep?’ can be the first question into a thoughtful history, plan of care and overall better quality of life. 

According to the NHS, around 1 in 3 people in the UK are affected by insomnia, and it's particularly common in older adults. Many people turn to medication like benzodiazepines in an attempt to address their insomnia. Now these generally help, at least to begin with, but they tend to bring less restorative sleep. And if no other changes are made to daily habits, there's a good chance the insomnia will return once the medication is stopped. What other options are out there then? So how does one learn to sleep again? In under 3 minutes, we answer your questions! To listen to the last episodes, you can click here: ⁠Sleep divorce: is it a good idea to sleep in separately?⁠ ⁠Why do we change clocks twice per year?⁠ ⁠How can I tell if I'm at risk of ‘quiet firing'?⁠ A Bababam Originals podcast written and realised by Joseph Chance. First broadcast : 06/2025 Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Jacob Teitelbaum, integrative medicine physician, researcher, and best-selling author, has cutting edge strategies for improving sleep. He emphasizes circadian rhythms, time changes, and jet lag. He details reducing stress and “FOMO” from news and social media, prioritizing sleep by cutting nonessential activities, and the health risks of short sleep, including increased heart attack risk, obesity risk, and impaired immunity, plus the role of deep sleep and the glymphatic system. Teitelbaum recommends a dark, cool room, limiting blue light (eye masks, warm/yellow lighting), bedtime routines, sustained-release melatonin, chamomile tea, herbal blends, lavender, magnesium, and addressing issues like sleep apnea (including positional strategies), restless legs (ferritin testing, iron, magnesium), nocturnal hypoglycemia (protein snacks, phosphatidylserine), reflux (bicarbonate, bed elevation), and selective low-dose medications when needed. They also cover daylight saving time adjustment and travel strategies such as shifting schedules, melatonin timing, hydration, and morning light exposure. 

Dr. Hoffman continues his conversation with Dr. Jacob Teitelbaum, integrative medicine physician, researcher, and best-selling author.

For many of us, this coming weekend marks the start of Daylight Saving Time, when we “spring forward” and move our clocks ahead by an hour. While the extra evening daylight can be one of the joys of the summer months, the time change has been known to disrupt our sleep.  Last year we sat down with neurobiologist Jamie Zeitzer, a leading expert on sleep, to talk about practical strategies for getting a better night's rest. As we approach this transition, it's the perfect time to revisit that conversation. We hope you'll add this episode to your podcast queue and give it another listen this weekend. Have a question for Russ? Send it our way in writing or via voice memo, and it might be featured on an upcoming episode. Please introduce yourself, let us know where you're listening from, and share your question. You can send questions to thefutureofeverything@stanford.edu. Episode Reference Links: Stanford Profile: Jamie Zeitzer Connect With Us: Episode Transcripts >>> The Future of Everything Website Connect with Russ >>> Threads / Bluesky / Mastodon Connect with School of Engineering >>> Twitter/X / Instagram / LinkedIn / Facebook Chapters: (00:00:00) Introduction Russ Altman introduces guest Jamie Zeitzer, professor of psychiatry and behavioral sciences at Stanford University. (00:02:01) Understanding Circadian Rhythms How the biological clock regulates sleep and other body functions. (00:03:45) The Mystery of Sleep's Purpose What is still unknown about the fundamental need for sleep. (00:04:49) Light & the Circadian Clock The impact light exposure has on the body's internal sleep timing. (00:07:02) Day & Night Light Contrast The importance of creating a light-dark contrast for healthy rhythms. (00:10:06) Phones, Screens, & the Blue Light Whether blue light from screen use affects sleep quality. (00:12:37) Defining & Diagnosing Sleep Problems How stress and over-focus on sleep quality worsen insomnia. (00:14:50) Sleep Anxiety & Wearables The psychological downsides of sleep data from tracking devices. (00:16:03) CBT-I & Rethinking Insomnia Mentally reframing sleep with cognitive behavioral therapy for insomnia (00:19:50) Desynchronized Sleep Patterns Studying student sleep patterns to separate circadian vs. sleep effects. (00:22:37) Shift Work & Circadian Misalignment The difficulty of re-aligning circadian clocks in rotating shifts. (00:25:14) Effectiveness of Sleep Medications The various drugs used to promote sleep and their pros and cons. (00:28:34) Circadian “Sleep Cliff” & Melatonin The brain's “wake zone” before sleep and the limited effects of melatonin. (00:31:41) Do's & Don'ts for Better Sleep Advice for those who want to improve their sleep quality. (00:33:44) Alcohol and Caffeine Effects How metabolism influences the effects of alcohol and caffeine on sleep. (00:36:13) Conclusion Connect With Us:Episode Transcripts >>> The Future of Everything WebsiteConnect with Russ >>> Threads / Bluesky / MastodonConnect with School of Engineering >>>Twitter/X / Instagram / LinkedIn / Facebook Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Sleep struggles? This show could be for you. Alison is one of the most successful NHS entrepreneurs, with her business Sleepstation now working with over 80% of NHS regions and over 80% of all GP surgeries have referred patients into Sleepstation. Sleepstation is a digital alternative to sleeping pills, that embeds human-led CBTi alongside technology to deliver very successful outcomes to insomnia. Alison is an inspirational leader and a brilliant founder and her story will lift you up!

Matt delves into insomnia, defining it as a persistent struggle to sleep despite having the opportunity. He presents "Cognitive Behavioral Therapy for Insomnia" (CBTI) as the scientifically validated gold standard, and details the five pillars: stimulus control to rebuild the bed-sleep association, time-in-bed restriction to boost efficiency, sleep hygiene, cognitive restructuring, and relaxation. These strategies retrain the brain to treat the bed as a sanctuary, deactivating the psychological triggers of wakefulness.The episode also addresses the physiological impacts of caffeine, alcohol, and nighttime rumination. Walker contrasts traditional "Z-drugs," which may hinder glymphatic housekeeping, with newer "DORAs" that target the orexin system like a dimmer switch. While discussing tools like Trazodone, he emphasizes that CBTI's aim is to restore the body's innate sleep signals. These evidence-based interventions offer a lasting payoff by aligning behavior with our deep biological needs.Please note that Matt is not a medical doctor, and none of the content in this podcast should be considered medical advice in any way, shape, or form, nor prescriptive in any way.Clean biological living requires precision. Podcast partner Caraway's non-toxic ceramic cookware eliminates deleterious "forever chemicals" for a seamless, slide-off-the-pan cooking experience. Save $190 on sets plus 10% off at Carawayhome.com/mattwalker. Caraway. Non-Toxic kitchenware made modern.In a supplement industry where trust is critical, Matt uses podcast supporter Puori. Their protein powders are free from hormones, GMOs, and pesticides, with every single batch third-party tested for over 200 contaminants. For protein you can trust, save 20% at puori.com/mattwalker.As always, if you have thoughts or feedback you'd like to share, please reach out to Matt:Matt: Instagram @drmattwalker, X @sleepdiplomat, YouTube: https://www.youtube.com/channel/UCA3FB1fOtY4Vd8yqLaUvolg

