Podcasts about sleep disorders center

Welcome to the NeurologyLive® Mind Moments® podcast. Tune in to hear leaders in neurology sound off on topics that impact your clinical practice. In this episode, "Sleep and Seizures: Emerging Insights From AAN 2025," Nancy Foldvary-Schaefer, DO, director of the Sleep Disorders Center at Cleveland Clinic, reflected on key sleep-related topics presented at this year's AAN Annual Meeting. She highlighted the growing clinical interest in underrecognized conditions like idiopathic hypersomnia and narcolepsy, stressing the need for better awareness and earlier diagnosis. Foldvary-Schaefer also detailed the development of the Sleep by Cleveland Clinic mobile app, designed to improve screening for common sleep disorders with validated tools and real-time resources. Additionally, she discussed new findings on the prevalence of obstructive sleep apnea in adults with epilepsy, pointing to the importance of routine sleep screening in this population, regardless of seizure severity. Finally, she shared exploratory data on SSRI use and peri-ictal respiratory patterns in epilepsy, offering new perspectives on potential protective mechanisms tied to SUDEP risk. Looking for more neuromuscular discussion? Check out the NeurologyLive® Sleep disorders clinical focus page. Episode Breakdown: 1:00 – Key sleep topics discussed at AAN 2025 and the growing interest in hypersomnia 5:45 – Development and purpose of the SLEEP mobile app by Cleveland Clinic 10:35 – Findings on obstructive sleep apnea prevalence in adults with epilepsy 15:05 – Neurology News Minute 17:10 – The need for sleep disorder screening in epilepsy clinical trials 19:45 – Exploratory findings on SSRI use and respiratory patterns in patients with epilepsy The stories featured in this week's Neurology News Minute, which will give you quick updates on the following developments in neurology, are further detailed here: FDA Approves Pre-Filled Syringe Administration for FcRn Modulator Efgartigimod FDA Approves CT-132 as First Digital Therapeutic for Preventive Treatment of Episodic Migraine FDA Expands Diazepam Nasal Spray Indication to Treat Ages 2 to 5 Thanks for listening to the NeurologyLive® Mind Moments® podcast. To support the show, be sure to rate, review, and subscribe wherever you listen to podcasts. For more neurology news and expert-driven content, visit neurologylive.com.

A New TikTok trend about folks taping their mouths closed at bedtime to force them to breathe through their nose... Is it a good idea?... Dr Adrian Salmon from UConn Health's Sleep Disorders Center tells us.

Dr. Joyce Lee-Iannotti, MD is the Director of the Sleep Disorders Center at Banner University Medical Center Phoenix and Associate Professor of Neurology at the University of Arizona College of Medicine, Phoenix, AZ. She is triple board certified in general neurology, sleep medicine, and vascular neurology. Dr. Lee-Ianotti is passionate about public awareness of the interconnection between sleep and brain/body health. She shares her insights in this episode.

When is the best time to start moving up bed time? Hint: it's not the night before the first day of school! Dr. Jennifer Kanaan from UConn Health's Sleep Disorders Center works with adults, adolescents, and children. She joins the podcast to explain what's happening in our bodies when we sleep and why it's so beneficial to our performance, particularly in school. Listen to her advice and start the school year off right! (Dr. Jennifer Kanaan, Carolyn Pennington, Chris DeFrancesco, July 2023) Dr. Jennifer Kanaan https://health.uconn.edu/find-a-provider/physician/Kanaan-Jennifer UConn Health Sleep Disorders Center https://health.uconn.edu/pulmonary/sleep-disorders-center/ 860-679-4090  

Prepare to have your mind blown. If you want to consistently have deep, restful sleep every night, listen to this now! Dr. Matthew Brock is one of the most reknowned doctors of Sleep Medicine in the U.S. today. He's helping us with questions like: What to do when you can't fall asleep and/or when you can't STAY asleep (and why this happens)? Why do we sometimes wake up several times a night? How much “deep sleep” do we need each night and how can we increase this “deep sleep” stage? Is it possible to “make up” sleep, and how beneficial are naps? He also explains the big difference between “Sleep Therapy” and “Sleep Hygiene” (I bet you didn't know this!) More about Dr. Brock: Lieutenant Colonel Matthew S. Brock is the Medical Director of the Sleep Disorders Center in San Antonio, which is the largest sleep center in the United States Department of Defense. He also serves as the Sleep Medicine Consultant to the U.S. Air Force Surgeon General and is an Associate Professor of Neurology at the Uniformed Services University. Dr. Brock is a leader in clinical medicine and research in the Air Force and has received countless awards for his work in this field. Needless to say, prepare to have all of your sleep struggles solved! More Resources CBT-i Coach app on Google Play Insomnia Coach app MZOO Sleep Mask Need help getting started! Get Megan's FREE 5-Day Jumpstart Tips guide! FREE 5-Day Core Tune Up - A free mini-course to dramatically improve your functional core strength, create better alignment, and relieve back and hip pain for good! Follow Megan on Instagram

Welcome to the NeurologyLive® Mind Moments® podcast. Tune in to hear leaders in neurology sound off on topics that impact your clinical practice. In this episode, we spoke with a variety of specialists in neurology who presented research and gave talks at the 75th American Academy of Neurology Annual Meeting, held April 22-27, 2023, in Boston, Massachusetts. Those included in this week's episode, in order of appearance, are: Michael H. Barnett, MBBS, PhD, FRACP, a consultant neurologist at Royal Prince Alfred Hospital (RPAH) Sydney, director of the RPAH MS Clinic and the MS Clinical Trials Unit at the Brain and Mind Centre; codirector of the MS Research Australia Brain Bank; and a senior professor at the University of Sydney. Nancy R. Foldvary-Schaefer, DO, FAAN, the director of the Sleep Disorders Center and staff in the Epilepsy Center at Cleveland Clinic, and a professor of medicine at the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University. Sean J. Pittock, MD, the director of the Center for Multiple Sclerosis and Autoimmune Neurology and director of the Neuroimmunology Research Laboratory at Mayo Clinic. Katherine W. Turk, MD, a neurologist at Boston VA Memory Disorders Clinic, principal investigator and codirector of the Center for Translational Cognitive Neuroscience lab (CTCN) at VA Boston; and assistant professor of neurology and coleader of the Outreach, Recruitment and Engagement core of the Alzheimer's Disease Research Center at Boston University. Erika U. Augustine, MD, MS, the associate chief science officer and director of the Clinical Trials Unit at the Kennedy Krieger Institute. Jeffrey M. Statland, MD, a neuromuscular disease specialist and professor of neurology at the University of Kansas Medical Center. Chian-Chun Chiang, MD, a stroke and migraine specialist and assistant professor of neurology at Mayo Clinic. Want more from the 75th American Academy of Neurology Annual Meeting? Click here for all of NeurologyLive®'s coverage of AAN 2023. Episode Breakdown: 1:10 – Barnett on the topline findings for CNM-Au8 from the VISIONARY-MS clinical trial. 8:35 – Foldvary-Schaefer on the understanding of the relationship between epilepsy and sleep. 13:25 – Pittock on the latest data on ravulizumab from the CHAMPION-NMOSD trial. 19:00 – Turk on the landscape of diagnosis and treatment for mild cognitive impairment, and how to improve the process. 22:00 – Augustine on Dr. Sidney Carter and the current paradigm of care in child neurology. 27:15 – Statland on the findings for ataluren in nonsense mutation Duchenne muscular dystrophy from Study 041. 34:05 – Chiang on the takeaways from a big data analysis of 25 therapies for acute migraine management. This episode is brought to you by Medical World News, a streaming channel from MJH Life Sciences®. Check out new content and shows every day, only at medicalworldnews.com. Thanks for listening to the NeurologyLive® Mind Moments® podcast. To support the show, be sure to rate, review, and subscribe wherever you listen to podcasts. For more neurology news and expert-driven content, visit neurologylive.com. REFERENCES 1. Barnett MH. VISIONARY-MS Top-line Results: A Phase 2, Randomized, Double-Blind, Parallel Group, Placebo-controlled Study to Assess the Safety and Efficacy of CNM-Au8, a Catalytically Active Gold Nanocrystal Suspension in Relapsing Multiple Sclerosis. Presented at: AAN Annual Meeting; April 22-27, 2023; Boston, MA. 2. Foldvary-Schaefer NR. Diagnostic Testing: Beyond the MSLT. Presented at: AAN Annual Meeting; April 22-27, 2023; Boston, MA. 3. Pittock SJ. Efficacy and safety of ravulizumab in adults with anti-aquaporin-4 antibody-positive neuromyelitis optica spectrum disorder: outcomes from the phase 3 CHAMPION-NMOSD trial. Presented at: AAN Annual Meeting; April 22-27, 2023; Boston, MA. 4. Statland JM. Safety and Efficacy of Ataluren in nmDMD Patients from Study 041, a Phase 3, Randomized, Double-Blind, Placebo-Controlled Trial. Presented at: AAN Annual Meeting; April 22-27, 2023; Boston, MA. 5. Chiang CC. Simultaneous Comparisons of 25 Acute Migraine Medications: A Big Data Analysis of 10 Million Patient Self-Reported Treatment Records From A Migraine Smartphone Application. Presented at: AAN Annual Meeting; April 22-27, 2023; Boston, MA.

