Posts Tagged Insomnia

[BLOG POST] Benefits Of Magnesium For Traumatic Brain Injury treatment

magnesium tabletMagnesium is a vital nutrient that the human body requires in order to function healthily. It’s important for a range of bodily processes, including regulating nerve functions, blood sugar levels, blood pressure, and making protein, bone, and DNA. It’s one of the 24 essential vitamins and minerals critical for a healthy body.

Magnesium cannot be produced by the body itself – in other words, it needs to be sourced elsewhere, such as from food or supplements. The levels of magnesium needed for each person varies on gender, age and size. However, when a Traumatic Brain Injury occurs, magnesium becomes a nutrient you should strive for with its many mental and physical health benefits.

Many ordinary people today use Magnesium supplements to help with their energy, flexibility, muscle strength, and even sleep or stress management. In particular, people who have a love for fitness or sports take regular Magnesium tablets to assist with recovery and performance.

 

So, what could it do for TBI?

Magnesium For TBI
Following a traumatic brain injury, the side effects of anxiety, stress, brain swelling, cramping and tightening of muscles, stiff muscles, and insomnia are quite possible.

That’s where magnesium comes in to save the day.

Increase Flexibility, Decrease Tone, Reduce
Considering magnesium can assist with flexibility and loosening tight muscles, increasing your magnesium intake after a traumatic brain injury can likely help alleviate your stiff, cramped muscles.

Low magnesium levels can also cause a large build-up of lactic acid, which results in workout pain and tightness.

Taking magnesium for this particular problem allows your muscles to relax correctly before and after exercise.

 

FREE E-BOOK DOWNLOAD

 

Stress & Anxiety
Magnesium can also help to control stress hormones. Serotonin, in particular, depends on magnesium for production.

This is responsible for relaxing your nervous system and encouraging positive moods, thus stabilizing you mentally.

Low magnesium levels are linked with anxiety behaviours and heightened stress – all the more reason to ensure you are taking in adequate amounts after your injury.

Brain Swelling
Magnesium is an anti-inflammatory, and as such, it can help to reduce brain swelling from a traumatic brain injury.

It increases cardiac output and cerebral blood flow. When the body has appropriate levels of it circulating throughout the body, people can experience improved neurological and cognitive outcomes.

It has also shown to possibly reduce pain intensity and headache severity.

Insomnia
Serotonin also helps encourage a good night sleep. Low magnesium levels can affect the sleep-regulating hormone melatonin, too.

Insomnia is indeed a common symptom of magnesium deficiency seen in many people today. They experience restless sleep and constant waking during the night, which leads to unhealthy sleep.

By maintaining the correct magnesium levels, people can enjoy deep, undisturbed sleep. Along with the melatonin, magnesium plays a role in maintaining healthy levels of “GABA” which is a neurotransmitter that promotes optimal sleep quality.

How To Take Magnesium

Magnesium can be taken in the form of a tablet supplement, but there are many magnesium-rich foods that can be incorporated into your daily diet, as well.

Try this list of power foods to hit your daily magnesium intake.

Dark leafy green vegetables
Flax seeds and pumpkin seeds
Almonds
Seaweed
Brown rice
Avocado’s
Walnuts, cashews, pecans

 

Other Sources of Magnesium

Magnesium Cream: Magnesium cream delivers the nutrients full spectrum of benefits, soothes muscle tension and increases flexibility in the applied area.

Magnesium Oil: Magnesium oil is  a no mess, easy-to-absorb, form of magnesium that may be able to raise levels of this nutrient within the body when applied topically to the skin.

 

In Conclusion

Ensuring that you have optimal levels of magnesium is the first step towards a healthy recovery following TBI.

It will help your muscles improve in flexibility, reduce pain, balance hormone levels, encourage positive moods, and sleep more soundly.

via Benefits Of Magnesium For Traumatic Brain Injury – treatment

, , , , , ,

Leave a comment

[WEB SITE] Hidden signs of depression: How to spot them and what to do

Recognizing the hidden signs of depression

 

Some people with depression may try to hide the signs from others, or they may not even realize that they have depression. Although the typical symptoms of depression, such as sadness or hopelessness, can be easy to recognize, there are symptoms that may be less obvious.