In this episode of the Evolving Wellness Podcast, host Sarah Kleiner discusses the complexities of sleep and insomnia with sleep expert Molly Eastman. They explore the difficulties of maintaining sleep amidst life's stressors such as toddler care, shift work, and major life changes. Molly sheds light on the paradoxical relationship with sleep, particularly focusing on insomnia, and shares insights into cognitive behavioral therapy for insomnia (CBTI) and acceptance commitment therapy (ACT) for insomnia. They discuss the impact of stress and thoughts on sleep quality, the importance of circadian rhythm and environmental factors, and ways to build a robust sleep skillset. The episode also covers the risks and considerations of sleep medications, the new findings in sleep science, and practical tips to reduce sleep anxiety. Sarah and Molly emphasize a balanced approach and provide resources for further support.About Sleep is a Skill: Sleep Is a Skill is dedicated to helping people optimize sleep by treating it as a learnable, trainable skill—not a mystery or something left to chance. Founded by Mollie Eastman, the company combines science-backed sleep optimization, wearable data, lifestyle design, and personalized coaching to help individuals improve sleep quality, recovery, and overall performance. Their mission is to empower people to take control of their sleep so they can think clearer, feel better, and perform at their highest level—using practical tools, education, and measurable results rather than guessworkConnect with Mollie:www.sleepisaskill.comwww.instagram.com/mollie.eastman_________Sponsored By:→ Bon Charge | Go to https://boncharge.com/products/demi-red-light-device?rfsn=8108115.26608d & use code SARAHKLEINER for 15% off storewide.→ VivaRays | This episode is sponsored by VivaRays - VivaRays Blue - code YOGI https://vivarays.com/yogi_________Timestamp:00:00 Navigating Life's Sleep Disruptions01:37 Introduction to the Evolving Wellness Podcast05:17 Meet Molly Eastman: Sleep Expert06:39 Personal Sleep Struggles and Solutions09:50 Understanding Insomnia and Sleep Anxiety10:35 Cognitive Behavioral Therapy for Insomnia (CBTI)15:39 Acceptance Commitment Therapy for Insomnia (ACTI)18:56 The Role of Red and Infrared Light in Sleep22:31 The Impact of Sleep Aids and Medications30:56 The Evolution of Sleep Studies31:42 Glymphatic System and Brain Cleansing32:43 Modern Lifestyle's Impact on Sleep33:06 Circadian Rhythm Entrainment34:24 Chronopharmacology and Sleep Medications37:17 Blue Blockers and Circadian Rhythm38:44 Challenges in Medical and Functional Medicine41:37 The Importance of Nuance in Sleep Health42:40 Building the Skillset of Sleep50:18 High Performers and Sleep Optimization56:47 Conclusion and Resources——— This video is not medical advice & as a supporter to you and your health journey - I encourage you to monitor your labs and work with a professional!________________________________________Get all my free guides and product recommendations to get started on your journey!https://www.sarahkleinerwellness.com/all-free-resourcesCheck out all my courses to understand how to improve your mitochondrial health & experience long lasting health! (Use code PODCAST to save 10%) -  https://www.sarahkleinerwellness.com/coursesMy free product guide with all product recommendations and discount codes:https://www.canva.com/design/DAF7mlgZpJI/xVyE4tiQFEWJmh_Xwx8Kbw/view?utm_content=DAF7mlgZpJIFree Webinar on Light & Health (includes free light bulb guide) - https://www.sarahkleinerwellness.com/mycircadianapp-free-webinarGet Early Access to Podcast Episodes & my Seasonal Food Course + UVB+Red Light Therapy course for free -  https://open.substack.com/pub/sarahkleinerwellness/p/uvbred-light-protocol?r=5eztl9&utm_campaign=post&utm_medium=web&showWelcomeOnShare=true

Get ready for a snooze-tastic episode, darlings! Join Amy Phillips as she delves into the fascinating world of sleep with the incredible Dr. Sam Kashani, an MD sleep medicine expert. Discover Dr. Kashani's unique journey from film school to sleep medicine, including his work on major films like 'Shutter Island'. Learn vital insights into common sleep disorders, the power of cognitive behavioral therapy for insomnia (CBTI), the mysteries of REM sleep, and the impact of cannabis and alcohol on sleep quality. Whether you're curious about sleep paralysis, idiopathic hypersomnia, or the best sleep aids, this episode has got you covered. Don't miss out on this enlightening conversation that's sure to make you rethink your bedtime routine!DR. SAM KASHANI CONTACT:https://www.linkedin.com/in/samkashanimdhttps://www.instagram.com/samkashanimd?igsh=NTc4MTIwNjQ2YQ%3D%3DFor more Drama, Darling, and exclusive content, subscribe to: http://Patreon.com/dramadarling Follow Drama, Darling on Instagram: https://www.instagram.com/dramadarlingshow/   Email Drama, Darling with YOUR comments, questions and drama:  DramaDarlingz@gmail.com Follow Amy Phillips on Instagram: https://www.instagram.com/dramadarlingshow/   MERCH Drama Darling Shop https://drama-darling-shop.printify.me/ONE SKIN Get 15% off OneSkin, go to:https://www.oneskin.co/Code: DRAMAHERS puts your health and goals first.forhers.com/dramaNOCD Don't let OCD write the drama—you deserve to be the director of your own life. https://learn.nocd.com/DRAMA

Erica, a nurse supervisor, went from crippling sleep panic to freedom. The shock of acute insomnia made her terrified of her bedroom. Traditional sleep rules and a CBTI app made her panic "ten times worse". She tried Trazodone and QUVIVIQ, but found true relief by completely stopping the time-checking and realizing she could have a "really good vacation" even with no sleep. If you're new here and curious to learn more, our FREE video course, The Festival of Understanding, is the perfect place to start. Head over to https://www.thesleepcoachschool.com and click the link at the very top of the page to begin your journey. If you're ready to leave insomnia for good, check out our coaching options.  Head over to www.thesleepcoachschool.com and click on GET SLEEP in the menu.  The Insomnia Immunity program is perfect if you like learning through video and want to join a group on your journey towards sleeping well. BedTyme is ideal if you like to learn via text and have a sleep coach in your pocket.  The 1:1 Zoom based program is for you if you like to connect one on one with someone who has been where you are now. — Do you like learning by reading? If so, here are two books that offer breakthroughs! Tales of Courage by Daniel Erichsen  https://www.amazon.com/Tales-Courage-Twenty-six-accounts-insomnia/dp/B09YDKJ3KX Set it & Forget it by Daniel Erichsen  https://www.amazon.com/Set-Forget-ready-transform-sleep/dp/B08BW8KWDJ — Would you like to become a Sleep Hero by supporting the Natto movement on Patreon? If so, that's incredibly nice of you

Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker.In this episode we have three new and interesting research papers to look at. First, new data on the effects of social media use and cognitive development in younger adolescents. Is it really a problem? Second, can a simple urine sample be as accurate as a smear test for identifying cervical HPV, and what do women feel about this? Finally, if you're struggling to sleep could Tai chi be better than CBT for insomnia? ReferencesJAMA SM & cognitive developmentJAMA EditorialBJGP Urine vs smear for cervical HPVBMJ Tai chi vs CBTi for insomniawww.nbmedical.com/podcast

My client couldn't lose weight despite doing everything right—until she fixed her sleep. In this episode, Kelly Reznikoff walks you through exactly how to implement CBT-i, from your first sleep assessment to the game-changing techniques that help people say "I have my life back." You'll learn the practical steps to break free from insomnia, including relaxation tools, how to handle sleep meds, and why getting out of bed at 2am might be the key to finally sleeping through the night. LET'S TALK THE WALK! Join here for support, motivation and fun! Wellness While Walking Facebook page Walking to Wellness Together Facebook GROUP Wellness While Walking on Instagram Wellness While Walking on Threads Wellness While Walking on Twitter Wellness While Walking website for show notes and other information wellnesswhilewalking@gmail.com   RESOURCES AND SOURCES (some links may be affiliate links) KELLY REZNIKOFF AND CBTi (COGNITIVE BEHAVIORAL THERAPY FOR INSOMNIA) Kelly Reznikoff Coaching Website Kelly on LinkedIn Kelly's email Kelly on Wellness While Walking Talking About Flourishing  CBTi: A Primer CBTi Sleep Tracker and Other Resources The effects of partial sleep deprivation on energy balance: a systematic review and meta-analysis, nature.com HOW TO SHARE WELLNESS WHILE WALKING Tell a friend or family member about Wellness While Walking, maybe while you're walking together or lamenting not feeling 100% Follow up with a quick text with more info, as noted below! (My favorite is pod.link/walking because it works with all the apps!) Screenshot a favorite episode playing on your phone and share to social media or to a friend via text or email! Wellness While Walking on Apple – click the up arrow to share with a friend via text or email, or share to social media Wellness While Walking on Spotify -- click the up arrow to share with a friend via text or email, or share to social media Use this universal link for any podcast app: pod.link/walking – give it to friends or share on social media Tell your pal about the Wellness While Walking website Thanks for listening and now for sharing! : )   HOW TO RATE AND REVIEW WELLNESS WHILE WALKING How to Leave a Review on Apple Podcasts on Your iOS Device 1.   Open Apple Podcast App (purple app icon that says Podcasts). 2.   Go to the icons at the bottom of the screen and choose "search" 3.   Search for "Wellness While Walking" 4.   Click on the SHOW, not the episode. 5.   Scroll all the way down to "Ratings and Reviews" section 6.   Click on "Write a Review" (if you don't see that option, click on "See All" first) 7.   Then you will be able to rate the show on a five-star scale (5 is highest rating) and write a review! 8.   Thank you! I so appreciate this!   How to Leave a Review on Apple Podcasts on a Computer  1.   Visit Wellness While Walking page on Apple Podcasts in your web browser (search for Apple Podcasts or click here)  https://www.apple.com/apple-podcasts/ 2.   Click on "Listen on Apple Podcasts" or "Open the App" 3.   This will open Apple Podcasts and put in search bar at top left "Wellness While Walking" 4.   This should bring you to the show, not a particular episode – click on the show's artwork 5.   Scroll down until you see "Rating and Reviews" 6.   Click on "See All" all the way to the right, near the Ratings and Review Section and its bar chart 7.   To leave a written review, please click on "Write a Review" 8.   You'll be able to leave a review, along with a title for it, plus you'll be able to rate the show on the 5-star scale (with 5 being the highest rating) 9.   Thank you so very much!! OTHER APPS WHERE RATINGS OR REVIEWS ARE POSSIBLE Spotify Goodpods Overcast (if you star certain episodes, or every one, that will help others find the show)  Castbox Podcast Addict Podchaser Podbean         DISCLAIMER Neither I nor many of my podcast guests are doctors or healthcare professionals of any kind, and nothing on this podcast or associated content should be considered medical advice. The information provided by Wellness While Walking Podcast and associated material, by Whole Life Workshop and by Bermuda Road Wellness LLC is for informational and entertainment purposes only. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment, and before undertaking a new health care regimen, including walking.     Thanks for listening to Wellness While Walking, a walking podcast and a "best podcast for walking"!