Does ADHD cause sleeping problems? Should adults get recess like school kids? Did you know that 70% of people with ADHD have some type of sleep problem? This includes problems that are behavioral, medical, and neurological. In this episode of Refocused, we continue our discussion with two sleep experts, Dr. Stephen Lange and Dr. Sanford Auerbach. This week's focus is on sleep problems, sleep architecture, sleep hygiene, and how they impact our ability to get restful sleep. We share tips on how to improve your sleep hygiene and manage your sleep-related issues. If you or someone you know is experiencing sleep problems, seek medical advice for diagnosis and treatment options.   Dr. Stephen Lange is a psychologist who focuses on sleep and ADHD and provides healthcare services to the U.S. Coast Guard as a Coast Guard Auxiliarist.   Dr. Sanford Auerbach is the director of Boston Medical Center's Sleep Disorders Center and an associate professor of neurology, psychiatry, and behavioral neurosciences at Boston University Chobanian & Avedisian School of Medicine.   Learn more: Why Does White Noise Help People Sleep?   Add us on Social Media: Instagram: @lindsayguentzel @refocusedpod @adhdonline Twitter: @lindsayguentzel @refocusedpod @adhdonline   Email Lindsay: hello@refocusedpod.com   Thank you for listening! If you would like to support us you can follow “Refocused” on your favorite podcast-listening app. While you're there, please leave a review - it really helps to spread all the goodness.   Resources: The new Refocused logo was designed by Sissy Yee at Berlin Grey, LLC. Video production assistance is provided by the wonderful people at Deksia. Audio engineering assistance is provided by EXR Sound.  The theme music for Refocused was created by Louis Inglis, a songwriter and composer in Perth, Australia who was diagnosed with ADHD in 2020 at the age of 39. To learn more about the work he is doing, check out his online studio here. You can also email Louis directly here. For more information on ADHD Online and ADHD assessments, medical management, and teletherapy, check out ADHDonline.com.   “I tried counting sheep to fall asleep, but they all started jumping over a fence and having a party. Now I'm wide awake and jealous of those party animals."  

Did you know that sleep studies can be performed at Stoughton Health? Join Dottie to learn who needs a sleep study and what to expect. Stoughton Health Sleep Disorders Center is accredited by the American Academy of Sleep Medicine and offers state-of-the-art services for diagnosing and treating sleep disorders for individuals two and older.

Right now on Refocused, we're talking all about sleep, the science behind it and why it is so important for us.   What does it take to get good sleep? What happens while we are sleeping? What obstacles are we up against when it comes to having good sleep hygiene? How does life and the changes we've seen as humans play a role in our sleep patterns?   We're diving into all of that with two sleep experts, Dr. Stephen Lange and Dr. Sanford Auerbach.   Dr. Stephen Lange is a psychologist who focuses on sleep and ADHD, and also provides healthcare services to the U.S. Coast Guard as a Coast Guard Auxiliarist.   Dr. Sanford Auerbach is the director of Boston Medical Center's Sleep Disorders Center, as well as an associate professor of neurology, psychiatry and behavioral neurosciences at Boston University Chobanian & Avedisian School of Medicine.   Social Media Profiles: Instagram: @lindsayguentzel @refocusedpod @adhdonline Twitter: @lindsayguentzel @refocusedpod @adhdonline   Email Lindsay: hello@refocusedpod.com   Resources: The new Refocused logo was designed by Sissy Yee at Berlin Grey, LLC. Video production assistance is provided by the wonderful people at Deksia. The theme music for Refocused was created by Louis Inglis, a songwriter and composer in Perth, Australia who was diagnosed with ADHD in 2020 at the age of 39. To learn more about the work he is doing, check out his online studio here. You can also email Louis directly here. For more information on ADHD Online and ADHD assessments, medical management, and teletherapy, check out ADHDonline.com.

Catching z's isn't easy. We use white noise machines, take supplements, drink teas, and count sheep... Yet, our efforts rarely result in quality rest. Why is it so difficult to achieve a good night's sleep? And, what can we do to wake up feeling refreshed when our alarms go off? Mike gets answers from the Director of UCLA's Sleep Disorders Center, Dr. Alon Avidan. Got questions? Email Mike at ivegotquestions@audacy.com

Clint speaks with Sleep Center Medical Director, Dr. Siddharth Jani, about various sleep disorders, sleep medications, the sleep disorders center, sleep tests, and much more! Good Samaritan Sleep Disorders Center phone number: 812-885-3988

CPAP Recall Due to Cancer RiskMillions of breathing machines used to treat sleep apnea have been recalled due to testing showing that the machine causes users to inhale cancer causing toxins. Philips Dreamstation, a CPAP machine that was recalled, uses sound dampening foam that may degrade into particles and off-gas chemicals which are inhaled by its users. The FDA has noted the presence of black debris and particles within the device's air pathway and says that breathing those in could result in serious injury which can be life threatening or cause permanent impairment. The effects could lead to irritation or asthma and could even cause carcinogenic effects. The Need for a Good Night's SleepDr. David Clayman directs the Sleep Disorders Center at UCSF and has informed his patients of the possible side effects encouraging those with milder cases of sleep apnea to make the decision for themselves of whether to continue use of the machines as he cannot offer any guarantees whether the machines are safe.Sleep apnea is a serious sleep disorder affecting 25 million people where people's breathing during sleep repeatedly stops and starts.nSome people with severe sleep apnea assume the risk of using their CPAP machines despite the risks for cancer as they believe that not getting enough sleep could result in greater health risks that could cause danger to themselves and others, like falling asleep while driving.It is important to note that people with CPAP machines tend to use an ozone cleaning system to clean them and that may be causing the sound abatement foam to degrade even faster.The Orthodontic Alternative to Using CPAP MachinesSleep apnea sufferers can turn to orthodontic treatments to treat their sleep apnea and avoid the risk in using a CPAP machine that can negatively affect their health in the long run. Why risk inhaling cancer-causing toxins from CPAP machines when making adjustments to the shape of your mouth has been found as a proven method of treatment to improve your airway?A review by the Department of Health, Life and Environmental Science, University of L'Aquila and the Academy of Orofacial Myofunctional Therapy showed rapid maxillary expansion (RME) as an effective treatment for obstructive sleep apnea syndrome (OSAS). The Rapid Maxillary Expansion treatment uses a device implanted into the roof of your mouth to widen the bones and tissue of your mouth to leave ample space for the tongue to relax. A space created between your two front teeth are then corrected using traditional orthodontic appliances.Do You Suffer From Sleep Apnea?Other alternatives to CPAP can include:• Dental appliance that repositions the lower jaw and tongue • Upper airway surgery to remove excess tissue • Nasal expiratory positive airway pressure with a disposable valve covering the nostrils • Treatment using hypoglossal nerve stimulationAt Airway and Sleep Group, we work with patients on treatments for sleep apnea regularly. Contact us for your initial consultation or visit www.airwayandsleepgroup.com for more information.

