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Home > mental health

How Does Lack of Sleep Affect Your Mood?

Written by Molly Mills

Posted on October 5, 2021 Leave a Comment

Estimated reading time: 4 minutes

Have you ever woken up from a bad night’s sleep and felt incredibly grumpy or in a bad mood? The littlest thing might make you angry, or maybe you are just more irritable in general? Or maybe you are experiencing a string of rough nights, crying more easily and more often. If this has happened to you, you are certainly not alone; there is a link between lack of sleep and our emotions, but why does lack of sleep take such an emotional toll and how serious is it really?

Well, even partial sleep deprivation can cause emotional distress; there was a small study done by the University of Pennsylvania in which participants were only allowed to sleep for 4.5 hours per night for one week. All of these test subjects reported feeling sadder, stressed, angry, and mentally worn out from just one week of poor sleep. Consequently, once these subjects resumed normal sleep habits, their moods also improved.

Young businesswoman touching her head while sitting at her workplace with laptop she tired of her work at office

Sleep deprivation is not just experienced by adults, though. Through a series of studies focusing on the connection between sleep deprivation and anger/aggression, it was found that there was a deep correlation between sleep deprivation and destructive behaviors, but that these behaviors presented slightly differently for different age groups. Adolescent males experiencing sleep deprivation showed more outbursts of anger, while their female counterparts tended to be more sad and experience brain fog, but both adolescent groups reported engaging in “reckless behavior” such as consuming alcohol and smoking.

Younger children experiencing sleep deprivation were reported as having “impulsivity, hyperactivity, tantrum behaviors, and inappropriate social interactions.” We know that young children and teens need plenty of sleep as they develop, and it is obvious that accruing sleep debt affects them greatly.Tired schoolgirl sleeping in classroom at school

Unfortunately, for some, it is not always possible to get an adequate amount of sleep. Those experiencing psychiatric or psychological problems tend to struggle with sleep. When someone is dealing with depression or anxiety, they may find it hard to sleep, which may be further exacerbated by their medication. Sadly, this is a downward spiral, as less sleep amplifies these distressing mental states, which will likely lead to another sleepless night, and the cycle continues.

Another group of chronically sleep-deprived people is new parents. Postpartum rage is an often overlooked symptom of postpartum depression/anxiety. As HuffPost shares, there is a link between this upsetting emotion, which many new mothers find uncontrollable, and the sleep deprivation that all new parents are familiar with. As with all depression and anxiety, those experiencing postpartum depression/anxiety will likely struggle to sleep, even when their baby sleeps; again, causing a downward spiral deeper into a depressive state. 

Why Is Mood Affected?

There is an undeniable link between getting inadequate sleep and being in a bad mood or feeling uncharacteristically sad, but why? What is the brain science behind this unpleasant, yet all too common, phenomenon? 

The answer lies in the limbic system, particularly in the amygdala. The amygdala is the small, almond-shaped emotional center of the brain, and it plays a vital role in the mechanisms of sleep. When someone is experiencing sleep deprivation, there is a communication breakdown between the amygdala and the ventral anterior cingulate cortex which causes the amygdala to have heightened responses to emotional stimuli. The “fight or flight” response is regulated by the amygdala, and when sleep-deprived, your brain is unable to suppress activity in the amygdala, so emotional reactions made while in a sleep-deprived state will be extreme.

Imagine, as an example, that you find your child coloring on the walls. When you are sleep deprived, your brain may tell you that this is a threat and you react with extreme anger, when in actuality this is simply a learning opportunity for your child, albeit quite a pain in the rear end for you to clean up.

Furthermore, when you are sleep deprived, you skip past the rapid eye movement (REM) sleep into a deep sleep. In doing so, your body is trying to recuperate the sleep it’s lost, but the problem is that it’s during REM sleep that your brain is active, building connections and making repairs. So with prolonged shortened REM cycles, your brain may experience altered receptor activity. This leads to (you guessed it) mood alterations such as anger, impulsivity, sadness, and more. 

If you are experiencing extreme emotional reactions regularly, you should reflect on both the quality and quantity of sleep you’re getting, or not getting. Getting good sleep is just like any other aspect of a healthy lifestyle; it needs to take priority, and you (and those around you) will benefit greatly. The answer to fixing your mood could simply be going to bed earlier.

Filed Under: Blog, Sleep Health Tagged With: mental health, wellness

Home > mental health

Technology and Screens: How They Affect Our Sleep

Written by Alex

Posted on August 5, 2020 Leave a Comment

Between our phone screens, e-readers, smartwatches and laptop computers, technology is an inescapable part of modern life—seemingly always with us. It connects us to each other and keeps us up to date and entertained.