In this article, we discuss some of the possible hidden signs of depression. However, it is important to note that some of these signs can also indicate other medical issues.

We also cover what healthcare professionals believe to be common causes of depression, what a person should do if they think they or someone else has depression, and some sources of help for people with depression.

 

Appetite and weight changes

A man eating at his desk. A hidden sign of depression can include appetite and weight changes.

Hidden signs of depression can include appetite and weight changes.

These changes in food intake can cause a person to start gaining or losing weight.

Dramatic weight changes can also exacerbate depression, as they can affect a person’s self-esteem.

There may also be physiological factors at play. For example, there is a link between carrying excess fat and increased inflammation in the body. This, in turn, may play a role in the development or increased severity of depressive symptoms.

 

Changes in sleep habits

There is a strong link between mood and sleep. A lack of sleep can contribute to depression, and depression can make it more difficult to sleep.

According to the National Sleep Foundation, people with insomnia are 10 times more likely to have depression than those without the condition.

Sleeping too much can also be a sign that a person may have depression.

 

Alcohol or drug use

Some people with mood disorders may use alcohol or drugs to cope with their feelings of sadness, loneliness, or hopelessness.

The Anxiety and Depression Association of America (ADAA) report that in the United States, around 1 in 5 people with anxiety or a mood disorder such as depression also have an alcohol or substance use disorder.

Conversely, the same number of those with an alcohol or substance use disorder also have a mood disorder

Fatigue

Feeling excessively tired is a very common symptom of depression. Some research suggests that over 90% of people with depression experience fatigue.

Although everyone feels tired from time to time, people who have severe or persistent tiredness — especially if it accompanies other symptoms — may have hidden depression.

 

Forced happiness

Sometimes, people refer to hidden depression as “smiling depression.” This is because people who hide their symptoms may put on a happy face when in the company of others.

However, it can be difficult to keep up this forced happiness, so the mask may slip and a person may show signs of sadness, hopelessness, or loneliness.

 

Less optimistic than others

woman looking around in an office.

Studies suggest that people with depression may have more pessimistic tendencies.

People with depression may also be more pessimistic. Studies suggest that those with major depressive disorder often have a more negative view of the future.

Being more realistic or pessimistic than others may be one sign of depression, especially if the person has other possible symptoms of depression.

 

Loss of concentration

When a person trails off during conversations or loses their train of thought, it can indicate issues with memory and concentration, which is a common symptom of depression.

2014 study suggests that these difficulties with concentration and focus can worsen the social impact of depression by making work life and personal relationships more challenging.

 

Disinterest in hobbies

The National Institute of Mental Health list a “loss of interest or pleasure in hobbies and activities” as one of the telltale symptoms of depression.

Disinterest in activities that a person used to enjoy can be one of the first signs that other people notice when their loved one has depression.

 

Physical pains and health disorders

Depression is a mental health condition, but it can also have physical consequences. In addition to weight changes and fatigue, other physical symptoms of hidden depression to look out for include:

  • backache
  • chronic pain conditions
  • digestive problems
  • headache

Research also indicates that those with major depression are more likely than those without the condition to experience:

 

Being angry or irritable

Many people do not associate anger and irritability with depression, but these mood changes are not unusual among those with the condition.

Instead of appearing sad, some people with hidden depression may display irritability and overt or suppressed anger.

 

Low sex drive

According to Dr. Jennifer Payne, director of the Women’s Mood Disorders Center at Johns Hopkins Medicine in Baltimore, MD, some health professionals consider changes in sex drive a key indicator for diagnosing episodes of major depression.

There are several reasons that a person’s libido might decrease when they have depression, including:

  • loss of interest in pleasurable activities such as sex
  • fatigue and low energy levels
  • low self-esteem

 

Common causes of depression

Scientists do not yet know the exact cause of depression. However, many experts think that several factors play a role in its onset, including:

  • Genetics: Depression can run in families. Having a close relative with the condition can raise a person’s risk for developing it themselves.
  • Biological and chemical differences: Physical changes or chemical imbalances in the brain may contribute to the development of depression.
  • Hormones: Hormonal changes or imbalances in the body may cause or trigger depression. For example, many women experience postpartum depression after giving birth.
  • Trauma or stress: Periods of high stress, traumatic events, or major life changes can trigger an episode of depression in some people.
  • Personality traits: Having low self-esteem or being pessimistic, for example, may increase the risk of depression.
  • Other illnesses: Having another mental or physical health condition or taking certain medications can increase the risk of depression.