About Dr. Phyllis C. Zee: Dr. Phyllis C. Zee is the Benjamin and Virginia T. Boshes Professor in Neurology and Director of the Sleep Disorders Center at Northwestern University's Feinberg School of Medicine in Chicago, Illinois, where she is also Associate Director of the Center for Sleep and Circadian Biology. A fellow of the American Academy of Sleep Medicine, a fellow of the American Academy of Neurology, and a member of the American Neurological Association, Dr. Zee has served on numerous national and international committees, NIH scientific review panels, and advisory boards. She is President of the Sleep Research Society, past Chair of the NIH Sleep Disorders Research Advisory Board, and a Deputy Editor for the journal SLEEP. Dr. Zee is the recipient of the 2011 American Academy of Neurology Sleep Science Award. Call in #: 312-280-7675  Backup: 312-540-5400 Producer: Dan Jacobs cell: 516-524-2746 SUBJECT DISCUSSED: NEW SURVEY UNCOVERS HOW INSOMNIA/SLEEPING DIFFICULTIES AFFECT QUALITY OF LIFE Veterans Day Tie-in:   In a recent John Hopkins study over 74% of veterans reported having insomnia, a figure that's even higher in veterans diagnosed with Post Traumatic Stress Disorder (PTSD). GUEST: Phyllis C. Zee, MD, Ph.D., Chief of Sleep Medicine, Department of Neurology, Northwestern University Background:  A new survey entitled “How America Sleeps and Wakes” has uncovered that 90% of patients with insomnia or sleeping difficulties agreed that “having a good night's sleep” means having a “good day” the next morning.1 The survey, recently presented at the 2019 World Sleep Congress, explores the impact of insomnia or sleeping difficulties on individual performance, interpersonal relationships and psychosocial behavior. The data also shows that next-day functioning is of high importance to people with insomnia or sleeping difficulties, yet most do not wake ready. Approximately two-thirds of patients rated “waking up refreshed and ready to start the day” and “being able to function normally throughout the day” as “very important” in managing their insomnia or sleeping difficulties (63% and 64%, respectively).1 When they wake up the next day after not having a good night's sleep, 67% of patients reported feeling tired or fatigued, and only 7% reported feeling “ready to start their day.”1 Approximately 93% of patients who experienced sleepiness or grogginess in the morning reported having these difficulties at least two to three times per week.1 The survey was conducted online by The Harris Poll, on behalf of Eisai Inc., between February 14 and March 8, 2019, among over 1000 adults. On November 11, 2019, Phyllis C. Zee, MD, PhD, Chief of Sleep Medicine, Department of Neurology, Northwestern University, and a “How America Sleeps and Wakes” survey advisor, will share the findings of the survey with your viewers, which also demonstrate that household cohabitants are negatively impacted in unexpected ways.More than eight in 10 cohabitants (85%) agreed that they themselves are more likely to have a good day when the person with insomnia or sleeping difficulties in the home has a good night's sleep.1  Over half of cohabitants (53%) whose relatives experienced morning sleepiness or grogginess rated these difficulties as very or somewhat bothersome for themselves.1 When their partner or relative does not have a good night's sleep, a quarter of cohabitants (26%) reported feeling tired or fatigued themselves.

About Dr. Phyllis C. Zee: Dr. Phyllis C. Zee is the Benjamin and Virginia T. Boshes Professor in Neurology and Director of the Sleep Disorders Center at Northwestern University's Feinberg School of Medicine in Chicago, Illinois, where she is also Associate Director of the Center for Sleep and Circadian Biology. A fellow of the American Academy of Sleep Medicine, a fellow of the American Academy of Neurology, and a member of the American Neurological Association, Dr. Zee has served on numerous national and international committees, NIH scientific review panels, and advisory boards. She is President of the Sleep Research Society, past Chair of the NIH Sleep Disorders Research Advisory Board, and a Deputy Editor for the journal SLEEP. Dr. Zee is the recipient of the 2011 American Academy of Neurology Sleep Science Award. Call in #: 312-280-7675  Backup: 312-540-5400 Producer: Dan Jacobs cell: 516-524-2746 SUBJECT DISCUSSED: NEW SURVEY UNCOVERS HOW INSOMNIA/SLEEPING DIFFICULTIES AFFECT QUALITY OF LIFE Veterans Day Tie-in:   In a recent John Hopkins study over 74% of veterans reported having insomnia, a figure that's even higher in veterans diagnosed with Post Traumatic Stress Disorder (PTSD). GUEST: Phyllis C. Zee, MD, Ph.D., Chief of Sleep Medicine, Department of Neurology, Northwestern University Background:  A new survey entitled “How America Sleeps and Wakes” has uncovered that 90% of patients with insomnia or sleeping difficulties agreed that “having a good night's sleep” means having a “good day” the next morning.1 The survey, recently presented at the 2019 World Sleep Congress, explores the impact of insomnia or sleeping difficulties on individual performance, interpersonal relationships and psychosocial behavior. The data also shows that next-day functioning is of high importance to people with insomnia or sleeping difficulties, yet most do not wake ready. Approximately two-thirds of patients rated “waking up refreshed and ready to start the day” and “being able to function normally throughout the day” as “very important” in managing their insomnia or sleeping difficulties (63% and 64%, respectively).1 When they wake up the next day after not having a good night's sleep, 67% of patients reported feeling tired or fatigued, and only 7% reported feeling “ready to start their day.”1 Approximately 93% of patients who experienced sleepiness or grogginess in the morning reported having these difficulties at least two to three times per week.1 The survey was conducted online by The Harris Poll, on behalf of Eisai Inc., between February 14 and March 8, 2019, among over 1000 adults. On November 11, 2019, Phyllis C. Zee, MD, PhD, Chief of Sleep Medicine, Department of Neurology, Northwestern University, and a “How America Sleeps and Wakes” survey advisor, will share the findings of the survey with your viewers, which also demonstrate that household cohabitants are negatively impacted in unexpected ways.More than eight in 10 cohabitants (85%) agreed that they themselves are more likely to have a good day when the person with insomnia or sleeping difficulties in the home has a good night's sleep.1  Over half of cohabitants (53%) whose relatives experienced morning sleepiness or grogginess rated these difficulties as very or somewhat bothersome for themselves.1 When their partner or relative does not have a good night's sleep, a quarter of cohabitants (26%) reported feeling tired or fatigued themselves.

April 22, 2021 ~ The Medical Director of the Sleep Disorders Center at DMC Detroit Receiving Hospital talks to Paul about a new sleep study on the importance of sleep for good health.

Did you get enough sleep last night? If you're like most Americans, probably not. You might feel pretty good after six hours of sleep and a strong cup of coffee, but the physical and mental toll of sleep deprivation is high. We become more impulsive and less mentally agile, and we make more mistakes. Long term, lack of sleep (six hours or less per night) can mess with mood, hormones, and immune systems, and it can increase our risk for diabetes and cardiovascular disease. There are lots of things we can't control that keep us up too late, such as crying babies and shift work. But there are lots of things we can control, like how much caffeine we consume and whether we take our phone to bed. But somewhere along the way, our culture made less sleep a matter of personal virtue and moral judgement. Even naps are frowned upon for all but the youngest and the oldest among us. GUESTS: Maria Konnikova - A journalist, professional poker player, and the author of The Confidence Game and Mastermind: How To Think Like Sherlock Holmes Dan McNally - A doctor with the Sleep Disorders Center at UConn Health Todd Pitock - Journalist Join the conversation on Facebook and Twitter. Colin McEnroe, Cat Pastor, and Catie Talarski contributed to this show, which originally aired March 18, 2020.Support the show: http://www.wnpr.org/donateSee omnystudio.com/listener for privacy information.

Fernando takes a trip into the Sleep Disorders Center. We will talk about the type of test he's having as well as other types of testing performed through Sleep Disorders Centers.

