Advanced Sleep Phase Disorder

Mr. M, a 54 year old man is taken to a sleep disorder facility for examination of daytime somnolence and insomnia. He has been battling with anxiety and depression, a disorder he is being treated with. He reports that he has been suffering from Insomnia for several years and only turned worse about 7 years ago. He is troubled with sleep initiation, which usually takes him over one hour to fall asleep. As soon as he is asleep, he wakes up several times, which makes him to struggle again to go back to sleep. He turns in bed without sleep until dawn when he gets up feeling fatigued and drained. The major diagnosis is DSM 5 insomnia disorder. Given the comorbid indications of obstructive sleep apnea and depression, it would perhaps be hard to assess whether Mr. M has DSM-IV primary insomnia since DSM 5 enables the clinician to generate an unpremeditated attribution between obstructive sleep disorder and insomnia.

Sleeping disorder is a medical disorder of the sleep models of a human being or an animal. The sleeping disorders interfere with the normal mental, physical, social, and emotional functioning of the body. The commonly ordered sleeping disorders are polysomnography and actigraphy. This paper provides a critical analysis of a 2010 article written by Jane F. Gaultney called The prevalence of sleep disorders in college students: impact on academic performance.

Commonly known as Delayed Sleep Phase Disorder (DSPD) and other names, is a disorder in which the persons internal body clock is not in sync with the morning-rise evening-sleep pattern of the majority of people. Individuals with this disorder are not able to sleep and wake at the times that are regulated by normal work and school hours. They usually get enough sleep to keep them at a functional level through the day but not enough to be considered “well rested”. Polysomnography and actigraphy are tests commonly ordered for some sleep disorders to determine the illness. The cause of Delayed Sleep Phase can include a variety of reasons; puberty being one of the main causes, but some people are born with the disorder. The short term and long term effects of this illness is unfortunate for a person’s overall health. Overall cures to this disorder have not been found yet. Doctors have suggested sleeping pills to help or other alternatives. The disorder affects the timing of sleep, peak period of alertness, the core body temperature rhythm, hormonal and other daily cycles.

Sleep patterns are thrown off when the time changes. People tend to have a harder time waking up in the morning when they are exposed to sunlight later in the day. According to “Pros and Cons: Daylight Savings Time, light suppresses the production of melatonin, and melatonin helps everyone fall asleep. It takes people months to get back into a sleep pattern and when the finally do, time changes

I generally tend to go to sleep between 11 pm and 12 am, waking up around 8-9 on my own. When I have to be to work early in the morning, I sometimes rely on an alarm but sometimes my body wakes up on its own and usually go to bed around 10 or 11 pm. I wake up a few times throughout the night normally unless I am extremely tired. According to Myers and Dewall, age and experience can alter the circadian rhythm (2016). I have noticed over the last year my sleeping habits have changed quite a bit. I have started to feel tired later at night and go to sleep later as well. I used to go to sleep around 10 pm but now it’s an hour later than before. My house is normally quiet by 10 pm because my family has gone to sleep. Around that time I go to my

McMahon , et al, 2014). Another factor that can play into S.A.D. is melatonin, which helps with sleep and wake cycles. Rosenthal, et al, notes how the pineal gland, the gland that produces melatonin, will react to dark surroundings with drowsiness that can lead people to being lethargic (as cited in Melrose, 2015). When melatonin increases and serotonin decreases, the offset of the proteins can cause circadian rhythms to be disrupted, which is the bodies “24 hour” clock. Researcher Melrose writes that “…circadian rhythms respond to the rhythmic light-dark changes that occur daily and throughout each of the seasons.” (2015). People with S.A.D. disorder normally find that their circadian rhythms are off beat and timed differently with day lengths, for example feeling tired in the middle of the day while being wide awake or feeling wide awake when it would normally be time to sleep.

Thank you very much for referring Pamela on for her long-term issues with sleep. She describes both sleep onset and sleep maintenance issues and has essentially free running circadian rhythm. She will go to bed anywhere from 10.00pm to 2.00am and have a lot of trouble getting to sleep. She does find though that if she goes to bed at a later time, particularly 2.00am, that she does sleep better and will often then arise from bed at between 9.00am and 10am. She arises unrefreshed and has excessive daytime sleepiness throughout the day and will often fall asleep in passive situations. Reassuringly, she is not drowsy whilst driving.

Hypersomnolence “is a condition in which a person has trouble staying awake during the day. People who have [this disorder] can fall asleep at any time. They may also have other sleep-related problems, including a lack of energy and trouble thinking clearly(WEB).” This disorder cuts back individuals from socialization, work related demands, and other necessities. Hypersomnolence disorder is where the person gets more sleep than necessary without getting reenergized and unable to stay wide awake during the day.

Therefore, are you going to bed when your body beckons or are you ignoring it and staying up hours past that point? Are you sleeping in past the point you need to? If you are, then your internal clock is off balance and you will

     “Insomnia is the inability to obtain adequate amount or quality of sleep. The difficulty can be with falling asleep, remaining asleep, or both” (“Insomnia Encyclopedia“). Sleeping is a major point in physically and mentally restoring yourself for the tasks ahead. Most people say that about eight hours of sleep is an adequate amount, however it differs from person to person depending on their sex, age, and health conditions. An estimated one-third of the population suffers from some form of insomnia. “In recent studies, a survey reported that 30% of American women and 20% of American men took medication to help them sleep during the course of a year” (“Insomnia”). The medications these people took are called

Many people around the world suffer from excessive daytime sleepiness, and it can be a serious problem that can affect their lives. After all, if you feel sudden drowsiness due to your daytime sleepiness, you may end up falling asleep at work, in the middle of a meeting, while you are eating, or even when you are behind the wheel on a busy highway. It is important to understand as much as possible about this disorder, as well as what causes it, why it happens, and how to deal with it. Below is everything you need to know about this problem.

As with sleepwalking, it can be hereditary. But thankfully our bodies change as we age, which is why we see children who no longer sleep talk or have night terrors. There are still some teenagers and adults who suffer from sleeping disorders, and in certain cases (such as narcolepsy, a brain disease where you have uncontrollable sleep attacks) some may never grow out of their illness. Either way, I am very fascinated by sleeping disorders and will educate others who suffer the new information that I

returning to sleep, waking up too early in the morning, and un-refreshing sleep,” according to the National

1). Abnormal sleep patterns disturb our circadian rhythm. Circadian rhythm generally follows a 24-hour time period, responding to the light and dark cycles in our environment. According to Hanford and Figueiro (2013), research estimates that “ADRD patients spend approximately 40% of their night awake and a large portion of the solar day asleep” (p. 3). This sleep disruption can cause older adults with ADRD to become agitated, as well as depressed, due to their lack of restful sleep and sedentary lifestyle. Clinical research has shown that bright, or white light in the morning improves nighttime sleep (p.

Our bodies work in tides, and our minds and bodies fluctuate. When our bodies seem to synchronize with the 24-hour day, it is referred to as the circadian rhythm. It is the biological clock that tells us when it is day time we are awake, and night time is when we are supposed to sleep. Age and experience can affect the circadian rhythm, and I see this in myself. For instance, when I was in my teens and twenty’s, I had no problem staying up all night, whether it was working a graveyard shift, or