Man sitting with a phone screen and computer getting tiredBut how does technology, and the screens that come with it, affect our sleep?

Our devices are designed to be constantly accessible, by our side day and night. We have all stayed up late having digital conversations with friends or binge-watching our favorite show. If you sleep with your smartphone near your bed, you may have woken up to an alert early in the morning or right after falling asleep. Or maybe the season finale of that show left your heart racing, just in time for bed.

A growing body of research shows that our attachment to technology, and all the reasons we love it, can have negative effects on sleep in more ways than one. So how should we interact with our screens in order to get the best night’s sleep? And what activities should we avoid? Read on to learn more about how our screens can impact sleep, and how to get the best rest after a plugged-in day.

How screens affect sleep

To understand how technology influences sleep, it’s important to understand that they do so both physiologically and psychologically. That is, screens have been shown to alter both internal brain chemistry and how we feel when we are trying to fall asleep. Put simply, screen-based technology stimulates our bodies and minds, sometimes just as we are preparing to sleep.

One important way that screens can impact our sleep is by altering the circadian rhythm, or the body’s internal clock. The circadian rhythm is a complex network of hormones and nerves that helps the body know when it is time to sleep, among other functions. To work properly, it depends on stimuli like sounds and light. Artificial light, like the kind from screens, can damage that natural process. Artificial light can also damage sleep patterns known as the sleep cycle. By disrupting natural cycles that the brain experiences during sleep, light can damage sleep quality.

The bright backlights of many modern screens emit LED blue light. Blue light is a short wavelength of visible light that has been shown to harm sleep when viewed in the evening. That’s because blue light from screens mimics the effect of natural blue light from the sun in the body, which can disrupt the circadian rhythm. A 2011 study showed that artificial blue light can increase the suppression of melatonin, a hormone that is an important regulator of the circadian rhythm, in the blood. Inadequate melatonin in the body around bedtime can damage sleep. Another scientific survey found that blue light from screens, and its impact on melatonin, influenced sleep in the following ways:

  • Increased in alertness and reduced sleepiness, delaying bedtime and keeping you up
  • Reducing phase two REM sleep quality, leading to a less restful night’s sleep
  • Delayed sleep onset, making it more difficult to fall asleep once you’re in bed

The psychological effects of technology

laptop blue light in bed keep man awakeOn the psychological side, our attachment to technology can have negative impacts as well. Our sleep can be interrupted by loud alerts, which we are anxious to check. An inability to unplug can cause stress that harms your overall quality during the night. Or, the feelings that entertainment, like shows or games, can elicit may cause emotional excitement, delaying sleep even longer. Attachment to recreational technology like television or video games can even become an addiction that keeps you up well into the night.

The scientific survey referenced above describes the potential negative behavioral and psychological effects of screen use, specifically on children and adolescents:

  • Behavioral bedtime delay as individuals postpone bedtime to consume media
  • Exciting, thrilling or violent content can increase heart rates and delay sleep onset
  • Though it is unproven, there is growing concern among scientists that internet and video game addiction—uncontrollable or excessive technology habits especially related to massively multiplayer online role-playing games (MMORPGs)—can harm sleep

Screens can make it difficult to sleep in more ways than one, so managing our relationship with them is important, and may take some time to put into effect. Still, it is possible, necessary even, to think hard about the ways that you can limit screen time. Read on to learn more about creating healthy screen habits for adults, children and the entire family.

How to create healthy screen habits for better sleep

Technology and the screens that come with it are a huge part of our daily lives, and disconnecting can be difficult. Developing a habit of moderate screen usage is as important as any other routine. Although to some, a screen-time routine might sound far-fetched or unreasonable, an intentional effort to commit to a screen-time routine, like any other healthy habit, can lead to tangible improvements in sleep over time. Generally, screens (yes, even TVs) should be kept out of the bedroom, especially for children.