March 12, 2021 ~ The Medical Director of the Sleep Disorders Center at DMC Detroit Receiving Hospital tells Paul the time change can be dangerous for the health of some people.

Dr. Jennifer Kanaan from UConn Health's Sleep Disorders Center joins Carolyn and Chris to talk about the impact of sleep has on how adolescents do in school and in their relationships. She explains the advantages of later school start times and offers some advice on how to build good sleep habits. (Dr. Jennifer Kanaan, Carolyn Pennington, Chris DeFrancesco, September 2020)

Not getting enough sleep? Well the pandemic may be to blame. Lee will break down an interview with Dr. Kevin Walker, medical director of Intermountain Healthcare’s Sleep Disorders Center, on how to get better sleep amid a pandemic. See omnystudio.com/policies/listener for privacy information.

Artificial intelligence is the vanguard of a new technological revolution that will affect all aspects of human society. Our work, our health, the cars we drive, even the media we consume - all will be radically transformed in the coming years and decades by 'intelligent machines'. Essentially, these are computers that have learnt how to do many of the tasks we thought only humans were capable of. But the difference is, AI can do things quicker, more accurately, and of course, without needing human intervention. Sleep medicine will not be an exception to this march of progress. So much so, that earlier this year, the American Academy of Sleep Medicine (AASM) issued a position statement, outlining a roadmap for sleep professionals to start engaging now with the multifaceted ways that AI will inevitably impact on patient care, diagnostics, staff allocation, treatment protocols and much more. We talk to Dr Cathy Goldstein, neurologist, and chair of the AASM's committee on AI about how artificial intelligence will shape the field of sleep medicine in coming years, and also how Dr Goldstein's own research into longitudinal sleep tracking with consumer wearables may also play a role in expanding our vision for how we manage sleep health outside of the clinic. This episode's guest: Cathy Goldstein, MD, is an Associate Professor of Neurology at the University of Michigan and faculty in the Sleep Disorders Center. Her current research focus, through work with mathematics, is the improvement of sleep tracking via algorithm development and validation using consumer sensors. The ultimate goal of this work is more accurate longitudinal sleep estimation for performance and precision health applications. Dr. Goldstein has a passion for teaching and her educational roles have included University of Michigan athletes, trainers, and coaches and medical school faculty and trainees. She has helped disseminate sleep health and wellness to the general public through pieces in numerous media outlets. Dr. Goldstein works to promote the adoption of cutting edge technology in sleep medicine as the chair of the national committee on AI in sleep medicine. Dr.Goldstein has a passion for education that spans colleagues, trainees, patients and the public. In addition to her clinical work, she holds various leadership roles including Associate Editor for the Journal of Clinical Sleep Medicine, Circadian Sleep-Wake Rhythm Disorders Section Editor of UpToDate, and committee work through the American Academy of Sleep Medicine. University of Michigan: https://medicine.umich.edu/dept/neurology/cathy-goldstein-md-ms Twitter: https://twitter.com/cathygo_sleep More Resources: AI in sleep medicine: an AASM position statement: https://jcsm.aasm.org/doi/10.5664/jcsm.8288 A Consumer Sleep Tracker Researchers Can Actually Use Artificial intelligence in sleep medicine: background and implications for clinicians Episode Homepage: https://sleepjunkies.com/ai-sleep-medicine More Episodes:

Artificial intelligence is the vanguard of a new technological revolution that will affect all aspects of human society. Our work, our health, the cars we drive, even the media we consume - all will be radically transformed in the coming years and decades by 'intelligent machines'. Essentially, these are computers that have learnt how to do many of the tasks we thought only humans were capable of. But the difference is, AI can do things quicker, more accurately, and of course, without needing human intervention. Sleep medicine will not be an exception to this march of progress. So much so, that earlier this year, the American Academy of Sleep Medicine (AASM) issued a position statement, outlining a roadmap for sleep professionals to start engaging now with the multifaceted ways that AI will inevitably impact on patient care, diagnostics, staff allocation, treatment protocols and much more. We talk to Dr Cathy Goldstein, neurologist, and chair of the AASM's committee on AI about how artificial intelligence will shape the field of sleep medicine in coming years, and also how Dr Goldstein's own research into longitudinal sleep tracking with consumer wearables may also play a role in expanding our vision for how we manage sleep health outside of the clinic. This episode's guest: Cathy Goldstein, MD, is an Associate Professor of Neurology at the University of Michigan and faculty in the Sleep Disorders Center. Her current research focus, through work with mathematics, is the improvement of sleep tracking via algorithm development and validation using consumer sensors. The ultimate goal of this work is more accurate longitudinal sleep estimation for performance and precision health applications. Dr. Goldstein has a passion for teaching and her educational roles have included University of Michigan athletes, trainers, and coaches and medical school faculty and trainees. She has helped disseminate sleep health and wellness to the general public through pieces in numerous media outlets. Dr. Goldstein works to promote the adoption of cutting edge technology in sleep medicine as the chair of the national committee on AI in sleep medicine. Dr.Goldstein has a passion for education that spans colleagues, trainees, patients and the public. In addition to her clinical work, she holds various leadership roles including Associate Editor for the Journal of Clinical Sleep Medicine, Circadian Sleep-Wake Rhythm Disorders Section Editor of UpToDate, and committee work through the American Academy of Sleep Medicine. University of Michigan: https://medicine.umich.edu/dept/neurology/cathy-goldstein-md-ms Twitter: https://twitter.com/cathygo_sleep More Resources: AI in sleep medicine: an AASM position statement: https://jcsm.aasm.org/doi/10.5664/jcsm.8288 A Consumer Sleep Tracker Researchers Can Actually Use Artificial intelligence in sleep medicine: background and implications for clinicians Episode Homepage: http://sleepjunkies.com/ai-sleep-medicine More Episodes:

Did you get enough sleep last night? If you're like most Americans, probably not. You might feel pretty good after six hours of sleep and a strong cup of coffee, but the physical and mental toll of sleep deprivation is high. We become more impulsive and less mentally agile, and we make more mistakes. Long term, lack of sleep (six hours or less per night) can mess with mood, hormones, and immune systems, and it can increase our risk for diabetes and cardiovascular disease. There are lots of things we can't control that keep us up too late, such as crying babies and shift work. But there are lots of things we can control, like how much caffeine we consume and whether we take our phone to bed. But somewhere along the way, our culture made less sleep a matter of personal virtue and moral judgement. Even naps are frowned upon for all but the youngest and the oldest among us. GUESTS: Maria Konnikova - A journalist, professional poker player, and the author of The Confidence Game and Mastermind: How To Think Like Sherlock Holmes Dan McNally - A doctor with the Sleep Disorders Center at UConn Health Todd Pitock - Journalist Join the conversation on Facebook and Twitter. Colin McEnroe, Cat Pastor, and Catie Talarski contributed to this show.Support the show: http://www.wnpr.org/donateSee omnystudio.com/listener for privacy information.

Dr. Cathy Goldstein is faculty in the Sleep Disorders Center where she evaluates and treats patients with various conditions such as obstructive sleep apnea, insomnia, restless legs syndrome, and circadian rhythm sleep-wake disorders.Her research interests include the interface of sleep disruption with health conditions such as infertility and gastrointestinal disease. She also does work in the development of methods to assess sleep and circadian rhythms in the ambulatory, day-to-day setting.

Dr. Cathy Goldstein is faculty in the Sleep Disorders Center where she evaluates and treats patients with various conditions such as obstructive sleep apnea, insomnia, restless legs syndrome, and circadian rhythm sleep-wake disorders. Her research interests include the interface of sleep disruption with health conditions such as infertility and gastrointestinal disease. She also does work in the development of methods to assess sleep and circadian rhythms in the ambulatory, day-to-day setting.