This research-backed approach to improving sleep is just what you need to regain your energy to thrive. Kick insomnia to the curb and up-level every aspect of your life, all in a few weeks!   LET'S TALK THE WALK! Join here for support, motivation and fun! Wellness While Walking Facebook page Walking to Wellness Together Facebook GROUP Wellness While Walking on Instagram Wellness While Walking on Threads Wellness While Walking on Twitter Wellness While Walking website for show notes and other information wellnesswhilewalking@gmail.com   RESOURCES AND SOURCES (some links may be affiliate links) KELLY REZNIKOFF AND CBTi (COGNITIVE BEHAVIORAL THERAPY FOR INSOMNIA) Kelly Reznikoff Coaching Website Kelly on LinkedIn Kelly's email Kelly on Wellness While Walking Talking About Flourishing  CBTi: A Primer CBTi Sleep Tracker and Other Resources HOW TO SHARE WELLNESS WHILE WALKING Tell a friend or family member about Wellness While Walking, maybe while you're walking together or lamenting not feeling 100% Follow up with a quick text with more info, as noted below! (My favorite is pod.link/walking because it works with all the apps!) Screenshot a favorite episode playing on your phone and share to social media or to a friend via text or email! Wellness While Walking on Apple – click the up arrow to share with a friend via text or email, or share to social media Wellness While Walking on Spotify -- click the up arrow to share with a friend via text or email, or share to social media Use this universal link for any podcast app: pod.link/walking – give it to friends or share on social media Tell your pal about the Wellness While Walking website Thanks for listening and now for sharing! : )   HOW TO RATE AND REVIEW WELLNESS WHILE WALKING How to Leave a Review on Apple Podcasts on Your iOS Device 1.   Open Apple Podcast App (purple app icon that says Podcasts). 2.   Go to the icons at the bottom of the screen and choose "search" 3.   Search for "Wellness While Walking" 4.   Click on the SHOW, not the episode. 5.   Scroll all the way down to "Ratings and Reviews" section 6.   Click on "Write a Review" (if you don't see that option, click on "See All" first) 7.   Then you will be able to rate the show on a five-star scale (5 is highest rating) and write a review! 8.   Thank you! I so appreciate this!   How to Leave a Review on Apple Podcasts on a Computer  1.   Visit Wellness While Walking page on Apple Podcasts in your web browser (search for Apple Podcasts or click here)  https://www.apple.com/apple-podcasts/ 2.   Click on "Listen on Apple Podcasts" or "Open the App" 3.   This will open Apple Podcasts and put in search bar at top left "Wellness While Walking" 4.   This should bring you to the show, not a particular episode – click on the show's artwork 5.   Scroll down until you see "Rating and Reviews" 6.   Click on "See All" all the way to the right, near the Ratings and Review Section and its bar chart 7.   To leave a written review, please click on "Write a Review" 8.   You'll be able to leave a review, along with a title for it, plus you'll be able to rate the show on the 5-star scale (with 5 being the highest rating) 9.   Thank you so very much!! OTHER APPS WHERE RATINGS OR REVIEWS ARE POSSIBLE Spotify Goodpods Overcast (if you star certain episodes, or every one, that will help others find the show)  Castbox Podcast Addict Podchaser Podbean         DISCLAIMER Neither I nor many of my podcast guests are doctors or healthcare professionals of any kind, and nothing on this podcast or associated content should be considered medical advice. The information provided by Wellness While Walking Podcast and associated material, by Whole Life Workshop and by Bermuda Road Wellness LLC is for informational and entertainment purposes only. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment, and before undertaking a new health care regimen, including walking.     Thanks for listening to Wellness While Walking, a walking podcast and a "best podcast for walking"!

Dr. Noor Al-Humaidhi is a general practitioner from New Hampshire who discovered a massive gap in midlife women's healthcare. After experiencing perimenopausal symptoms herself and realizing how little she understood about the connection between hormones and chronic disease, she started Lifestyles by Dr. Noor a multidisciplinary practice focused on prevention, metabolic health, and helping women stop suffering through menopause.We discuss why stress management isn't just "woo woo" but creates measurable biological changes in blood sugar and cardiovascular health, how continuous glucose monitors reveal the real-time impact of stress on your body, and why women in the Middle East face unique barriers to hormone therapy access. Dr. Noor shares her approach to building a practice with dietitians, mind-body therapists, and weightlifting programs because hormones alone aren't the answer it's about addressing sleep, muscle, nutrition, and stress together.The conversation covers why sleep is so under treated in perimenopausal women, the cultural differences in how menopause is experienced across the world, and why there's such a high tolerance for women's suffering. Dr. Noor explains why she refuses to give up on helping women access care, even when hormone therapy isn't available in their countries.Highlights:Why stress creates measurable biological changes in blood sugar and blood pressure.How continuous glucose monitors show real-time impact of stress on your health.The importance of CBTI (cognitive behavioral therapy for insomnia) over sleeping pills.Why weightlifting with proper form matters more than endless cardio.Cultural differences in menopause experience between the Middle East and the US.Why suffering through menopause isn't noble you deserve to feel better.You're part of a growing community of women who refuse to accept suffering as inevitable. If you found value in this conversation, subscribe and help us spread the message that midlife women deserve comprehensive, compassionate care.Get in Touch with Dr. Noor:WebsiteInstagramLinkedInGet in Touch with Me: WebsiteInstagramYoutubeSubstackMentioned in this episode:GSM CollectiveThe GSM Collective - Chicago Boutique concierge gynecology practice Led by Dr. Sameena Rahman, specialist in sexual medicine & menopause Unrushed appointments in a beautiful, private setting Personalized care for women's health, hormones, and pelvic floor issues Multiple membership options available Ready for personalized women's healthcare? Visit our Chicago office today. GSM Collective

