Showing posts with label anxiety. Show all posts
Showing posts with label anxiety. Show all posts

Oct 7, 2010

Tons of ways to get to sleep without medications

"I have insomnia. How do I get to sleep without medication?"

This common question is asked regularly, and I can tell you there are lots of people who are Sleepless in Racine. Plus, Kenosha and other points, west, south and north.

Deciding to find sleep without medication --which many people find has limitations anyway -- means some effort on your part. There are actually lots of choices, but you will have to decide which ones you are willing to try.

You'll have to make an investment and maybe even consider new ideas.

Prepare for bed with bedtime rituals. You will want your rituals to be comforting and able to slow you into dream time. Calming music, turning down the lights, a warm bath or shower, an inspirational reading, prayer or other simple practices will help you relax.

Attend to issues of physical pain. If you are in pain, it will be hard to relax enough to sleep. Get a physical examination if necessary and discuss with health professional.

Avoid stimulating beverages -- coffee, tea, chocolate and other caffeinated drinks and  foods -- that perk you up rather than calm you down. Many people find sugar and salt also stimulate the body rather than calming it.

Also, avoid over-stimulating movies, books and television shows at night, including the news, which tend to topics of trauma and distress, and other shows with violent or disturbing material. Reading material should focus on quieting thoughts, rather than accelerating them.

Consider herbs such as valerian, melatonin, passiflora that are generally considered safe and non-habit forming. Check with your doctor if you are taking medications of any kind to be sure that there will be no harmful interactions.

Homeopathy remedies are available over the counter at health food shops and other alternative shops and online that help with improving sleep. Remember to refrain from substances that counteract the remedies, such as tea tree oil, mint, coffee, menthol and eucalyptus. If you are sleepless for a longer term, consider a constitutional remedy by the homeopathic practitioner.

Exercise and movement earlier in the day will help you release energy that will keep you awake at night.

At night, try a few calming yoga postures if you know them. If you don't know yoga, try simple stretching and breathe as you stretch.

Acupuncture helps balance energy meridians and calms and soothes the nervous system. If you don't like needles, try acupressure.

Journaling. Studies by psychologist James Pennebaker shows that people who regularly make journal entries about their thoughts and feelings feel less depressed and their immune system is better. You can write about your day

Refrain from panicking. If you absolutely can't sleep, just allow yourself to close your eyes and rest. Give yourself a face massage or put one hand on your heart and one hand on your forehead, another calming posture, while laying down.

Know what you can't control. If you are struggling with a personal issue or worrying about the next day's weather, it will be important to recognize that where your influence ends and come to peace with it. Some people have found that writing down a word or two what they can't control and putting it in a box dubbed "God Box" is a good way of letting it go.

Give yourself a foot rub. You will relax the nerves that end in your feet and soothe your feet which have the responsibility of carrying you around all day.

Stop your computer use early in the evening. Working at the computer activates the brain, and there is some belief that the light of the computer screen activates brain functions rather than calming them. Experiment with shortening your computer use if this may be a problem.

Finally, you may have to consider addressing those issues that keep you awake at night -- internal struggles that aren't solved by teas, pills or foot rubs but need to be clearly seen and sorted through with professional psychotherapy.

Apr 14, 2009

Anxiety disorder may be linked to strep throat

Doctors and psychotherapists are now learning there are two kinds of Obsessive Compulsive Disorder.

The regular OCD – which is a neurobiological condition which is characterized by obsessive behaviors -- involves repetitive unwanted thoughts, ideas or images typically about harm that intrude in the mind and won't let up and compulsions-repetitive behaviors (washing hands, counting, tapping, checking) in an attempt to ward off perceived risk and harm. Unlike everyday worries, obsessions are experienced as disturbing, bizarre, senseless and counter to the child's sense of self.

Now there is also PANDAS – known as Pediatric Autoimmune Neuropsychiatric Disorders Associated with Strep – which is a subtype of OCD. For approximately 25 percent of children who have Obsessive Compulsive Disorder, the sudden onset of the OCD is exacerbated or triggered by strep throat, in which the body's own immune cells attack a part of the brain, the basal ganglia, rather than the strep. This disorder does not occur in all children, but only those who have a genetic predisposition to OCD or tics. The difficulty in diagnosing may occur because the OCD can develop shortly after the strep infection but many times months after, and the strep infection could have been so minor that it was not treated. It is most common in children who have not yet reached puberty, though it is not limited to this age group.

The biggest difference between regular OCD and PANDAS-OCD is the sudden onset. OCD usually develops slowly over weeks, months or even years; however, PANDAS OCD seems to come out of the blue with parents saying one day their child woke up a different kid. There are also other symptoms that help differentiate the 2 types of OCD. PANDAS OCD is also characterized by:
  • Choreiform movements: involuntary or irregular writhing movements of the legs, arm or face

  • Presence of tics and/or hyperactivity

  • Irritability, temper tantrums, or mood lability

  • Nighttime difficulties

  • Severe nightmares and new bedtime rituals or fears

  • Separation anxiety

  • Age regression: going back to younger developmental stage

  • New handwriting problems, loss of math skills, sensory sensitivities
One of the most thorough books on OCD for parents is Freeing Your Child from Obsessive-Compulsive Disorder by Tamar Chansky. If a parent is looking for a book to read to the child, try Mr. Worry: A Story About OCD by Holly Niner. For more, see Worry Wise Kids or this special link on PANDAS.