We invite you to listen to our interview with James McCreath, Ph.D., LCSW, VP of Behavioral Health and Psychiatry at Trinitas Regional Medical Center (TRMC) and St. Joseph’s Health. Dr. McCreath introduces listeners to TRMC, a 554-bed hospital and 120-bed long-term care facility that is a major center for comprehensive health services for those who live and work in Eastern and Central Union County in New Jersey. TRMC is a PsychU Supporting Organization and they are distinguished by no less than 10 Centers of Excellence, which include: the Trinitas Comprehensive Cancer Center; the Trinitas School of Nursing; the Center for Wound Healing & Hyperbaric Medicine; the Sleep Disorders Center; cardiology services, maternal/child health services; diabetes management; women’s services, renal care; behavioral health services, and senior services. PsychU is proud to feature perspectives from experts and advocates in the field of mental health. It is an honor to have organizations like Trinitas Regional Medical Center as PsychU Supporters – as we work to improve mental health together. [Embed Audio] James McCreath, Ph.D., LCSW, is the Executive Director of the Trinitas Regional Medical Center & St. Joseph’s Hospital & Medical Center Integrated Department of Psychiatry. James also serves as the Vice President for the Trinitas Department of Behavioral Health & Psychiatry. Dr. McCreath has been a leader in the field of Mental Health for over 20 years, serving in such capacities as a Board Member, President, Executive Director and CEO. He has worked in the Mental Health field for over 40 years with a focus on hospital based and community agency based operations. James is also a published author, public speaker and lecturer. James McCreath earned his Ph.D. at the New York University School of Social Work. MRC2.CORP.X.03603 / MRC2.CORP.X.03602

Karl Doghramji, MD, is professor of psychiatry with secondary appointments in neurology and medicine at Thomas Jefferson University in Philadelphia. He also directs the Sleep Disorders Center at Thomas Jefferson. Show notes by Jacqueline Posada, MD, consultation-liaison psychiatry fellow with the Inova Fairfax Hospital/George Washington University program in Falls Church, Va. Classification and consequences  Insomnia is defined by the DSM-5 as dissatisfaction with sleep quantity or quality, difficulty falling asleep or staying asleep, or both. The symptoms need to occur at least three times per week for more than 3 months and cause dysfunction or distress in the patient. 20%-30% of the population reports insomnia; within inpatient psychiatry populations, the rates rise to up to 80%. Insomnia is thought to be caused by central nervous system hyperarousal or hyperactivity of unclear etiology, and there is evidence of genetic vulnerability. Insomnia is associated with significant impairments, such as diminished ability to enjoy life and sleep during inappropriate times (i.e., while driving or in occupational settings). In addition, insomnia confers increased risk for chronic illnesses such as major depressive disorder, substance use disorder, as well as diabetes, hypertension, and dementia. Treating insomnia  It is best to first treat the comorbidities of insomnia, such as mood disorders and anxiety, and then target insomnia with both behavioral modifications and medications. When prescribing medications, choose a pharmacologic agent that targets the period of sleep difficulty. Evaluation of insomnia must examine the dimensions of sleep, including falling asleep (sleep initiation), compared with staying asleep (sleep maintenance). Behavioral techniques  Stimulus control therapy: If a person is unable to fall asleep within 20-30 minutes, either at initiation or in the middle of sleep cycle, he/she should get out of bed and do something outside of the room and return to bed only when feeling sleepy. Relaxation therapies, such as progressive muscle relaxation, can improve sleep if performed once a week for 12 weeks. Sleep hygiene improvements, such as addressing late caffeine consumption, room brightness, and daytime napping can mitigate insomnia. Pharmacologic interventions  Over-the-counter options include valerian root and histamine1 antagonists, such as diphenhydramine and melatonin. Melatonin is modestly effective at low doses, though the effects have not panned out in meta-analyses. At low doses, melatonin may increase total sleep time or improve sleep initiation by a few minutes. Watch out for adverse effects with long-term use of melatonin, such as disruption of other receptors, decreased fertility, and altered efficacy of chemotherapeutic agents. Prescription drugs approved by the Food and Drug Administration Benzodiazepines approved for insomnia include flurazepam (Dalmane), temazepam (Restoril), estazolam (Prosom), and triazolam (Halcion). However, those medications have long half-lives and tend to contribute to excessive daytime sedation. “Z-drugs” are the selective benzodiazepine receptor agonists. Zaleplon (Sonata) and zolpidem are useful for sleep initiation but might not help with sleep maintenance through the entire night. Eszopiclone (Lunesta) and zolpidem extended release (Ambien CR) can help with sleep initiation and sleep maintenance through the entire sleep period. Z-drugs, especially if mixed with alcohol, can contribute to parasomnias such as sleep walking and sleep driving. The FDA counsels that if patients develop parasomnias, they should not be rechallenged with those drugs. Nonscheduled medications include ramelteon (Rozerem), a melatonin receptor agonist that is effective for sleep initiation, and low-dose doxepin (Sinequan), which is effective for middle to late portions of the night. References Pavlova MK and Latreille V. Sleep disorders. Am J Med. 2019 Mar 132(3):292-9. Clark J. Slumber Camp. Conquer insomnia. For clinicians. Slumber Camp is an award-winning, 28-day, online course that teaches the principles of cognitive-behavioral therapy for insomnia. Cui R and Fiske A. Predictors of treatment attendance and adherence to treatment recommended among individuals receiving cognitive behavioral therapy for insomnia. Cogn Behav Ther. 2019 Mar 14:1-7. Christensen MA et al. Direct measurements of smartphone screen-time: Relationships with demographics and sleep. PLoS One. 2016 Nov 9;11(11):e0165331.   For more MDedge Podcasts, go to mdedge.com/podcasts Email the show: podcasts@mdedge.com Interact with us on Twitter: @MDedgePsych

Listen as Dr. Greg Colodner,Medical Director of the Sleep Disorders Center, discusses the importance of sleep on your well-being

Problems falling asleep, staying asleep, getting enough sleep, feeling sleepy during the day...any of these ring a bell as something you struggle with? If you're one of the 50-70 million people in the U.S. alone that suffer from a sleep disorder, you can definitely relate. Even if you aren't diagnosed with a specific sleep disorder, problems falling asleep and getting enough sleep can still be an issue.*Dr. Mendelson joined us back in episode 104, where we talked about Antidepressants, PTSD, and Taking an Active Role in Your Treatment. After that chat, we talked about his work in the area of sleep, and I thought it would be a great idea to bring him back again to talk about this important topic.Dr. Wallace Mendelson is currently in the clinical practice of psychiatry. He was formerly Professor of Psychiatry and Clinical Pharmacology at the University of Chicago. At that time, he was also Director of the Sleep Research Laboratory there. Dr. Mendelson earned an MD degree from Washington University School of Medicine in St. Louis and completed a residency in psychiatry at the same institution. He has held professorships at Ohio State University and the State University of New York at Stony Brook, was Chief of the Section on Sleep Studies at the National Institute of Mental Health in Bethesda, MD, and Director of the Sleep Disorders Center at the Cleveland Clinic. Among his honors is the William C. Dement Academic Achievement Award from the American Sleep Disorders Association as well as the Special Award in Sleep and Psychiatry from the National Sleep Foundation, and he is a distinguished fellow of the American Psychiatric Association. In 1997, he was President of the Sleep Research Society. Dr. Mendelson has authored or co-authored three books, and co-edited another, and published over 190 peer-reviewed papers on various aspects of sleep research. During our chat, Dr. Mendelson shares his insight about sleep, including some of his research and information contained in his latest books, The Science of Sleep and Understanding Sleeping Pills.When you sleep, it's a very active time both for your body and your mind, as it goes through many stages while you are asleep.Processing, cataloging, and storing memories, and how emotional healing can also take place during sleep.Can you actually make up for lost sleep by trying to sleep in longer or going to bed earlier?Needing more sleep as you get older, and the difficulty in functioning without proper sleep each night.Types of sleep disorders: including disorders that affect falling asleep, staying asleep, excessive sleep, and abnormal behaviors while sleeping.Therapy modalities available to help with insomnia and other sleep disorders, including CBTI (cognitive behavioral therapy for insomnia).How phones and tablets can have a dramatic impact on falling asleep and the quality of sleep we get.Thank you to Dr. Wallace Mendelson for coming back as a guest on this