Feel like your sleep has gone missing in midlife? Join me and my guest Dr Shelby Harris as we break down why sleep changes in perimenopause, how culture has overhyped “perfect sleep,” and the tools that actually help. Dr. Shelby Harris also explains CBTi in plain language so you can stop chasing hacks and start building steady, restful sleep. We talk about:• The perfect storm of hormones, mood, and social load• Why sleep hygiene helps but won't cure insomnia• Rethinking the “eight hours” rule and normal wakeups• HRT benefits and limits for midlife sleep• CBTi basics: wake time, stimulus control, time-in-bed tweaks• Letting go of sleep anxiety • Practical first steps and when to get helpLearn more about Dr Harris at: www. drshelbyharris .comFollow her on Instagram: @ SleepDocShelbyCheck out her books:The Women's Guide to Overcoming Insomnia: Get a Good Night's Sleep Without Relying on Medication The Essential Guide to Children's Sleep: A Tired Caregiver's Workbook for Every Age and Stage Looking for better sleep solutions in the kitchen? My book, Eat to Thrive During Menopause, has an entire section on sleep - Order wherever books are sold or visit www.menopausenutritionist.ca/Book.What did you think of this episode? Click here and let me know!Hey dietitians and nutrition professionals! I've got something exciting coming in 2026. Get on the waiting list here: https://www.menopausenutritionist.ca/fordietitians

From coaching a four-star general to navigating a toxic corporate culture where retaliation, exclusion, and silencing were part of daily life, Kelly Meerbott has seen leadership at its most extreme. Just like most leaders and employees, she has experienced what it feels like when ideas are dismissed, confidence erodes, and fear quietly takes over the workplace.   Kelly's journey shows how the absence of psychological safety can crush potential and morale, and how fostering it can transform teams, spark innovation, and bring out the very best in people. Her story proves that when leaders prioritize trust, empathy, and open communication, extraordinary results are possible. On this episode of The Workplace Communication Podcast, we're talking with Kelly Meerbott, Award-Winning Executive Coach and Founder at You - Loud & Clear, about unlocking leadership excellence through psychological safety. Kelly shares practical strategies for leaders to foster trust, empathy, and open communication, and explores the personal and organizational barriers that often prevent teams from thriving.    Leadership tips you won't want to miss: 

Join us in this episode as Ben shares his profound struggle with insomnia triggered by chronic pain and medication withdrawal. He discusses the challenges, the dark thoughts, and the steps he took towards recovery, including helpful insights from CBTI and the BedTyme app. Ben emphasizes the importance of living life despite sleep difficulties and the gradual nature of recovery. His candid journey offers hope and practical advice for anyone facing similar struggles.   If you're new here and like what you've seen so far, you'll want to download our FREE 'Off-to-Dreamland' e-booklet. Simply head over to https://www.thesleepcoachschool.com and click the link at the tippy top. Happy reading!  If you're ready to leave insomnia for good, check out our coaching options. Head over to www.thesleepcoachschool.com and click on GET SLEEP in the menu. The Insomnia Immunity program is perfect if you like learning through video and want to join a group on your journey towards sleeping well. BedTyme is ideal if you like to learn via text and have a sleep coach in your pocket. The 1:1 Zoom based program is for you if you like to connect one on one with someone who has been where you are now.  Do you like learning by reading? If so, here are two books that offer breakthroughs! Tales of Courage by Daniel Erichsen https://www.amazon.com/Tales-Courage-Twenty-six-accounts-insomnia/dp/B09YDKJ3KX Set it & Forget it by Daniel Erichsen https://www.amazon.com/Set-Forget-ready-transform-sleep/dp/B08BW8KWDJ  Would you like to become a Sleep Hero by supporting the Natto movement on Patreon? If so, that's incredibly nice of you

Dr. Hoffman continues his conversation with Dr. Marie-Pierre St-Onge, a nutrition scientist, the founding director of the Center for Excellence for Sleep and Circadian Research at Columbia University, and author of “Eat Better, Sleep Better.”

Dr. Marie-Pierre St-Onge, a nutrition scientist and the founding director of the Center for Excellence for Sleep and Circadian Research at Columbia University, details the intriguing relationship between diet and sleep quality, exploring how various foods and nutrients affect sleep patterns. Dr. St-Onge shares insights from her research on the Mediterranean diet, functional foods, and the impact of macronutrients like fiber, carbohydrates, and polyphenols on sleep. They also touch on the effects of caffeine and alcohol, as well as the role of psychological interventions like Cognitive Behavioral Therapy for insomnia. Practical advice and delicious recipes from her new book, “Eat Better, Sleep Better,” are highlighted to help listeners enhance their sleep through dietary changes.

What are some of the most common sleep disorders? We go to Med School to find out whether owning a dog can reduce your risk of dementia. And in our Quick Consult, should you be scared if you’ve put off your health checks for far too long? In this episode, Dr Kathleen Maddison discusses the most common causes of insomnia in women and whether our hormones play a role. We also talk about sleepwalking, narcolepsy and sleep apnoea and find out how much sleep we really need, And, what is the “3P model” when it comes to insomnia and do non-drug treatments actually work? Plus, why do we wake up at 3:00am and how can we make it stop? THE END BITS All your health information is in the Well Hub. For more information on sleep including a list of providers of CBTi, Dr Kathleen Maddison recommends: Sleep Health Foundation Sleep Central GET IN TOUCH Sign up to the Well Newsletter to receive your weekly dose of trusted health expertise without the medical jargon. Ask a question of our experts or share your story, feedback, or dilemma - you can send it anonymously here, email here or leave us a voice note here. Ask The Doc: Ask us a question in The Waiting Room. Follow us on Instagram and Tiktok. Support independent women’s media by becoming a Mamamia subscriber Want $10 + a free month of Mamamia? We've got you! We're cooking up something exciting and need your brilliant opinions to help us make even better content. It's just 20 minutes of your time, and you'll get a $10 e-gift card + a 1 month Mamamia subscription (or gift it to someone if you're already a subscriber). Do the survey HERE. T&Cs here CREDITS Hosts: Claire Murphy and Dr Mariam Guests: Dr Kathleen Maddison Senior Producers: Claire Murphy and Sasha Tannock Audio Producer: Scott Stronach Video Producer: Julian Rosario Mamamia acknowledges the Traditional Owners of the Land we have recorded this podcast on, the Gadigal people of the Eora Nation. We pay our respects to their Elders past and present, and extend that respect to all Aboriginal and Torres Strait Islander cultures.Information discussed in Well. is for education purposes only and is not intended to provide professional medical advice. Listeners should seek their own medical advice, specific to their circumstances, from their treating doctor or health care professional.Support the show: https://www.mamamia.com.au/mplus/See omnystudio.com/listener for privacy information.

Get ready for a snooze-tastic episode, darlings! Join Amy Phillips as she delves into the fascinating world of sleep with the incredible Dr. Sam Kashani, an MD sleep medicine expert. Discover Dr. Kashani's unique journey from film school to sleep medicine, including his work on major films like 'Shutter Island'. Learn vital insights into common sleep disorders, the power of cognitive behavioral therapy for insomnia (CBTI), the mysteries of REM sleep, and the impact of cannabis and alcohol on sleep quality. Whether you're curious about sleep paralysis, idiopathic hypersomnia, or the best sleep aids, this episode has got you covered. Don't miss out on this enlightening conversation that's sure to make you rethink your bedtime routine!DR. SAM KASHANI CONTACT:https://www.linkedin.com/in/samkashanimdhttps://www.instagram.com/samkashanimd?igsh=NTc4MTIwNjQ2YQ%3D%3DFor more Drama, Darling, and exclusive content, subscribe to: http://Patreon.com/dramadarling Follow Drama, Darling on Instagram: https://www.instagram.com/dramadarlingshow/  Email Drama, Darling with YOUR comments, questions and drama:  DramaDarlingz@gmail.com Follow Amy Phillips on Instagram: https://www.instagram.com/dramadarlingshow/  Function Health, to learn more and get started, visit:www.functionhealth.com/DDGet 20% OFF Honeylove by going to: https://www.honeylove.com/DRAMAPromo Code: DRAMA

On this episode, Cheryl & Eileen talk with sleep expert and researcher D. Deborah Da Costa about evidence based interventions to improve sleep in people with rheumatic conditions. Dr. Da Costa explores how sleep challenges are deeply entangled with social and emotional wellbeing as well as pain, fatigue and cognition for those living with rheumatoid arthritis and related conditions. She also overviews Cognitive Behavioral Therapy for Insomnia (CBTI), which is the the gold standard for treating sleep disturbances. Whether it's resisting social pressure to stay up late or coping with fatigue while caregiving, this episode explores sleep-related struggles and provides specific tips for improving sleep.Episode at a glance:Sleep Is a Critical Yet Underrecognized Component of Arthritis Care: Despite its profound impact, sleep is often neglected in both patient and provider conversations. Poor sleep can worsen arthritis symptoms such as pain, fatigue, depression, anxiety, and cognitive dysfunction—even when the disease is otherwise well-managed.Cognitive Behavioral Therapy for Insomnia (CBTI) Is a Promising Non-Pharmacological Treatment: CBTI is considered the gold standard for treating insomnia without medication. It helps patients reframe negative beliefs about sleep and adopt healthier sleep behaviors, such as limiting screen time in bed and creating a relaxing pre-sleep routine. Internet-based CBTI programs tailored for arthritis patients are currently being piloted.Sleep Challenges Are Deeply Intertwined with Social and Emotional Wellbeing: The podcast highlights how sleep difficulties affect social life, relationships, and self-advocacy. From navigating social pressure to stay up late to managing fatigue while caregiving, the conversation emphasizes the need for greater awareness and support around sleep in the context of chronic illness.Medical disclaimer: All content found on Arthritis Life public channels (including Rheumer Has It) was created for generalized informational purposes only. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment.Episode SponsorsRheum to THRIVE, an online course and support program Cheryl created to help people with rheumatic disease go from overwhelmed, confused and alone to confident, supported and connected. See all the details and join the program or waitlist now! 

