Since survivors need as much sleep as possible this should be a priority. Our anxiety is caused by our doctors not giving us an objective diagnosis or any protocols that will get us to 100% recovery. Solve those damn problems and survivors will have much less anxiety and sleep better. I don't care how difficult this is. Step up to the damn plate and do your job.
http://www.clinicaladvisor.com/treating-anxiety-can-improve-patients-sleep/article/348974/?
Anxiety plays a part in many illnesses, and the effects of anxiety
follow patients through their daily lives. More than 16 million people
deal with some type of anxiety disorder, including social anxiety
disorder, generalized anxiety disorder, obsessive-compulsive disorder,
panic disorder and post-traumatic stress disorder.
Being a sleep specialist, I see anxiety most when it involves a patient's sleep, but anxiety doesn't stop after patients wake up in the morning. Anxiety has a huge impact on everyday life.
Patients with anxiety report being unable to complete tasks. They
often drink or use drugs, feel isolated and stop participating in life.
Emotionally, patients with anxiety can be nervous and fearful.
Physically, they often experience palpitations, difficulty breathing,
dizziness, sweating, restlessness and an inability to concentrate.
My patients with insomnia often have difficulty turning off their
thoughts at bedtime, unable to stop worrying. These patients experience
sleep panic attacks, and patients with PTSD often talk about their
recurring nightmares.
Anywhere from 50% to 70% of patients with generalized anxiety
disorder have difficulty sleeping. Because patients with anxiety often
have disturbed sleep, they start having anxiety about their lack of
sleep.
Polysomnograms of patients with anxiety show prolonged sleep onset,
decreased sleep efficiency, and decreased deep (slow wave) sleep.
Although patients do not usually complain of daytime sleepiness, they
often complain of daytime fatigue.
Prescribing antidepressants and benzodiazepines is standard
treatment. However, cognitive behavioral strategies are recommended to
help patients manage their anxiety. Have the name of a trusted
professional ready for recommending to patients diagnosed with anxiety.
Encourage patients to find pleasurable hobbies to engage in,
participate in regular exercise, and focus on positive emotions.
Meditation and yoga may also be helpful.
Treating sleep disorders in patients' with anxiety may help ease
patients' worries. How do you treat your patients who have panic
disorders? Are you doing anything differently?
Sharon M. O'Brien, MPAS, PA-C,
is a practicing clinician with an interest is helping patients
understand the importance of sleep hygiene and the impact of sleep on
health.
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