Robert S. Rosenberg, D.O., FCCP, sleep medicine and sleep apnea specialist, discusses sleep apnea, CPAP compliance, and CPAP care. Robert S. Rosenberg, D.O., FCCP, has more than three decades of experience in sleep medicine. Dr. Rosenberg is board certified in sleep medicine, pulmonary medicine, and internal medicine. He has served as the medical director of the Sleep Disorders Center in Prescott Valley, Arizona, as well as the sleep medicine consultant for Mountain Heart Health Services in Flagstaff, Arizona. Dr. Rosenberg is a sought-after speaker on the subject of sleep and other medical topics and is a regular guest at medical conventions. He is a published author and columnist whose work has appeared in many top periodicals such as O, The Oprah Magazine, Women's Health, Prevention, Woman's World, Parenting, and Ladies' Home Journal, as well as many others. His books Sleep Soundly Every Night, Feel Fantastic Every Day, and The Doctor's Guide to Sleep Solutions for Stress & Anxiety are in wide release and are considered by many to be must-reads for doctors and patients alike.  The sleep expert discusses sleep apnea and the solutions to the problem. As he states, obstructive sleep apnea, the most common form of sleep apnea, is when your airway basically collapses during sleep. So for those who are predisposed to sleep apnea either due to obesity, large tongues, heredity, etc., the problem could exist. Dr. Rosenberg mentions that of the nearly twenty million with sleep apnea, only about twenty percent of those have been diagnosed. And with sleep apnea, the oxygen drops, carbon dioxide levels rise, and the sympathetic nervous system (known as fight or flight) is triggered which constricts blood vessels and increases blood pressure. This unfortunate chain of events puts extra strain on the heart, brain, and other areas of the body. He delves into a detailed analysis of the areas of the body that could be affected by obstructive sleep apnea and the ways it can be prevented or treated.  Dr. Rosenberg's opinions and findings on the subject of sleep have made him a frequent guest on television and radio shows. Additionally, he publishes a monthly newsletter for healthcare professionals that condenses the most current research in sleep medicine, as well as an informative monthly newsletter on a myriad of sleep topics for the general public. Dr. Rosenberg is an affiliated professor of sleep medicine at Midwestern College of Osteopathic Medicine and he is on the board of directors for the American Sleep Association. In this discussion, Dr. Rosenberg details the health problems that sleep apnea can contribute to, and how sleep apnea is highly underdiagnosed.  The sleep doctor talks about the new CPAP offerings on the market and their benefits. CPAP stands for Continuous Positive Airway Pressure. CPAP is a positive airway pressure ventilator that applies mild air pressure on a continuous basis to keep airways open in people who have difficulty breathing spontaneously on their own. As he states, the new offerings are smaller and quieter, and many people find that they are much more comfortable than the large cumbersome devices of the recent past. He discusses how the pressure is variable and changes based on a person's specific requirements. He also talks about the various ways someone can delay the functioning of the device if they want to fall asleep without it intruding on them, and then it will begin after they have had time to begin resting. Additionally, he talks about the heated tubing that new systems offer to help prevent dryness, providing quality moisture into the air.  Dr. Rosenberg discusses maintenance of the machines and systems and hoses. He talks about the benefits of the SoClean sanitizing product. SoClean is an efficient and effective way to clean CPAP machine equipment. The SoClean system kills 99.9% of CPAP germs and bacteria in the mask, hose, and reservoir and does not require disassembly or chemicals. The sleep health expert details oral appliances, which are devices designed to adjust the jaw, bringing the lower jaw forward which in turn brings the tongue forward, and in many cases, this is enough to prevent some people's problem of sleep apnea. Oral appliances are designed specifically for individuals. Dentists will make molds of their patients' upper and lower teeth in order to tailor the oral appliance for individuals. The oral appliances are adjustable, worn at night, and for many people, this specially crafted device is a great option to prevent sleep apnea and avoid CPAP.  Additionally, Dr. Rosenberg discusses some of the patients he sees, and their stories of past frustration with their care and devices. Dr. Rosenberg's goal is to find ways for these patients to be healthy and enjoy their sleep, with whatever device or system or method is necessary, and he works with people individually to ensure they get the best quality care.

Approximately 18 million Americans – 1 out of every 15 adults – have Obstructive Sleep Apnea, or OSA. Boston Medical Center Otolaryngologist Michael Cohen, MD, in partnership with the Sleep Disorders Center is pleased to announce that Inspire Therapy, a FDA-approved therapy for obstructive sleep apnea, is now available to BMC patients. Aside from one other hospital in the area, BMC is the only place offering this therapy to patients. Listen in as Dr. Cohen discusses symptoms of OSA, and this new groundbreaking therapy to help.

Dr. Gregory Colodner joins host Robin Sills, RN, to talk about all things sleep: how to get more sleep, some common conditions that affect sleep such as sleep apnea, what services Saint Mary's offers to help you get better sleep, and much more. Dr. Colodner specializes in all aspects of sleep and sleep disorders. He is the Medical Director of the Sleep Disorders Center, which provides full services including consultation and testing for adults and children. All sleep disorders, including sleep apnea, insomnia, schedule changes, snoring and narcolepsy are treated.