 

What to do if you think you have hidden depression

ladies socialising over food.

Spending time with others can help treat depression.

Other steps to treat depression might include:

  • reducing stress, such as through meditation, deep breathing exercises, or yoga
  • improving self-esteem through positive self-affirmations
  • socializing with others (though this can be challenging with depression)
  • engaging in activities that the person used to enjoy or attempting to identify new activities that they may be interested in
  • exercising regularly
  • eating a balanced diet
  • asking family or friends for support
  • joining a support group

 

What to do if a loved one has hidden depression

If a loved one appears to have signs of hidden depression, try to talk to them about their symptoms and offer nonjudgmental support and advice.

This can include:

  • encouraging them to seek treatment
  • offering to accompany them to appointments
  • planning enjoyable activities together
  • exercising together
  • encouraging them to socialize with others

People looking after someone with depression also need to practice good self-care in order to preserve their own mental well-being.

 

Getting help for depression

People with symptoms of depression should consider seeking help from a loved one or a healthcare professional, such as a doctor or psychotherapist.

Other sources of help for people with mental health conditions and mood disorders include the ADAA’s website and Mental Health America’s list of support groups.

Suicide prevention

  • If you know someone at immediate risk of self-harm, suicide, or hurting another person:
  • Call 911 or the local emergency number.
  • Stay with the person until professional help arrives.
  • Remove any weapons, medications, or other potentially harmful objects.
  • Listen to the person without judgment.
  • If you or someone you know is having thoughts of suicide, a prevention hotline can help. The National Suicide Prevention Lifeline is available 24 hours a day at 1-800-273-8255.

 

Summary

Not everyone with depression will display the typical symptoms of sadness and despair.

Sometimes, the only signs a person may show are physical, such as fatigue, insomnia, or weight changes.

Other signs of hidden depression can include using alcohol or drugs, acting irritable or angry, and losing interest in pleasurable activities such as sex and hobbies.

People concerned that a loved one has hidden depression should try talking to them about their symptoms and offering nonjudgmental support and advice.

Individuals who suspect that they have depression should consider discussing it with a friend or mental health professional.

There are also a number of organizations that provide support to those dealing with depression.

 

via Hidden signs of depression: How to spot them and what to do

, , , , , ,

Leave a comment

[WEB SITE] The Evaluation and Management of Fatigue – Medscape

What Is Fatigue?

The Annals of Internal Medicine recently published two systematic reviews on the diagnosis and treatment of the chronic fatigue syndrome (CFS).[1,2] The reviews use the term “myalgic encephalomyelitis/chronic fatigue syndrome” (ME/CFS) to define this condition, and as the accompanying editorial points out,[3] an expert panel convened by the Institute of Medicine (IOM) recently found that ME/CFS is a disease with a physiologic basis.[4] It is not a purely psychological problem.

As a sleep physician, I am often asked to evaluate patients with a complaint of fatigue—which raises the question, how does a physician differentiate ME/CFS from other common causes of fatigue? Regardless of etiology, how do we manage fatigue?

Any discussion of fatigue must begin by defining the term. Max Hirshkowitz, PhD, a professor and renowned sleep researcher at Baylor College of Medicine, provided a complete definition that will serve as a reference for the remainder of this review.[5] He stressed the following points:

  1. Fatigue is perceived as a sense of tiredness, exhaustion, or lack of energy.
  2. Fatigue that is nonpathologic will improve with rest.
  3. Fatigue can be provoked by exceeding capacity in terms of time-on-task or stress load.
  4. Stress load can be altered by external (environmental) or internal (genetic predisposition, medical or behavioral illness) factors.
  5. Sleep duration, quality, and timing are significant mediators of the manifestations of fatigue.

In a global sense, then, fatigue occurs when circumstances require some combination of physical and cognitive work that exceeds the capacity of the individual. The point at which this will occur varies by genetics, training, and sleep.