Mom, dad and daughter reading storybook together while lying on bed.Any routine should be clearly communicated to other members of the household and followed as regularly as possible. Recognizing the impact technology can have on sleep for children, in particular, can lead to lasting improvement in their overall health. So, parents should work to model good technology habits for children and monitor for age-appropriate content, when possible. The 2019 survey suggests creating a screen-time routine that includes the following steps:

  • Avoid exposure of screens and electronics at least an hour before bedtime
  • Replace nighttime screen usage with relaxing activities like reading or coloring
  • Keep all screens and devices (TVs, video games, computers, tablets, and smartphones) out of the bedroom
  • Avoid using screens as background noise: you can be affected by screen media even when you are not actively engaged.
  • Avoid violent or exciting media, which can negatively affect sleep.

man reading a book in bedAdults and families with children should consider the screen-time routine as part of a larger mental health routine. Getting quality sleep is critical for the health of adults and children, and a variety of environmental factors can impact overall health. In fact, other daytime behavior and habits like exercise and diet can influence your quality at night.

In addition to the steps above, it is possible to create a sleeping environment that is ideal for quality sleep. To relax and properly prepare for sleep, incorporate these tips into your day:

  • Set and abide by regular bedtimes
  • Create a regular bedtime sequence of events and follow it consistently
  • Maintain cool, comfortable, dark and quiet bedrooms
  • Avoid consuming sugar, caffeine, alcohol, and nicotine at night
  • Regularly exercise for at least 30 minutes, outdoors when possible, during the daylight

RELATED: 8 Tips for a Better Nights Sleep

Filed Under: Sleep Health Tagged With: guide, mental health, technology

Home > mental health

Depression and How it Affects Your Sleep

Written by Andrew

Posted on March 30, 2020 Leave a Comment

Depression is one of the most commonly diagnosed mental health conditions in the U.S. In 2017, the National Institute of Health reported that over 7% of all Americans over the age of 18 had at least one major depressive episode.

Depressed Woman Lying on Mattress

Your mind and sleep are deeply intertwined. Experts say one of the most common symptoms of clinical depression is trouble during the night. Those diagnosed with it are likely to suffer from insomnia and trouble staying asleep throughout the night. Patients are likely to have problems with oversleeping. All of these symptoms negatively affect other aspects of wellness and intensify symptoms of depression.

It is therefore very important to understand the relationship between this disorder and sleep from both a diagnostic perspective as well as a treatment.

What depression looks like

Depression is a mental health mood disorder that comes in many varieties and severities. Common types of it include postpartum depression (PPD), seasonal affective disorder (SAD), Persistent depressive disorder (Dysthymia), Psychosis, bipolar disorder and more. Changes to mood and behavior are characteristic of all forms of the disorder.

According to the NIH, some of the most common psychological symptoms of depression are:

  • Prolonged feelings of sadness, anxiety, or emptiness
  • Extreme pessimism or hopelessness
  • Feeling guilt, worthlessness, and helplessness
  • Loss of interest in hobbies and previously pleasurable activities
  • Problems with memory, decision making, and concentration
  • Suicidal thoughts

Depression also inflicts significant physical changes to the body, including:

  • Loss of energy, and a continual feeling of fatigue
  • Sluggishness in movement and speech
  • Various aches, pains, and cramps with no apparent causes
  • Restlessness and trouble staying still
  • Changes in appetite and weight

Depressed young woman lying in bed and feeling lostAs mentioned above, trouble sleeping is another important sign of depression that doctors use as a diagnostic tool. For a patient to receive a formal diagnosis of clinical depression, they must experience a combination of these symptoms for no less than two weeks.

The roots of depression

Depression is an extremely complex mental illness which occurs under certain conditions of genetics and environmental interaction. As noted by Harvard Health Publishing, the often-used description of depression as simply a “chemical imbalance” is no longer accepted in the medical community. Instead, experts believe that a list of factors affect whether, and how, any individual person might feel the disorder. Genetics play a role in this, but so do personality traits, stress, traumatic life events, and medications.

Scientists are starting to paint a picture of depression at the neurological level, however, noting that it is associated with problems in certain parts of the brain, including the thalamus, amygdala, and hippocampus. There appears to be an imbalance of neurotransmitters (specifically serotonin) in diagnosed patients, as well as misfirings in the fight-or-flight response system responsible for certain hormone production.
Depressed woman with Insomnia
Depression often runs in families; having any family member with this type of mental health disorder increases the chance that someone else may develop it. Genetics are also a risk factor in setting the sensitivities patients have to stress and trauma, which can cause short- or long-term depression in many people.

