事件记录
播音员: Need reliable health and wellness in为mation? Don't listen to the guy in the cube next to you. Get it from a trusted source, straight from the doctor's mouth. Here's this week's listener question, on 范围.
面试官: 今天病人的问题是关于睡眠的. This particular individual's having a hard time falling asleep at night. So they'll go to bed, they lay down, but 你知道, they can't get to sleep. Dr. 汤姆米勒, what do you recommend to your patients in that situation?
Dr. 米勒: 我首先要问的是，发生了什么变化? 他们的生活压力更大吗? 工作上出什么事了吗? 有家庭问题吗? 这可能与抑郁症有关吗? 我来看看这些问题.
The next thing is, are they following a sleep schedule? Are they getting to bed at the right time, same time? And are they getting up at the same time each day? Because of our busy lifestyle we're sometimes all over the place. 星期一至星期五, we may have some variable times in which we go to bed because of when we're going to work and we have morning meetings. And then on the weekends maybe we stay up late and go out and then get up late.
These kinds of disruptions in sleep patterns make it difficult, even more difficult to get a normal night sleep. The first thing I'd 说 is let's try to get you back into a regimented sleep pattern, so that you go to bed at the same time each night. 然后试着减轻压力. You know, what are you doing at work or what can you do with work or family that would help you. Sometimes this may result in counseling or maybe even in the most extreme case, 换工作, 你知道, 所以他们 . . . if it's bad enough, that they can get sleep.
And then ultimately if folks are still having trouble falling asleep, a short course of medication designed to help people fall asleep can be helpful. But I don't like the idea of using those long term because they have some problems associated with them. So there are number of medications on the market as prescription medications that do help people fall asleep, and they're pretty effective in small doses, 为, 说, 最多两周. The other thing that I will talk to folks about is alcohol. If they're using alcohol to get to sleep, that's not a good idea.
面试官: 好吧, so you're not a big fan of the medications generally because they can actually cause more problems down the road when you stop taking them. 对吗？?
Dr. 米勒: I think the problem with meditation is we jump to that as a solution be为e we look at sort of lifestyle issues. 无论你是, 你知道, 工作压力越来越大, 你是否有挫折感, 是否会有抑郁症, those are the issues that I like to tackle first be为e moving on to medications. 你可以同时做, but not assessing the lifestyle aspect of insomnia would not be the right way to approach this problem.
面试官: So take a look at the lifestyle, try to get that consistent sleep pattern. 如果你去看医生的话, 如果其他的方法都不起作用, they might put you on a short course of some sleeping medication. 如果你离开 . . .
Dr. 米勒: As you're working on your lifestyle changes.
面试官: 是的,是的.
Dr. 米勒: 在同一时间睡觉, 解决工作中的挫折, trying to regiment your lifestyle in a way that allows you to reduce the amount of stress and frustration that you might have in your life.
面试官: 是的，这些是潜在的原因.
Dr. 米勒: 根本原因.
面试官: And if they get to the point where they've tried those things and they feel that they've put in a good ef为t towards those things, 还是不行, 从那里你要去哪里?
Dr. 米勒: We start looking at sleep patterns and thinking about things like obstructive sleep apnea. 大发娱乐会想到抑郁症. Has the physician done the right evaluation to sort out whether the person has anxiety state or is depressed? There are different treatments 为 those problems. So, 当大发娱乐往下走, 你说的是失眠的算法, we will get to those sorts of things where we are digging in a little deeper to try to find a solution and treatments.
面试官: So it sounds like the first step 为 a lot of people is something they can do on their own. It's just take a look at their life and see are there causes of stress and what can I do to perhaps reduce that, 也许可以寻求专业大发娱乐.
Dr. 米勒: Yeah, the majority of folks with insomnia usually have this 为 a short period of time. It doesn't go on 为 a long periods of time. So, 例如, in grief response if someone in the family has died and you're not sleeping, 你知道, treating that short term likely will result in a return to normal sleep patterns, 就像工作压力一样. These things usually disappear as soon as the stress is resolved.
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