Host: Courtney Luecking, PhD, MPH, RDN Extension Specialist for Maternal and Child Health Guest: Rachele Yadon, MD Assistant Professor for Psychiatry, UK College of Medicine, UK Healthcare Season 8, Episode 3 In this intriguing episode of Talking Facts, host Dr. Courtney Luecking sits down with Dr. Rachele Yadon, an assistant professor of psychiatry and director of the psychiatry residency training program at the University of Kentucky College of Medicine. With extensive expertise in perinatal psychiatry, Dr. Yadon shares invaluable insights into the profound importance of sleep for both physical and mental health. Dr. Yadon emphasizes that sleep is essential for physical restoration, memory consolidation, emotional regulation, and cognitive performance. Chronic sleep deprivation is linked to serious health issues, underscoring the need for deep, uninterrupted, and restorative sleep. The conversation explores common barriers to quality sleep, such as artificial light, stress, and lifestyle demands, offering practical solutions to overcome them. Listeners will learn about the critical role of sleep hygiene practices, including consistent wake-up times, reserving the bed for sleep and intimacy, and creating a bedtime routine. The episode delves into the effectiveness of cognitive behavioral therapy for insomnia (CBTI) and provides resources for further support. Join us for this enlightening discussion to improve your sleep quality and overall well-being. Whether you struggle with sleep or are seeking ways to enhance your rest, this episode offers a wealth of expert advice and actionable tips. For more information about this topic: Psychology Today Sleep Disorders | Cleveland Clinic Cognitive Behavioral Therapy for Insomnia Connect with FCS Extension through any of the links below for more information about any of the topics discussed on Talking FACS. Kentucky Extension Offices UK FCS Extension           Website           Facebook           Instagram           FCS Learning Channel    

A significant majority of executives in the United States recognizethe importance of team building in fostering a strong organizational culture.According to Deloitte, 94% of executives and 88% of employees consider adistinctive workplace culture important for business success. This datasuggests broad agreement on the value of team-building activities in promotinga positive and productive work environment.Kelly Meerbott, PCC, CBTI, is a keynote and TEDx speaker,author, podcast host, and leadership consultant. She is the daughter ofprofessional golfer George Burns III, who had 80 top 10 finishes on the PGATour. Kelly has worked with senior executives, C-suite leaders, and more than400 high-ranking officers in the US military. Her coaching approachincorporates trauma-informed practices and PTSD training, focusing onconfidentiality and psychological safety.  “I help executives drive measurable ROI through strategiccoaching, leadership retreats, and culture transformation. My clients scalefaster, retain top talent longer, and see up to 30% improvements inproductivity, profitability, and trust. With 16+ years across tech, VC, and Fortune 500, I turnhigh-stress growth into focused momentum.”Kelly holds coaching certifications in Human &Organizational Transformation, Unconscious Bias, Leadership, cognitive therapy,improv, communications, and is a certified clinical trauma specialist. She isthe author of "From Burnout To Bliss" and earned her undergraduatedegree from the College of the Holy Cross.https://kellymeerbott.com/Follow: @kellymeerbottEmail: kelly@youloudandclear.comLinkedIn: @Kelly(Burns)Meerbott

According to the NHS, around 1 in 3 people in the UK are affected by insomnia, and it's particularly common in older adults. Many people turn to medication like benzodiazepines in an attempt to address their insomnia. Now these generally help, at least to begin with, but they tend to bring less restorative sleep. And if no other changes are made to daily habits, there's a good chance the insomnia will return once the medication is stopped. What other options are out there then? So how does one learn to sleep again? In under 3 minutes, we answer your questions! To listen to the last episodes, you can click here: Sleep divorce: is it a good idea to sleep in separately? Why do we change clocks twice per year? How can I tell if I'm at risk of ‘quiet firing'? A Bababam Originals podcast written and realised by Joseph Chance. Learn more about your ad choices. Visit megaphone.fm/adchoices

Is your bedtime routine sabotaging your success? In this episode of the Awake & Winning Podcast, Kaylor sits down with Mollie Eastman, founder of Sleep is a Skill, to unravel the messy truth about modern sleep. From mouth taping and sleep masks to smart vibrators and blackout blinds, nothing is off the table. Mollie is a top sleep educator who helps entrepreneurs, poker players, and high performers master the biological and behavioral hacks behind truly restorative sleep. Together, they explore how identity, light, temperature, and tech shape our nights—and our lives. If you're tired of being tired, this might just wake you up.     Episode Highlights: sleep optimization, light exposure, circadian rhythm, insomnia recovery, podcast authenticity, mouth taping, sleep environment, parasympathetic regulation, sleep and sex, travel sleep hacks, mental health and sleep, identity and sleep beliefs Takeaways:   Authentic, unstructured podcasting builds trust Your identity about sleep can sabotage your results Falling asleep instantly can signal a sleep disorder Light exposure timing influences circadian rhythm Consistent wake time is more important than bedtime Temperature and environment are critical for deep sleep CBTI and ACT can rewire insomnia thought patterns     If you enjoyed the episode, please be sure to take a screenshot and share it out on Instagram and tag @thekaylorbetts. Also, please make sure to give us a review and a five star rating if you're loving what we are doing! _____________________________   RESOURCES & LINKS MENTIONED IN THIS EPISODE:   Instagram | https://www.instagram.com/mollie.eastman LinkedIn | https://www.linkedin.com/in/mollie-eastman-sleep-is-a-skill-82531825/ Websites | https://www.sleepisaskill.com/ Book | Breathe by James Nestor The Power of the Downstate by Sara C. Mednick The Circadian Code by Satchin Panda PhD   The Power of Your Subconscious Mind by Joseph Murphy  Podcast | The Sleep Is A Skill Podcast _____________________________   SPONSORS: Truly Tallow | https://www.trulytallow.com/ Use code “SUNNYBALLS10” at checkout for 10% off your order _____________________________   IMPORTANT UPDATES:   Check out the Awake & Winning Website | https://awakeandwinning.com/ Join the Awake & Winning Life AW-cademy | https://theawlife.com/ Join the Awake & Winning Business AW-cademy | https://theawbiz.com Join the Awake & Winning POD-cademy | http://yourwinningpodcast.com/ Follow Kaylor on Instagram | https://www.instagram.com/thekaylorbetts/ Join Kaylor's Newsletter | https://awakeandwinning.lpages.co/optin/   _____________________________  