Depression changes sleeping patterns, and poor sleep exacerbates symptoms

Problems sleeping are extremely common in patients with depression. A 2008 literature review of scientific studies on sleep and depression concluded the following:

  • Insomnia is very common among patients and is often the main reason they seek treatment for their illness
  • Sleep architecture is altered in patients and antidepressants can reverse that alteration
  • Sleep disturbances in patients can be used to predict the effectiveness of different treatments
  • Sleep manipulation affects mood

These shifts in your nighttime patterns, especially when prolonged for more than two weeks, can be an important symptom. More specific descriptions of the sleep disruptions include:

  • Insomnia: Insomnia is the most common sleep disorder associated with depression, affecting up to three-quarters of all diagnosed patients. This includes extreme difficulty in getting to sleep, maintaining sleep throughout the night and the problem of waking up too early in the morning. Some patients find that negative thoughts keep them up at night, and fear of not being able to get adequate sleep can lead to sleep anxiety.
  • Hypersomnia: This term refers to sleeping too much, and it affects about 40% of younger depressed patients and about 10% of older patients.
  • Abnormal Sleep Architecture: Studies have shown that patients typically have less sleep latency in the REM stage of the sleep cycle, get less slow-wave sleep, and have periods of abnormal awakening than a non-depressed patient.
  • Obstructive Sleep Apnea (OSA): Evidence suggests a link between depression and OSA, with over 50% of OSA patients claiming a dual diagnosis for both.

Sad woman suffering from insomnia in her bedAll of these changes to nighttime patterns decrease the quality and amount that depressed patients receive. This adds to an increase in the severity of other symptoms of depression, especially mood changes, fatigue, and problems with focus and memory. The result is a dangerous cycle where the lack of sleep causes more intense depression that, itself, may lead to your nighttime routine becoming less healthy.

Treatment for sleep disorders linked to mental health

Mending control of healthy sleeping patterns is an important step in treating depression. Experts recommend the following steps to help those patients with depression, sleep better:

  • Talk with your doctor about medication: There are a number of medications that have shown promise in treating sleep problems for patients. Many of them work by addressing the other symptoms of depression that make sleep difficult. SSRIs, antidepressants, sleep medications, and other hypnotics might be recommended by your doctor, depending on the severity of your symptoms and medical history.
    • Do not seek medication without speaking to your doctor about the entirety of your depression symptoms. They will often recommend medications in tandem with some sort of therapy.
  • Maintain a healthy diet and exercise routine: Keeping your body healthy by eating well and getting enough exercise will increase your chances of getting through the night better. Learn how your immune system can affect your sleep. Make sure to not eat too much, exercise, or drink caffeine too close to your bedtime, as these things can stimulate you and make nighttime rest more difficult.
  • Establish relaxing bedtime routines: If you find that negative thoughts are keeping you up at night, try finding ways to clear your head by meditating, listening to music, or otherwise calming yourself as you prepare to sleep.
  • Dedicate your sleep space to sleeping: Make sure your bed is used only for sex and sleep. Keep your room cool, dark and quiet. Above all else, do not use electronics in bed, and if you have trouble falling asleep, get up and do something until you are tired rather than tossing and turning.

Filed Under: Sleep Health Tagged With: disorders, insomnia, mental health

Home > mental health

Narcolepsy – Definition, Symptoms, and Treatment

Written by Andrew

Posted on February 24, 2020 Leave a Comment

Narcolepsy is a neurological sleep disorder that causes extreme daytime drowsiness, despite a sufficient amount of sleep. It is commonly known for the symptom in which patients unconsciously fall asleep in the middle of the day, even while occupied in daily tasks. According to the Cleveland Clinic, narcolepsy affects one in every two thousand American adults.

narcoleptic runner sleep workout

But there is an important distinction between feeling excess tiredness during your day and getting a diagnosis of a disorder. Learning the causes and symptoms of narcolepsy can help you decide if you should speak to a doctor about a possible checkup.

What Is Narcolepsy?

Narcolepsy is defined as a disorder affecting the brain’s control of the sleep-wake cycle. People with narcolepsy may experience the following symptoms:

  • Extreme tiredness during daytime hours: Even when you’ve had a good night’s sleep, you might feel very tired out of the blue. Feelings of overwhelming exhaustion can come with little warning, no matter the activity you are engaged in.
  • Falling asleep spontaneously: This follows the extreme tiredness that defines narcolepsy. You can fall asleep any time, anywhere, with little warning. These periods of sleep range from a few minutes to half an hour at a time, and regularly happen many times a day.
  • Sudden muscle weakness or paralysis (Cataplexy): Cataplexy can bring other symptoms of narcolepsy. They are usually triggered by strong emotions, both negative and positive. You will be unable to control certain muscles or even your entire body for minutes at a time. It is often misdiagnosed as a seizure disorder. Interestingly, NIH notes that the signs of cataplexy are similar to the conditions the body undergoes during REM (rapid eye movement) sleep.
  • Sleep paralysis: Similar to cataplexy, sleep paralysis renders the patient temporarily paralyzed while fully conscious. The difference is that sleep paralysis affects people who are falling asleep, waking up, or in some realm of the “edge of sleep.”
  • Hallucinations: Genuine, clear visual hallucinations are common during periods of narcoleptic sleep paralysis. They can be scary, and can sometimes include audible elements as well. Hypnagogic hallucinations happen when someone is beginning to fall asleep. Hypnopompic hallucinations can occur when a person is starting to wake up. Typically, the hallucinations normally last only a few moments.