Diagnostic Challenges

There is value in characterizing the patient’s fatigue complaint. Sleep physicians attempt to do this for a living, and it’s a messy business at best. Some will use the term “fatigue” to describe sleepiness, whereas others will not. It is often equated with a central perception, including “lack of energy,” “no motivation,” “difficulty concentrating,” or a perceived deficit in some other aspect of executive function.

Still other patients are using the term “fatigue” to mean exercise intolerance or the inability to push through a difficult workday. Oftentimes, the patient comes to physician attention owing to poor performance in a particular setting—such as on the job, in the classroom, or on the playing field. Clarifying the circumstances under which the perception of fatigue becomes a problem is critical to identifying the cause and designing the mitigation strategy.[5,6]

An appropriate review of the possible contributors to fatigue is also important. Because sleep plays such a pivotal role, a proper sleep history is mandatory. Any discussion of sleep disorders should start with a review of total sleep time. Current data show that cognitive, behavioral, and metabolic changes consistently occur with chronic sleep restriction to less than 6 hours per night.[7-9]

Continue —> The Evaluation and Management of Fatigue

, , , , , , ,

Leave a comment

[WEB SITE] Could High-Powered Infrared Light Help Reverse TBI Damage?

Published on August 27, 2015

NILTaaA possible treatment for traumatic brain injury (TBI) could be the use of a specific high-powered, near-infrared light (NIR), a new study suggests.

The study was published recently in the journal Neuropsychiatric Disease and Treatment, according to a media release from the Neuro-Laser Foundation.

Study co-authors Theodore Henderson, MD, PhD from the Neuro-Laser Foundation and Dr Larry Morries and Paolo Cassano of Massachusetts General suggest that a specific high-powered, near infrared light (NIR) can possibly re-energize damaged brain cells after penetrating the skin and skull, per the release.

In their study, which occurred from 2011 to 2013, the research team administered 10 transcranial applications of high-power NIR over the course of 2 months to 10 study participants who were diagnosed with chronic mild-to-moderate TBI. Using a Class IV laser and pulsed light, each treatment took less than 60 minutes, the release explains.

Continue —> Could High-Powered Infrared Light Help Reverse TBI Damage? – Physical Therapy Products

, , , , , , , , , , ,

Leave a comment

[WEB SITE] Sleep and Traumatic Brain Injury

Every year about 1.7 million Americans sustain a Traumatic Brain Injury (TBI). 80 to 90 percent of these are considered mild, with the majority classified as concussions. In fact, the annual incidence of sports-related concussion alone has been estimated at over one million a year. In football, it is estimated that 10 percent of college and 20 percent of high school players sustain concussions.

We also see a high incidence of traumatic brain injury associated with falls, motor vehicle accidents, and in our returning veterans. In fact, in a survey of 2,525 Army infantry soldiers returning from Iraq, 15% reported injuries consistent with traumatic brain injury.

What do all of these people have in common? They have a very high incidence of sleep disorders, with as many as 70% complaining of insomnia, excessive daytime sleepiness, or severely fragmented sleep. These sleep disorders are usually noted in the first few weeks and may persist for years. As a result, they contribute to moodiness, cognitive dysfunction such as memory impairment, and lack of sustained attention.

What is most interesting is the very high incidence of sleep apnea that is found in these individuals. In several studies, the proportion of persons with TBI who are found to have sleep apnea is 30 to 50 percent. In all of these studies, patients with TBI and sleep apnea performed much worse when it came to mood and memory. They were also much more likely to be excessively sleepy and/or fatigued during the day.

Unfortunately, sleep disorders are frequently overlooked or discounted after TBI. I have had numerous patients over the years whose sleep problems began with a frequently forgotten concussion. One particular case was that of a 27-year-old man who had sustained a concussion when playing college football. Afterwards, he had had trouble with fatigue and moodiness and had complained of disrupted sleep. His new girlfriend noted that he snored and urged him to come see me. We tested him and found that he had sleep apnea. Several months later, after treatment, he was no longer fatigued and irritable and he was sleeping through the night.