Neurobiologist Jamie Zeitzer is an expert on sleep – or, more accurately, an expert on why so many can't sleep. He notes that, ironically, it's often anxiety about sleep that prevents good sleep. In short, we lose sleep over lost sleep. Wearables and other tools can help but only to a point, and medications do not induce natural sleep. Instead, he counsels consistent routines, less stimulation at bedtime, and cognitive behavioral therapy to reduce worry about insomnia. Unfortunately, you can't work harder to get better sleep – you have to learn to relax, Zeitzer tells host Russ Altman on this episode of Stanford Engineering's The Future of Everything podcast.Have a question for Russ? Send it our way in writing or via voice memo, and it might be featured on an upcoming episode. Please introduce yourself, let us know where you're listening from, and share your question. You can send questions to thefutureofeverything@stanford.edu.Episode Reference Links:Stanford Profile: Jamie ZeitzerConnect With Us:Episode Transcripts >>> The Future of Everything WebsiteConnect with Russ >>> Threads / Bluesky / MastodonConnect with School of Engineering >>> Twitter/X / Instagram / LinkedIn / FacebookChapters:(00:00:00) IntroductionRuss Altman introduces guest Jamie Zeitzer, professor of psychiatry and behavioral sciences at Stanford University.(00:03:12) Understanding Circadian RhythmsHow the biological clock regulates sleep and other body functions.(00:04:57) The Mystery of Sleep's PurposeWhat is still unknown about the fundamental need for sleep.(00:06:00) Light and the Circadian ClockThe impact light exposure has on the body's internal sleep timing.(00:08:13) Day and Night Light ContrastThe importance of creating a light-dark contrast for healthy rhythms.(00:11:18) Phones, Screens, and the Blue LightWhether blue light from screen use affects sleep quality.(00:13:49) Defining and Diagnosing Sleep ProblemsHow stress and over-focus on sleep quality worsen insomnia.(00:16:02) Sleep Anxiety and WearablesThe psychological downsides of sleep data from tracking devices.(00:17:14) CBT-I and Rethinking InsomniaMentally reframing sleep with cognitive behavioral therapy for insomnia.(00:21:21) Desynchronized Sleep PatternsStudying student sleep patterns to separate circadian vs. sleep effects.(00:23:49) Shift Work and Circadian MisalignmentThe difficulty of re-aligning circadian clocks in rotating shifts.(00:26:26) Effectiveness of Sleep MedicationsThe various drugs used to promote sleep and their pros and cons.(00:29:46) Circadian “Sleep Cliff” and MelatoninThe brain's “wake zone” before sleep and the limited effects of melatonin.(00:32:52) Do's & Don'ts for Better SleepAdvice for those looking to improve their sleep quality.(00:34:55) Alcohol and Caffeine EffectsHow metabolism influences the effects of alcohol and caffeine on sleep.(00:37:24) Conclusion Connect With Us:Episode Transcripts >>> The Future of Everything WebsiteConnect with Russ >>> Threads / Bluesky / MastodonConnect with School of Engineering >>>Twitter/X / Instagram / LinkedIn / Facebook

Maggie has had trouble falling asleep and staying asleep off and on for the past 13 years. She's tried all the things: CDB, melatonin, no screens, dark room, increasing protein, and even went through the torture of sleep restriction which made her get even less sleep.In this sleep breakthrough session, I go beyond the basic sleep hygiene and tips since she's already done all of those and get into how the things she's doing to be healthy such as exercise and diet could actually be negatively affecting her sleep.Schedule a consultation to get started with the Complete Sleep Solution program so you can consistently sleep 7+ hours uninterrupted, naturally and permanently.Sign up for a free Sleep Breakthrough call that will be aired on this podcast! You'll fill out an assessment and then we'll meet on Zoom and I'll tell you 3 things to do right now that will have the biggest impact on your health and sleep. Schedule your call here.Resources mentioned in this episode:Blood sugar and sleep 5 Ways Birth Control Sabotages Your SleepHow to figure out the best diet for sleep for your body00:00 Introduction to Maggie's Sleep Struggles00:44 Meet Your Host: Martha Lewis01:03 Maggie's Sleep History03:32 Exploring Past Sleep Solutions08:28 The Role of Hormones in Sleep11:11 Impact of Exercise on Sleep14:30 Diet and Sleep Connection22:07 Conclusion and Next Steps

The reason sleep hygiene, random supplements and CBTi haven't solved your sleep problems is because there are imbalances in your body that are keeping you awake.However, you can address some of these imbalances now before committing to the functional lab testing.There are 3 essential things to look at first if you aren't sleeping well. I start here with all of my clients, even though we're doing lab testing, and 100% of them need to address at least 1 of these essentials. These things are so important because they will continue to affect your sleep and keep your body out of balance. In this episode, I'm going to explain 3 unconventional first steps that you can start doing today to improve your sleep. This is an episode from a year ago that I want to share with you again because it can help you sleep better immediately.The Sleep Essentials program covers everything you need to know to optimize your diet, stabilize your blood sugar and have smart sleep habits so you can sleep well. Sign up here for only $37.Or you can schedule a consultation to get started with the Complete Sleep Solution program so you can consistently sleep 7+ hours uninterrupted, naturally and permanently.00:00 Introduction: Why Common Sleep Advice Fails00:26 Three Essentials for Better Sleep00:48 Unconventional First Steps to Improve Sleep02:56 The Importance of Habits04:50 Optimizing Your Diet for Sleep07:57 Balancing Blood Sugar for Better Sleep12:10 Introducing the Sleep Essentials Program14:57 Conclusion and Program Sign-Up

Matt Walker welcomes Dr. Ranji Varghese back to the podcast today to complete the whole sleeping pill story by discussing newer sleeping pills, beyond benzos and Z-drugs. Together, they explore Melatonin receptor agonists (like Ramelteon) that signal sleep preparation, unlike sedating GABAergics. They also detail how DORAs inhibit the wakefulness-promoting orexin, how off-label options (ex. trazodone, low-dose doxepin) affect histamine,  the risks and benefits of each.Dr. Varghese goes on to explain the mechanisms and side effect profile for each sleeping pill, including over the counter options. He stresses that all medications carry risk and require careful use, noting that sleeping pills are tools not cures, and that CBTI is preferred for chronic insomnia. Our duo finish up by reminding listeners that open communication with your doctor is vital for safe, short-term medication use. Please note that Matt is not a medical doctor, and none of the content in this podcast should be considered medical advice in any way, shape, or form, nor prescriptive in any way.One of our sponsors this week is the biochemical electrolyte drink company LMNT, and they are very kindly offering eight free sample packs when you purchase any one of their orders at drinklmnt.com/mattwalker. LMNT is an electrolyte sports drink that I can get behind - it's created from the basis of science, and it has no sugar, no coloring, and no artificial ingredients – all qualities that are so important to maintaining your blood biochemical balance. If you want to give LMNT a try, just head on over to drinklmnt.com/mattwalker and get your eight free samples with your first purchase. Matt will be the first to tell you that launching his sleep-related merchandise sales was incredibly smooth, thanks to our new sponsor Shopify and their integrated sales and inventory system. And now, just for you,  Shopify is generously offering an exclusive trial at shopify.com/mattwalker. Whether it's online or in-person sales, Shopify simplifies it all. So, be sure to stop in at shopify.com/mattwalker to start your exclusive journey now! Matt's good friend Dr. Peter Attia has helped develop David, a revolutionary new protein bar, and a sponsor of today's episode! 28g of protein, 0g sugar, only 150 calories – the best ratio EVER! Amazing taste, six flavors, incredibly satiating, and a great source of the protein that helps build muscle, manage metabolic health, and keep you full. Visit davidprotein.com/mattwalker now for an amazing deal: Buy 4 cartons, and get a 5th FREE! . Hurry! Your new favorite protein bar awaits!As always, if you have thoughts or feedback you'd like to share, please reach out:Matt: Instagram @drmattwalker, X @sleepdiplomat, YouTube https://www.youtube.com/@sleepdiplomatmattwalker9299Dr. Varghese:LinkedIn: https://www.linkedin.com/in/ranji-varghese-md-3591665a/Minnesota Regional Sleep Disorders Center:https://www.hennepinhealthcare.org/specialty/minnesota-regional-sleep-disorders-center/Institute for Integrative Therapies: @iit-mn.comSociety of Behavioral Sleep Medicine: https://www.behavioralsleep.org/Instagram: https://www.instagram.com/docvarghese/?hl=enX: https://x.c

本集節目，我將透過各位朋友們的留言來探討失眠的認知行為治療（CBTI）的核心概念，分析在日常操作上遇到的困惑與拆解迷思，同時也分享我未來將與專業精神科醫師陳璿丞醫師共同推出的線上課程，對於關注睡眠議題、想改善自己睡眠的朋友會是一大福音！ 2025年我們也將推出與知名醫學粉專「醫之彼」的聯名系列單元，這系列節目將會透過訪談精神科診所的醫師，聚焦於台灣精神醫療環境現況，並介紹各個診所特色與醫師專長，想要更全面地認識台灣精神與心理治療的生態與未來發展的趨勢，務必鎖定這系列單元～ ✨ 本集節目重點：