You wake up unable to move, completely paralyzed. You feel something, something evil within the room. You are able to stare blankly at a horrible vision.The Old Hag.Legend tells us of a superstitious belief that a witch - or an old hag - sits or "rides" the chest of the victims, rendering them immobile.The experience is so frightening because the victims, although paralyzed, seem to have full use of their senses.In fact, it is often accompanied by strange smells, the sound of approaching footsteps, apparitions of weird shadows or glowing eyes, and the oppressive weight on the chest, making breathing difficult if not impossible.All of the body's senses are telling the victims that something real and unusual is happening to them. The spell is broken when the victim is fully awake and well completely baffled by what just happened to them since now the room is entirely normal.Confronted with such a bizarre and irrational experience, it's no wonder that many victims fear that they have been attacked in their beds by some malevolent spirit, demon or, perhaps, an alien visitor.The phenomenon occurs to both men and women of various ages and seems to happen to about 15 percent of the population at least once in a lifetime. It usually is a reoccurring phenomenon in about 10% of that group. It can occur while the victim is sleeping during the day or night, and it is a worldwide phenomenon that has been documented since ancient times. It crosses many cultures and beliefs even for those with no contact between each.The medical establishment is quite aware of this phenomenon, but has a less sensational name than "old hag syndrome" for it. They call it "sleep paralysis" or SP (sometimes ISP for "isolated sleep paralysis").So what causes it? Dr. Max Hirshkowitz, director of the Sleep Disorders Center at the Veterans Administration Medical Center in Houston, says that sleep paralysis occurs when the brain is in the transition state between deep, dreaming sleep (known as REM sleep for its rapid eye movement) and waking up.During REM dreaming sleep, the brain has turned off most of the body's muscle function so we cannot act out our dreams - we are temporarily paralyzed."Sometimes your brain doesn't fully switch off those dreams - or the paralysis - when you wake up," Hirshkowitz told ABC News. "That would explain the 'frozen' feeling and hallucinations associated with sleep paralysis." According to his research, the effect only really lasts from a few seconds to as long as a minute, but in this half-dream half-awake state, to the victim it can seem much longer.In her article, "Help! I Can't Move!,"Florence Cardinal writes: "Sleep paralysis is often accompanied by vivid hallucinations. There may be a sense someone is in the room, or even hovering over you. At other times, there seems to be pressure on the chest, as though someone or something perched there. There may even be sexual attacks associated with the hallucinations.The sound of footsteps, doors opening and closing, voices, all can be a very frightening part of sleep paralysis. These are known as Hypnagogic and Hypnopompic Experiences and they are what make people dread an episode of sleep paralysis."For all their explanations, however, the sleep experts still do not know what causes the brain to screw up like this, or why some people experience it more than others.And most interesting is the fact that the phenomenon has been documented in cultures that have not been in contact with one another – its as if the phenomenon has invaded the global consciousness.In Scandinavian folklore, sleep paralysis is caused by a mare, a supernatural creature related to incubi and succubi. The mare is a damned woman, who is cursed and her body is carried mysteriously during sleep and without her noticing. In this state, she visits villagers to sit on their rib cages while they are asleep, causing them to experience nightmares. The Swedish film Marianne examines the folklore surrounding sleep paralysis.In Fiji, the experience is interpreted as kana tevoro, being "eaten" by a demon. In many cases the demon can be the spirit of a recently dead relative who has come back for some unfinished business, or has come to communicate some important news to the living. Often persons sleeping near the afflicted person say kania, kania, "eat! eat!" in an attempt to prolong the possession for a chance to converse with the dead relative or spirit and seek answers as to why he or she has come back. The person waking up from the experience is often asked to immediately curse or chase the spirit of the dead relative, which sometimes involves literally speaking to the spirit and telling him or her to go away or using expletives.In Nigeria, it appears to be far more common and recurrent among people of African descent than among whites or Nigerian Africans and is often referred to within African communities as "the Devil on your back."In Turkey sleep paralysis is called Karabasan, and is similar to other stories of demonic visitation during sleep. A supernatural being, commonly known as a jinn (cin in Turkish), comes to the victim's room, holds him or her down hard enough not to allow any kind of movement, and starts to strangle the person. To get rid of the demonic creature, one needs to pray to Allah by reading Al-Falaq and Al-Nas from the Qur'an. Moreover, in some derivatives of the stories, the jinn has a wide hat and if the person can show the courage and take its hat, the djinn becomes his slave.In Eastern Chinese folklore, it is thought that it is a mouse that can steal human breath at night. Human breath strengthens the mouse, allowing it longevity and the ability to briefly become human at night, in a similar fashion to fox spirits. The mouse sits near the person's face or under their nostrils.In Hungarian folk culture sleep paralysis can be attributed to a number of supernatural entities like wraiths witches, demonic lovers and tiny fairies.In Newfoundland, it is known as the 'Old Hag'.[23] In island folklore, the Hag can be summoned to attack a third party, like a curse. In his 1982 book, The Terror that Comes in the Night, David J. Hufford writes that in local culture the way to call the Hag is to recite the Lord's Prayer backwards.During the Salem witch trials several people reported night-time attacks by various alleged witches, including Bridget Bishop, that may have been caused by sleep paralysis.In contemporary western culture the phenomenon is said to be the work of what are known as shadow people. These are said to be entities that are entirely made up of shadows and can only be seen out of the corner of one's eye. Victims report primarily three different entities, a man with a hat, the old hag noted above, and a hooded figure.Sleep paralysis is known to involve a component of hallucination in 20% of the cases, which may explain these sightings. Sleep paralysis in combination with hallucinations has long been suggested as a possible explanation for reported alien abduction.But the question remains, why are people hallucinating the same figure? Why are they seeing what is termed as Hat Man, or The Hooded Monk, or and Old Witch even if they have had absolutely no prior knowledge or belief in such a figure?And what is more disturbing in some cases is the hallucinations and the messages from these figures is surprisingly similar.And still, more disturbing is the fact that some people experience this phenomenon while not sleeping, being fully awake and conscious in the middle of the day, and in some cases, having a witness to experience it with them.The visions of Hat Man and The Hooded Monk will be a feature of a later podcast.In the case of The Old Hag let's get some first hand accounts. This first one is from G Mulder from Minnesota:I was around twenty years of age and had to move back to my folk's house for a while as I broke up with the girl I was living with in the year of 1980. It was spring of the year and I was stressed out, but went to bed and enjoyed listening to my mystery theater on the radio, when I went to bed. I had my old bedroom back; across the hall was my other bedroom for a time. My folk's bedroom was around the corner, and they were in bed as well for they had to get up for work. I was laid off of my job, so I could sleep in.I fell asleep listening to my radio show and staring at my Right Guard deodorant can in the street light coming in through the window. My shades were pulled, yet there was some light that still filtered in.I fell asleep at some point and my radio went off after the hour timer. That is when I got my visitor. I woke up around three in the morning and noticed a red light flashing out the window, and to this day I am not sure what that was.But now awake I sat up and saw my door open enough to see into my other bedroom. What I saw was evil and scary. There was just enough light to slightly lighten up the room, but in the middle was a deep black swirling cloud. To me that is what it appeared. Just swirling in a circle, it felt real and had a consciousness. Then I saw two small red eyes peering out form the middle of it.I just stared, and when it felt the fear in me it rushed so fast in my direction it took me by surprise. It knocked me back in bed and I felt this heavy weight on my chest, like something was sitting on my holding me down. I could not breath, scream or move anything.It had me completely paralyzed, what seemed for along tome. I tried to wrestle with it, but got no where. When I screamed for my dad, it just came out like a soft muffle that no one could hear. I could turn my head slightly and see my clock and saw time slipping away during my battle with the old hag.Suddenly it was gone. I could breathe. I sat up and felt myself breathing heavy and I was dripping with sweat. This was for real, I thought. What was it? I did not see it on me; just felt the pressure and its presents.Then I looked at the door again and saw the swirling list, back in the other bedroom. Then round two happened. It rushed at me again and I went through the same scary event. This went on again for awhile, and then it let off. Before I could get out of bed, I was dead tired, but I knew I was awake.The third time happened as well and most of the night had passed. I did manage to turn the radio on again for an hour between events, and when the last one occurred it left for good. Soon after I just stared into space, trying to calm down and get a grasp at just what happened.My dad soon got up to get ready for work and the sun was just coming up. I felt it was safe to get some sleep. I noticed the can of deodorant was on the floor, something was in my room. The radio was just tuning off and I could still feel the dampness of my sweat on the sheets.I went to sleep and when I got up around noon, I told my mom of this and said I would never sleep in that room again. She though I was being silly and just had a bad dream. I do not have nor ever had a dream like that. That was real.It was years later when I read the book Communion about alien intervention. The authors experience told of aliens coming into his house and could not move, much like my experience. But with the alien encounter you usually don't remember what they do to you when they take you. I had to wonder if that happened to me. It was explained so closely to my experience.I was considering hypnosis, but never did. Then a couple years later I heard of professionals calling it sleep paralysis. You are caught in-between sleeping and awake stage. You are awake and yet you can't move, and it feels like the old hag syndrome.This may be, but I believe mine was real. I do believe in entities and they do roam, they just passed my way that night. Some people have reoccurrences over their life time. I have never experienced it since and God willing, I never will. It was my worst nightmare. I thought I was going to die that night.Here is another from Lucy who explains she was fully awake during this exchange:I had one of these experiences, only where mine differed from most were that: I was wide awake when it happened, I was not paralyzed, I was able to move freely, I didn't feel any weight on my chest and had no difficulty breathing.I did experience the exact same visual and auditory phenomena though. I heard footsteps coming down my stairs first. It made all the hairs on the back of my neck stand up and I just felt like I wasn't alone. I looked in that direction, and saw a dark form, it just looked like a glob without and general shape. I guess a "cloud" or "wisp", which I have heard it described as would fit. It was so dark that it even stood out in a pretty dark room. This thing was orbing it's way toward me, not moving. It went from the middle of the stairs, to the bottom, then was in front of a coat rack in the corner of the room, and then at my feet. I'm still not completely terrified because I think it could just be my eyes playing tricks on me combined with some creaking stairs. That was, until "it" happened.I saw a very old person (couldn't tell if it was male or female) hovering over me, with long, scraggly hair, and long sharp fingernails on it's hands, which were extended toward me. All I could see was a head and hands, nothing else. It had a REALLY mean look on it's face that haunts me until this day. It wasn't a solid figure, it looked more like what a mirage is described as, or perhaps a hologram. I pulled the covers up over my head and prayed, making a cross with my fingers across my chest. When I looked again, it was gone. When I reached to turn a light on I was afraid of what I might find, but there was nothing there. I've never seen it since. This was several years ago now.I'd never even heard of this phenomena until looking on the net to see if others have had this experience, and when I saw all these other (nearly identical) accounts, it was creepy, and convinces me there is more to it than a sleeping disorder. I believe these "things", whatever they are, are very real. The fact that I was neither asleep, nor paralyzed also rules out sleep paralysis as a viable explanation in my case.Have you experienced this phenomenon? Do you believe it is merely sleep paralysis? Or is it an unsolved mystery? Share your stories with us on our Facebook Page. Just search Unsolved Mysteries of the World. See acast.com/privacy for privacy and opt-out information.