What Causes Narcolepsy?

child falling asleep during school

Though we don’t know the exact causes of narcolepsy, scientists have linked the disorder to the neuropeptide hypocretin. Orexin helps to regulate our wakefulness and sleep. In patients suffering from narcolepsy with symptoms of cataplexy (known as Type I narcolepsy), there is likely to be extremely low levels of detectable hypocretin.

Hypocretin is especially important in controlling REM sleep. Many of the symptoms of narcolepsy, including cataplexy and sleep paralysis most notably, seem to mimic the actions of our body during REM sleep. Furthermore, the Mayo Clinic explains that narcoleptics seem to enter REM sleep much more quickly than the average sleeper.

There is a greater risk of developing the disorder if anyone in your family already has it. Scientists also link narcolepsy to autoimmune dysfunction and even the H1N1 flu. More research is being conducted to understand what causes Type 2 narcolepsy.

Testing for the disorder

People typically begin to feel the symptoms of narcolepsy when they are young, anywhere from 7 to 25 years old. Usually, the first symptoms to show are excessive daytime sleepiness, which can often be dismissed as simple day-to-day tiredness. However, symptoms will likely advance if left untreated.

If you are concerned that you might be feeling symptoms of narcolepsy, there are several tests that can be done to determine a diagnosis. If the usual in-depth analysis of your medical and sleep histories suggests you might have the disorder, doctors will proceed to administer two tests:

  • Polysomnogram (PSG): Also known as a “sleep study,” this overnight test is typically administered in a sleep clinic. Doctors will monitor your brain and muscle activity, eye movements, and breathing during the night. The data they record, especially about the timing and length of your sleep cycles, will help them rule out other sleep disorders as the cause of your symptoms.
    • Falling into REM sleep early in the night is a good indicator that you may be suffering from Type 1 narcolepsy (narcolepsy with cataplexy). Type 1 includes extreme tiredness during the day, cataplexy, and in extreme cases sleep paralysis, and even hallucinations.
  • Multiple Sleep Latency Test (MSLT): Immediately following a PSG, patients are asked to take a series of daytime naps under direct doctor supervision. The speed at which they fall asleep and enter the REM stage of the sleep cycle can be used to make a diagnosis of narcolepsy.

Pending the results of these two tests, and especially if patients exhibit symptoms of cataplexy, doctors may follow up with a spinal tap test. This helps to determine the amount of hypocretin in the patient’s spinal fluid. Low levels of the neuropeptide are a strong indicator of Type 2 narcolepsy.

Treatments for Narcolepsy

Narcolepsy is a disorder for which there is no cure, though symptoms seem to decline over time. Managing the symptoms of narcolepsy is a lifelong challenge that requires vital changes to lifestyle, and significant help from family or friends.

The NIH lists a few medications which have shown promise in treating the symptoms of narcolepsy:

  • Modafinil: A low-level nervous system stimulant that helps improve alertness and reduce drowsiness.
  • Amphetamines and other stimulants: Stronger than modafinil, these can be effective at combating sleepiness during the day. Though it is important to monitor patients using these drugs for significant side effects, ranging from irritability to heart conditions.
  • Some types of antidepressants: These may be effective in combating cataplexy, and pose fewer risks than amphetamines.
  • Sodium oxybate (Xyrem®): This extremely strong sedative is prescribed to treat cataplexy and daytime drowsiness.

man with narcolepsy sleeping at the office

Additionally, the following lifestyle changes can be extremely effective for people with narcolepsy on a day-to-day basis:

  • Take regular short naps throughout the day
  • Avoid caffeine and alcohol before bed
  • Keep a regular sleep cycle and maintain good sleep hygiene
  • Don’t eat heavy meals right before bed
  • Avoid smoking, especially in the evenings

Filed Under: Sleep Health Tagged With: guide, mental health, narcolepsy

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