It's another deprescribing super special on today's GeriPal Podcast, where we delve into the latest research on deprescribing medications prescribed to older adults. Today, we explore four fascinating studies highlighting innovative approaches to reducing medication use and improving patient outcomes. In our first segment, we discuss a study led by Constance Fung and her team, which investigated the use of a masked tapering method combined with augmented cognitive behavioral therapy for insomnia (CBTI) to help patients discontinue benzodiazepines. The study involved 188 middle-aged and older adults who had been using medications like lorazepam, alprazolam, clonazepam, temazepam, and zolpidem for insomnia. The results were impressive: 73% of participants in the masked tapering plus augmented CBTI group successfully discontinued their medication, compared to 59% in the open taper plus standard CBTI group. This significant difference highlights the potential of targeting placebo effect mechanisms to enhance deprescribing efforts. Next, we turn to Emily McDonald, the director of the Canadian Medication Appropriateness and Deprescribing Network, to discuss her study on the impact of direct-to-consumer educational brochures on gabapentin deprescribing. Patients received brochures detailing the risks of gabapentinoids, nonpharmacologic alternatives, and a proposed deprescribing regimen (see here for the brochure). Additionally, clinicians participated in monthly educational sessions. The intervention group saw a deprescribing rate of 21.1%, compared to 9.9% in the usual care group. This study underscores the power of patient education in promoting safer medication use. In our third segment, we explore Amy Linsky's study that examined the effect of patient-directed educational materials on clinician deprescribing of potentially low-benefit or high-risk medications, such as proton pump inhibitors, high-dose gabapentin, or risky diabetes medications. The intervention involved mailing medication-specific brochures to patients before their primary care appointments (click here for the brochure). The results showed a modest but significant increase in deprescribing rates among the intervention group. This approach demonstrates the potential of simple, low-cost interventions to improve medication safety. Finally, we discuss Michelle Odden's study, which used a target trial emulation approach to investigate the effects of deprescribing antihypertensive medications on cognitive function in nursing home residents. The study included 12,644 residents and found that deprescribing was associated with less cognitive decline, particularly among those with dementia4. These findings and the two studies Michelle mentions in the podcast (DANTE and OPTIMIZE) suggest that carefully reducing medication use in older adults may help preserve cognitive function. However, the DANTON study adds more questions to that conclusion. Join us as we dive deeper into these studies and discuss the implications for clinical practice and patient care. Don't miss this episode if you're interested in the latest advancements in deprescribing research!

Hello Fabulous!!Ever find yourself counting sheep at 3 AM, wide awake, wondering why your brain seems determined to replay every embarrassing moment of your life? If you're like me and struggle with getting a good night's sleep, then today's episode is going to be a game changer for you. In Episode 192 of the FOF Podcast, I chat with the incredible holistic sleep coach, Morgan Adams, who has all the tips and tricks to help you catch those elusive Zzz's.Morgan is a 54-year-old sleep expert based in Virginia, who has transformed her life from being a pharmaceutical sales rep to finding her true calling as a holistic sleep coach. Inspired by her battle with insomnia and a pivotal breast cancer diagnosis, she's on a mission to help people live happier, healthier, and more fulfilled lives through better sleep.Ever heard of CBTI (Cognitive Behavioral Therapy for Insomnia)? Morgan dives deep into this game-changing, non-pharmacological approach that has about a 70% success rate. It's all about changing your behaviors, attitudes, and beliefs around sleep, without the need for sleep meds that often come with side effects.Morgan also shares some life-saving tips to fix those pesky middle-of-the-night wake-ups. From figuring out if a blood sugar crash or overheating might be the culprit, to the importance of having a consistent sleep schedule—even if you're a night owl like me—she covers it all. By the way, who knew that morning light and exercise could be such powerful sleep aids?Whether you've been battling sleep issues for years or just had a recent rough patch, this episode has golden nuggets of wisdom for everyone. Tune in to learn how you can finally tell your sleepless nights to take a hike and wake up feeling refreshed and ready to conquer the day.What You'll Learn:Morgan's journey from insomnia to holistic sleep coachingThe powerful impact of CBTI for InsomniaWhy getting morning light and exercising can transform your sleepTips for handling those frustrating middle-of-the-night wake-upsUnderstanding and loving your unique chronotype (Yes, it's okay to be a night owl!)Don't miss this sleep-transforming episode! Make sure to check out Morgan's website at morganadamswellness.com for more tips and resources.Listen now and start your journey to better sleep!PS: If you've ever argued about your sleep schedule being “just you wanting to sleep in late,” you're gonna want to hear this. You might just win that argument next time!

Send us a textIn this conversation, Stanford psychologist and behavioral sleep specialist Dr. Hylton Molzof joins Dr Khan to discuss the complexities of sleep. They focus particularly on insomnia in chronic illness, and the role of Cognitive Behavioral Therapy for Insomnia (CBTI). They discuss the physiological stages of sleep, the impact of chronic illness on sleep patterns, and practical strategies for managing sleep-related anxiety. Dr. Molzof emphasizes the importance of adapting CBTI techniques for individuals with chronic conditions, especially in the context of long COVID. The conversation also covers the significance of sleep evaluation and the nuances of sleep restriction as a treatment method.Find printable worksheets and resources Dr Molzof has shared at https://substack.com/home/post/p-154561158?source=queue&autoPlay=falseSubscribe for more at LongCovidMD.substack.com, and follow Dr Khan on X @doctor_zeest

Send us a textEpisode 92 - S4 - What Not to do When Starting CBT-IReview: Ryze https://a.co/d/fafStnwI have tried personally for one month Ryze Coffee, Cocoa and Creamer.  I want to try Chai and there is a Matcha that Dan wants to try.In this episode, Dan and Michelle discuss the common pitfalls when starting Cognitive Behavioral Therapy for Insomnia (CBT-I). They share personal anecdotes, product reviews, and practical advice on how to improve your sleep. They also highlight the importance of having realistic expectations and focusing on one goal at a time for effective sleep improvement. The episode wraps up with tips for creating a sustainable sleep hygiene routine and a preview of their upcoming year-end review.00:00 Introduction and Studio Setup00:56 Podcast Evolution and Listener Engagement02:10 Upcoming Events and Listener Invitation06:15 Product Review: Ryze Mushroom Products11:57 Focus of the Episode: Starting CBT-I22:25 Advice on Maintaining Sleep Hygiene22:59 Closing Remarks and Year-End PreviewTheme music "Happy Days by FSM Team" courtesy of https://www.free-stock-music.com Support the showPlease go to the following page to support the show: https://www.buzzsprout.com/1692604/support www.youtube.com/@sleeptakeoutwww.danielbaughn.comwww.dosleep.comsleeptakeout@gmail.com

Send us a textEpisode 91 - S4 - What's the difference between CBT-I and CBT?Review Good Night Alex by David Pedersen, PA   https://a.co/d/ijYj7hhIn this episode, Michelle and Daniel highlight the key differences between Cognitive Behavioral Therapy (CBT) and Cognitive Behavioral Therapy for Insomnia (CBT-I). They also share personal experiences from a recent trip to Boston, discuss the importance of reading habits for relaxation, and give a special shout-out to David Peterson's children's book 'Good Night, Alex.'00:00 Introduction00:44 Boston Trip Experiences06:29 Reading Habits and Mindfulness11:46 Introduction to CBT and CBT-I12:12 Differences Between CBT and CBT-I15:27 Practical Applications of CBT-I23:21 Tips for Better SleepTheme music "Happy Days by FSM Team" courtesy of https://www.free-stock-music.com Support the showPlease go to the following page to support the show: https://www.buzzsprout.com/1692604/support www.youtube.com/@sleeptakeoutwww.danielbaughn.comwww.dosleep.comsleeptakeout@gmail.com