Sleep apnea, and other sleep disorders, can have serious consequences if not treated. Not getting proper sleep can negatively impact your health in so many ways. It can affect your job, your personal relationships, and impair your ability to operate a motor vehicle safely.Listen as Matt Rees, Supervisor, Sleep Disorders Center at Hendricks Regional Health, discusses the importance of quality sleep and the treatments available to help you finally get a good night's sleep.

Do complaints of insomnia stress you out? Well, never fear. In this episode our guest is Dr. Karl Doghramji, Professor of Psychiatry, Neurology and Medicine and the Medical Director of the Sleep Disorders Center at Thomas Jefferson University Hospital in Philadelphia. With his help we deconstruct the “dread pirate” insomnia (as I call it) so you can dominate it in your daily practice. Disclosures: Dr. Doghramji reports recent relationships with Merck (stock) and consulting work for Merck, Xenoport, Jazz, Inspire, Teva and Pfizer. He has a current research grant from Inspire. Clinical Pearls: *Pathophysiology: Likely biological, neurobehavioral and psychological hyperarousal. Possible genetic component. *Depression, anxiety or PTSD may be their primary disorder. Many insomniacs unaware of their depression. Need a high index of suspicion. *Sleep apnea is probably cause in 10-20% of patients who present with insomnia. *GERD can present with insomnia and night time awakenings as its primary symptom. *CBT works as well as pharmacotherapy and has lasting potential even 1-2 years after discontinuation of therapy. *High yield nonpharmacologic therapy: Get up at the same time every morning. Don’t sleep in, even if bedtime or sleep onset was delayed. *Melatonin: It’s effect depends on time administered (see below). It’s not as safe as you think (insulin resistance, low sperm count) 1. Administer very low dose (under 3 mg) four to five hours prior to bed for delayed sleep phase (usually occurs in teens). 2. Administer higher dose (3-5 mg) one hour before bed for sleep initiation (adults with fragmented sleep). *Agents for sleep initiation: zaleplon, zolpidem, ramelteon *Agents for sleep maintenance: zolpidem ER, eszopiclone, doxepin (low dose of 3mg or 6mg), gabapentin (off label) *Suvorexant (orexin antagonist) treats both sleep initiation and maintenance: Start 10 mg and go up 5 mg every few weeks to max 20 mg daily. Orexins are deficient in narcolepsy. Orexins seem to mediate a switch system between arousal and sleepiness. *Doxepin, gabapentin and ramelteon have very lose risk for abuse.  *Off-label use of diphenhydramine for sleep is not recommended ("dirty drug"). Trazodone and mirtazapine also have uncertain benefit. *Mirtazapine 7.5 mg is the dose for insomnia (more sedating). Lower dose favors histamine receptor. Links from the Show: 1. This is one possible site for online CBT https://www.sleepio.com as referenced in this study 2. Melatonin associated with impaired glucose tolerance http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4173928/ 3. American Academy of Sleep Medicine 4. This site below has easy to understand information on sleep related disorders and links to videos explaining sleep hygiene. You can also download sleep logs, get info. SleepEducation.org Website 5. Review on use of mindfulness and meditation for insomnia. http://www.ncbi.nlm.nih.gov/pubmed/26390335

TAP 037 - Dr Robert Rosenberg - The Ultimate Guide To Better Sleep To get my FREE EBOOK go to http://timjpcollins.com/free Please click here to leave a review - http://getpodcast.reviews/id/1031117023 Thanks! For any questions or show suggestions please email me at info@theanxietypodcast.com Thanks for your support! Summary: In this episode I talk to Dr Robert Rosenberg about sleep and how important it is to us. Dr Rosenberg is a expert on sleep and has made it his life's work. This episode is full of information that will help you get a better nights sleep. Dr Robert S Rosenberg is Board Certified in Internal Medicine, Pulmonary Diseases and Sleep Medicine. For the last two decades Dr Rosenberg has limited his medical practice exclusively to Sleep Medicine. He is the Medical Director of The Sleep Disorders Center of Prescott Valley. Dr Rosenberg is a national leading expert in the field of Sleep Medicine. He has appeared in many popular magazines such as Ophra Magazine, Woman's World, Prevention, Self and Glamour to name a few. Links: http://www.amazon.com/Sleep-Soundly-Every-Night-Fantastic/dp/1936303728 In this particular episode you will learn: - What is Fear Extinction - What actually happens when you sleep, and why this is important to stop you being anxious - Why journaling before bed can be beneficial - If you don't get enough sleep you spend more time processing emotional things during the day & look at things more negatively - For adults the ideal amount of time per night is 7 - 9 hours - Why sleep is critical to reducing Anxiety - Why you should avoid blue from technology light 90 mins prior to going to sleep - What is Caffeinism? - How Alcohol affects sleep - What you should eat before sleep? - How Anti Anxiety Drugs affect sleep - How does PTSD affect sleep?

Sleep specialist, Dr Robert S Rosenberg is Board Certified in Internal Medicine, Pulmonary Diseases and Sleep Medicine. For the last two decades Dr Rosenberg has limited his medical practice exclusively to Sleep Medicine. He is the Medical Director of The Sleep Disorders Center of Prescott Valley. Dr Rosenberg is a national leading expert in the field of Sleep Medicine. He has appeared in many popular magazines such as Ophra Magazine, Woman's World, Prevention, Self and Glamour to name a few.Dr Rosenberg is frequently on TV & Radio. In fact, he hosts his own radio show on HealthLife.net. Currently, Dr Rosenberg's book Sleep Soundly Every Night, Feel Fantastic Every Day: A Doctor's Guide to Solving Your Sleep Problems is rated the number on book on Sleep Medicine for Adults. 

Sleep specialist, Dr Robert S Rosenberg is Board Certified in Internal Medicine, Pulmonary Diseases and Sleep Medicine. For the last two decades Dr Rosenberg has limited his medical practice exclusively to Sleep Medicine. He is the Medical Director of The Sleep Disorders Center of Prescott Valley. Dr Rosenberg is a national leading expert in the field of Sleep Medicine. He has appeared in many popular magazines such as Ophra Magazine, Woman's World, Prevention, Self and Glamour to name a few.Dr Rosenberg is frequently on TV & Radio. In fact, he hosts his own radio show on HealthLife.net. Currently, Dr Rosenberg's book Sleep Soundly Every Night, Feel Fantastic Every Day: A Doctor's Guide to Solving Your Sleep Problems is rated the number on book on Sleep Medicine for Adults. 

  Join Dr. Park on this installment of his Expert Interview Series, where insomnia and sleep medicine expert, Dr. Gregg Jacobs, unveils his proven and effective methods for stopping insomnia, without the use of harmful and expensive medications.   Here’s what you’ll learn during this teleseminar: The 10 most effective ways to beat insomnia without medications The most common mistakes every insomnia sufferer makes and what you can do to avoid them Why most doctors are uninformed when it comes to insomnia and what you can do to get the best treatment possible Which sleeping pills, if any, are safe and which you must absolutely avoid taking An Insomnia Specialist at the Sleep Disorders Center at the University of Massachusetts Medical School, Dr. Gregg Jacobs is the leading authority on the treatment of insomnia.  His insights on insomnia and sleep are eye-opening and enlightening. During this 64 minute call, Dr. Jacobs answers your questions.

Dr. Peter Fotinakes, medical director for the Sleep Disorders Center at St. Joseph's Hospital, speaks to Family Radio about what's best for a good night's rest.

Dr. Peter Fotinakes, medical director for the Sleep Disorders Center at St. Joseph's Hospital, speaks to Family Radio about what's best for a good night's rest.