The point here is that TBI in America is at an all time high, with an estimated 3.5 million suffering from chronic symptoms such as fatigue, sleepiness, cognitive dysfunction, moodiness, and anxiety. In many of these individuals, an underlying sleep disorder may be the cause. Given the very high incidence of sleep complaints, people with TBI should be thoroughly evaluated for underlying sleep disorders.

via Sleep and Traumatic Brain InjuryDr. Robert S. Rosenberg | Dr. Robert S. Rosenberg.

, , ,

Leave a comment

[WEB SITE] Do I Have Exploding Head Syndrome?

Fyodor Dostoevsky kept a record of his seizures in a notebook. There were 102. Today some people with epilepsy do the same on Pinboards. Those less candid among the epileptic Pinterest community post empowering quotes: “Don’t flatter yourself. I wasn’t staring at you. I have petite mal seizures.”

The petite mal is a seizure not often diagnosed until it has been happening for quite a while. It involves no convulsions, only a person staring off, as if lost in thought. The spells often last just a few seconds. A child who has petite mal seizures might be dismissed as inattentive. Under that mistaken presumption, he might be given Adderall, when the real problem is a seizure disorder.

Sometimes Dostoevsky did convulse in a more Hollywood seizure fashion, even foaming at the mouth. He also slipped into outwardly subtler “ecstatic” seizures, which rendered him blissful. Actually, that’s extreme understatement. “I would feel the most complete harmony in myself and in the whole world,” he once said of the episodes, “and this feeling was so strong and sweet that for a few seconds of such bliss I would give 10 or more years of my life, even my whole life perhaps.”

Those auras most likely originated in the temporal lobe of his brain, where biochemical lapses can cause bursts of terror or euphoria that run the gamut from fleeting to life-altering. Oliver Sacks told in this magazine the story of a bus driver who, in the midst of a temporal-lobe seizure, collected fares while telling passengers how pleased he was to be in heaven.

Continue –>  Do I Have Exploding Head Syndrome? — The Atlantic.

, , ,

Leave a comment

[WEB SITE] Moving Beyond “Hand Waving”: Why Do People Sleep a Lot After a Traumatic Brain Injury?

March 27, 2015 | Neuropsychiatry, Trauma And Violence

By Barbara Schildkrout, MD

Your patient is recovering from a traumatic brain injury (TBI). He asks you, “Doc, why do I need so much extra sleep? And, what makes me so sleepy during the day?”

If you’re like me, you’ve told patients like this individual that it takes time for the brain to heal. You’ve explained that even a mild concussion can disrupt neural fibers and that mental activity may be more effortful following such an injury.

Perhaps there is some truth to all of that. But probably it is mostly “hand waving.”

I just read about what is more likely to be the actual explanation for those post-TBI symptoms. The Annals of Neurology1 published research showing that in severe TBI, there is substantial loss to specific types of neurons in the hypothalamus—namely neurons that are part of networks involved in promoting wakefulness or in regulating sleep.

The potential explanatory power of these findings is impressive. Although this research was conducted in cases of fatal brain trauma, nonetheless it provides insights that will help scientific investigators and clinicians think more specifically about disruptions in sleep and wakefulness following any traumatic brain injury.

TBI and sleepiness

TBIs are a major public health concern, affecting close to 2.5 million individuals each year in the US, according to the CDC statistics for 2010.2 Whether the TBI is mild or severe, at least 25% of patients experience some disturbance in sleep and/or level of daytime arousal following the injury. Symptoms in this arena may substantially affect recovery and contribute to disability.

Every psychiatrist has encountered patients who have had TBIs—from mild concussions as a consequence of collisions on the soccer field or falls on icy steps to devastating brain injuries after motor vehicle accidents or barroom fights. These post-TBI patients frequently experience excessive daytime sleepiness in the face of what used to be sufficient sleep time. They also commonly exhibit pleiosomnia—the need for more than the usual amount of sleep in a 24-hour period. Less frequently, patients have disturbed nighttime sleep—insomnia.

Effective approaches are needed to help patients with these post-TBI difficulties. The design of new treatment strategies depends on developing a better understanding of the mechanisms that underlie these post-TBI problems with arousal and sleep.

New research

In the January 2015 issue of Annals of Neurology, Valko and colleagues1 report on recent studies that followed up on research they published in 2009.3 Together, the two articles make several important points.