In this episode of Talking Insomnia, Coach Ali interviews Coach Natasha about her journey through insomnia and depression. Natasha shares the personal impact of the war in Ukraine on her mental health, her experiences with different treatments like CBTI and Vipassana meditation, and how she found hope through acceptance and Natto teachings. Despite the challenges, Natasha's story reveals the value of acceptance and the realization that we can live fulfilling lives even amidst ongoing struggles. If you're new here and like what you've seen so far, you'll want to download our FREE 'Off-to-Dreamland' e-booklet. Simply head over to https://www.thesleepcoachschool.com and click the link at the tippy top.  Happy reading! — If you're ready to leave insomnia for good, check out our coaching options.  Head over to www.thesleepcoachschool.com and click on GET SLEEP in the menu.  The Insomnia Immunity program is perfect if you like learning through video and want to join a group on your journey towards sleeping well. BedTyme is ideal if you like to learn via text and have a sleep coach in your pocket.  The 1:1 Zoom based program is for you if you like to connect one on one with someone who has been where you are now. — Do you like learning by reading? If so, here are two books that offer breakthroughs! Tales of Courage by Daniel Erichsen  https://www.amazon.com/Tales-Courage-Twenty-six-accounts-insomnia/dp/B09YDKJ3KX Set it & Forget it by Daniel Erichsen  https://www.amazon.com/Set-Forget-ready-transform-sleep/dp/B08BW8KWDJ — Would you like to become a Sleep Hero by supporting the Natto movement on Patreon? If so, that's incredibly nice of you

Episode 10 - Break the “sleep no more” cycle with Sherry Boxall. Learn about the pursuit of perfect sleep using sleep trackers, sleep hygiene, CBTI and Acceptance and Commitment therapy for insomnia. Disclaimer: Please note that all information and content on the UK Health Radio Network, all its radio broadcasts and podcasts are provided by the authors, producers, presenters and companies themselves and is only intended as additional information to your general knowledge. As a service to our listeners/readers our programs/content are for general information and entertainment only.  The UK Health Radio Network does not recommend, endorse, or object to the views, products or topics expressed or discussed by show hosts or their guests, authors and interviewees.  We suggest you always consult with your own professional – personal, medical, financial or legal advisor. So please do not delay or disregard any professional – personal, medical, financial or legal advice received due to something you have heard or read on the UK Health Radio Network.

Matt Walker welcomes Dr. Jessica Lunsford-Avery, an Associate Professor in Psychiatry and Behavioral Sciences at Duke University to the podcast today. Dr. Lunsford-Avery, a clinical psychologist, delves into the crucial link between sleep and mental health in children with ADHD. Her groundbreaking research explores how sleep impacts daytime impairment in ADHD, focusing on cognitive behavioral therapies to improve both sleep quality and ADHD symptoms. Their discussion highlights the critical need for better understanding and treatment of sleep problems in managing ADHD, emphasizing the powerful role of sleep in overall mental health.Dr. Lunsford-Avery shares her journey into sleep research, driven by the insight from families about the significant impact of sleep on mental health conditions. Her work shows that up to 80% of children with ADHD struggle with sleep issues, affecting their ability to fall and stay asleep, leading to inconsistent sleep patterns. She explains how ADHD symptoms can disrupt sleep through both biological and behavioral factors, underlining the importance of addressing sleep problems to enhance cognitive function and overall well-being. This episode provides valuable insights for parents and highlights the potential of behavioral sleep interventions like CBTI to improve sleep and ADHD outcomes.Please note that Matt is not a medical doctor, and none of the content in this podcast should be considered medical advice in any way, shape, or form, nor prescriptive in any way.Are sleep troubles keeping you up at night? Matt used to be a skeptic about meditation, but 7 years ago, he tried it using a fantastic meditation app called ‘Calm', and it transformed his sleep! Now, he meditates for 10 minutes before bedtime every night! He's also partnered with Calm who have been generous enough to offer his podcast listeners an exclusive 40% discount on their premium subscription! All you have to do is go to calm.com/mattwalker and take advantage of this incredible deal! Head on over now and improve your sleep today!The good people at InsideTracker are also one of the sponsors of this week's episode, and they are generously offering a special 25% off any one of their programs for anyone who uses the above link during the time window of this episode. InsideTracker is a personalized biometric platform that analyzes your blood and your DNA to better understand what's happening inside of you and offers suggestions regarding things that you can do to better try and adjust some of those numbers, optimize them, and, as a result, optimize you.Another great sponsor of the show is AG1, a comprehensive nutritional drink trusted by thousands worldwide, including Matt! For nearly four years and counting, he has relied on AG1 to fuel his post-workout routine with its powerhouse blend of over 75 essential minerals, vitamins, probiotics, and prebiotics, meticulously crafted to support your daily nutritional needs. AG1 is registered and approved by the Therapeutic Goods Administration, boasting GMP badges for quality assurance. As a special offer for our listeners, when you try AG1, you'll receive a complimentary one-year supply of both Vitamin D and K2, and with your first subscription, you'll also receive five free AG1 travel pac

A lot can be learned about our nervous system and needs by looking at biopsychosocial aspects of life. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, explore the biopsychosocial aspects of sleep and how they intersect with mental health through the lens of Patrick's experiences. Top 3 reasons to listen to the entire episode: Gain insight into Patrick Casale's ongoing battle with sleep issues, from his childhood to the present day, and learn how various factors—like sleep environment, hydration habits, and caffeine intake—impact his nights. Hear Dr. Neff's expert advice on practical strategies for better sleep, including the use of cognitive behavioral therapy for insomnia (CBTI) and small, manageable changes that can make a big difference over time. Understand the biopsychosocial dimensions of sleep disturbances, including how stress, rumination, and hypervigilance can disrupt your rest, and discover methods to counter these challenges through visualization and grounding exercises.  If you struggle with sleep, consider doing a biopsychosocial assessment for yourself, and find the small changes you can implement to improve your sleep quality and overall well-being. DISCLAIMER: This episode is not intended as medical advice. ————————————————————————————————

Matt dives into the intricate relationship between menopause and sleep disturbances today. He begins by noting that menopause, a natural process for women typically occurring between ages 45 and 55, brings about significant physical and emotional symptoms, with disrupted sleep being one of the most impactful. Exploring the underlying mechanisms of sleep disruption in menopause, our host highlights hormonal changes and hot flashes as primary factors. Hormonal fluctuations, particularly a decline in estrogen and progesterone levels, affect neurotransmitters like serotonin, which regulate sleep. Additionally, hot flashes disrupt sleep by causing thermal dysregulation and nighttime awakenings, further exacerbating sleep disturbances.Matt goes on to discuss the various types of sleep impairments associated with menopause, including insomnia, sleep-disordered breathing such as sleep apnea, restless leg syndrome, and disruptions in specific sleep stages like REM sleep. He also explores treatment options, emphasizing hormone replacement therapy (HRT) as a potential solution to rebalance hormonal levels and improve sleep quality. However, Matt acknowledges the controversy surrounding HRT and offers insights into alternative approaches, including medication options like sleeping pills and gabapentin, as well as non-drug therapies like cognitive behavioral therapy for insomnia (CBTI). Overall, today's episode stresses the importance of recognizing the profound impact of menopause on sleep and the need for comprehensive support and education to address these challenges effectively.Please note that Matt is not a medical doctor, and none of the content in this podcast should be considered medical advice in any way, shape, or form, nor prescriptive in any way.Are sleep troubles keeping you up at night? Matt used to be a skeptic about meditation, but 7 years ago, he tried it using a fantastic meditation app called ‘Calm', and it transformed his sleep! Now, he meditates for 10 minutes before bedtime every night! He's also partnered with Calm who have been generous enough to offer his podcast listeners an exclusive 40% discount on their premium subscription! All you have to do is go to calm.com/mattwalker and take advantage of this incredible deal! Head on over now and improve your sleep today!The good people at InsideTracker are one of the sponsors of this week's episode, and they are generously offering a special 25% off any one of their programs for anyone who uses the above link during the time window of this episode. InsideTracker is a personalized biometric platform that analyzes your blood and your DNA to better understand what's happening inside of you and offers suggestions regarding things that you can do to better try and adjust some of those numbers, optimize them, and, as a result, optimize you.Another sponsor this week is the biochemical electrolyte drink company LMNT, and they are very kindly offering eight free sample packs when you purchase any