They draw attention to the fact that hypothalamic injury is common in TBI. The authors point out that the posterior nucleus (containing histaminergic neurons) of the hypothalamus is most affected. They hypothesize that this is a consequence of shearing forces at the junction of the hypothalamus and the midbrain during head trauma. The authors identify a substantial loss of histaminergic neurons in the tuberomammillary nucleus of the posterior hypothalamus; these neurons are part of a major arousal-promoting system.

Continue –>  Moving Beyond “Hand Waving”: Why Do People Sleep a Lot After a Traumatic Brain Injury? | Psychiatric Times.

, , , , ,

Leave a comment

[WEB SITE] Sleep And Traumatic Brain Injury – BrainLine

Research Update: Sleep Medications May Have Unwanted Side EffectsHow common are sleep problems following a TBI?

Many people who have brain injuries suffer from sleep disturbances. Not sleeping well can increase or worsen depression, anxiety, fatigue, irritability, and one’s sense of well-being. It can also lead to poor work performance and traffic or workplace accidents. A review of sleep disorder studies and surveys suggest that sleep disorders are three times more common in TBI patients than in the general population and that nearly 60% of people with TBI experience long-term difficulties with sleep. Women were more likely to be affected than men. Sleep problems are more likely to develop as the person ages.

What are types of sleep problems?

Sleep disturbances have been found in people with all severities of brain injuries from mild to severe. Sleep is a complex process that involves many parts of the brain. For this reason, and depending on the location and extent of injury, many different kinds of sleep disturbances can occur after brain injury.

Common sleep disorders include:

  • Insomnia: Difficulty with falling asleep or staying asleep; or sleep that does not make you feel rested. Insomnia can worsen other problems resulting from brain injury, including behavioral and cognitive (thinking) difficulties. Insomnia makes it harder to learn new things. Insomnia is typically worse directly after injury and often improves as time passes.
  • Excessive Daytime Sleepiness: Extreme drowsiness.
  • Delayed Sleep Phase Syndrome: Mixed-up sleep patterns.
  • Narcolepsy: Falling asleep suddenly and uncontrollably during the day.

Common sleep syndromes include:

  • Restless Leg Syndrome (RLS): Urge to move the legs because they feel uncomfortable, especially at night or when lying down.
  • Bruxism: Grinding or clenching teeth.
  • Sleep Apnea: Brief pauses in breathing during sleep, resulting in reduced oxygen flow to the brain and causing loud snoring and frequent awakening.
  • Periodic limb movement disorder (PLMD): Involuntary movement of legs and arms during sleep.
  • Sleepwalking: Walking or performing other activities while sleeping and not being aware of it.

Continue –> Sleep And Traumatic Brain Injury.

, , , , , ,

Leave a comment

[WEB SITE] Sleep And Traumatic Brain Injury

How common are sleep problems following a TBI?

Many people who have brain injuries suffer from sleep disturbances. Not sleeping well can increase or worsen depression, anxiety, fatigue, irritability, and one’s sense of well-being. It can also lead to poor work performance and traffic or workplace accidents. A review of sleep disorder studies and surveys suggest that sleep disorders are three times more common in TBI patients than in the general population and that nearly 60% of people with TBI experience long-term difficulties with sleep. Women were more likely to be affected than men. Sleep problems are more likely to develop as the person ages.

What are types of sleep problems?

Sleep disturbances have been found in people with all severities of brain injuries from mild to severe. Sleep is a complex process that involves many parts of the brain. For this reason, and depending on the location and extent of injury, many different kinds of sleep disturbances can occur after brain injury.

Common sleep disorders include:

  • Insomnia: Difficulty with falling asleep or staying asleep; or sleep that does not make you feel rested. Insomnia can worsen other problems resulting from brain injury, including behavioral and cognitive (thinking) difficulties. Insomnia makes it harder to learn new things. Insomnia is typically worse directly after injury and often improves as time passes.
  • Excessive Daytime Sleepiness: Extreme drowsiness.
  • Delayed Sleep Phase Syndrome: Mixed-up sleep patterns.
  • Narcolepsy: Falling asleep suddenly and uncontrollably during the day.

more –> Sleep And Traumatic Brain Injury.

PDF Broshure

, , , , ,

Leave a comment

%d bloggers like this: