Archive April 2020
Sleep and mental health are closely connected. Sleep problems are very common and even more common in people who misuse substances. Sleep deprivation affects your psychological state and mental health.
How sleep affects mental health
Every 90 minutes, a normal sleeper cycles between two major categories of sleep — although the length of time spent in one or the other changes as sleep progresses.
During “quiet” sleep, a person progresses through four stages of increasingly deep sleep. Body temperature drops, muscles relax, and heart rate and breathing slow. The deepest stage of quiet sleep produces physiological changes that help boost immune system functioning.
The other sleep category, REM (rapid eye movement) sleep, is the period when people dream. Body temperature, blood pressure, heart rate, and breathing increase to levels measured when people are awake. Studies report that REM sleep enhances learning and memory, and contributes to emotional health — in complex ways.
Although scientists are still trying to tease apart all the mechanisms, they’ve discovered that sleep disruption — which affects levels of neurotransmitters and stress hormones, among other things — wreaks havoc in the brain, impairing thinking and emotional regulation.
Psychological effects of sleep deprivation
More than 70 types of sleep disorders exist. The most common problems are insomnia (difficulty falling or staying asleep), obstructive sleep apnea (disordered breathing that causes multiple awakenings), various movement syndromes (unpleasant sensations that prompt night fidgeting), and narcolepsy (extreme sleepiness or falling asleep suddenly during the day).
Type of sleep disorder, prevalence, and impact vary by psychiatric diagnosis. But the overlap between sleep disorders and various psychiatric problems is so great that researchers have long suspected both types of problems may have common biological roots.
Depression. Studies using different methods and populations estimate that 65% to 90% of adult patients with major depression, and about 90% of children with this disorder, experience some kind of sleep problem. Most patients with depression have insomnia, but about one in five suffer from obstructive sleep apnea.
Insomnia and other sleep problems also increase the risk of developing depression. A longitudinal study of about 1,000 adults ages 21 to 30 enrolled in a Michigan health maintenance organization found that, compared with normal sleepers, those who reported a history of insomnia during an interview in 1989 were four times as likely to develop major depression by the time of a second interview three years later. And two longitudinal studies in young people — one involving 300 pairs of young twins, and another including 1,014 teenagers — found that sleep problems developed before major depression did.
Insomnia and other sleep problems affect outcomes for patients with depression. Studies report that depressed patients who continue to experience insomnia are less likely to respond to treatment than those without sleep problems. Even patients whose mood improves with antidepressant therapy are more at risk for a relapse of depression later on. Depressed patients who experience insomnia or other sleep disturbances are more likely to think about suicide and die by suicide than depressed patients who are able to sleep normally.
Bipolar disorder. Studies in different populations report that 69% to 99% of patients experience insomnia or report less need for sleep during a manic episode of bipolar disorder. In bipolar depression, however, studies report that 23% to 78% of patients sleep excessively (hypersomnia), while others may experience insomnia or restless sleep. Longitudinal studies suggest that insomnia and other sleep problems worsen before an episode of mania or bipolar depression, and lack of sleep can trigger mania. Sleep problems also adversely affect mood and contribute to relapse.
Anxiety disorders. Sleep problems affect more than 50% of adult patients with generalized anxiety disorder, are common in those with post-traumatic stress disorder (PTSD), and may occur in panic disorder, obsessive-compulsive disorder, and phobias. They are also common in children and adolescents. One sleep laboratory study found that youngsters with an anxiety disorder took longer to fall asleep, and slept less deeply, when compared with a control group of healthy children. Insomnia may also be a risk factor for developing an anxiety disorder, but not as much as it is for major depression. In the longitudinal study of teenagers mentioned earlier, for example, sleep problems preceded anxiety disorders 27% of the time, while they preceded depression 69% of the time. But insomnia can worsen the symptoms of anxiety disorders or prevent recovery. Sleep disruptions in PTSD, for example, may contribute to a retention of negative emotional memories and prevent patients from benefiting from fear-extinguishing therapies.
ADHD. Various sleep problems affect 25% to 50% of children with ADHD. Typical problems include difficulty falling asleep, shorter sleep duration, and restless slumber. The symptoms of ADHD and sleeping difficulties overlap so much it may be difficult to tease them apart. Sleep-disordered breathing affects up to 25% of children with ADHD, and restless legs syndrome or periodic limb movement disorder, which also disrupt sleep, combined affect up to 36%. And children with these sleeping disorders may become hyperactive, inattentive, and emotionally unstable — even when they do not meet the diagnostic criteria for ADHD.
Things that interfere with sleeping
- Medical problems, particularly pain and conditions affecting the bladder.
- Certain medicines can effect sleep.
- Emotional upset (bereavement) or depressions and anxiety.
- Stress, anxiety and worry.
- Bad sleeping environment (i.e. bed, room, noise).
- Changing your sleep routine.
- Taking naps during the day.
- Caffeine – especially tea, coffee and Red Bull.
- Stimulant drugs like cocaine, amphetamine and crystal meth.
Things that help sleeping
- Getting into a good sleep routine.
- Use your bed only for sleeping.
- Avoid any stimulating substances and activities.
- Do some exercise during the day.
A Good Sleep Routine
- Go to bed at roughly the same time every day.
- Start to wind down before getting into bed.
- Ensure your bed and room are comfortable and fit for sleep.
- Get into bed approximately 20 minutes before you want to fall asleep and start to relax – perhaps by reading or some other form of relaxation.
- Turn out light 5 minutes before you plan to fall asleep.
- Do not try to fall asleep. Try listening to soft music or attend to your breath.
- Do not think about complex or distressing things.
- If you can’t fall asleep after a reasonable period of time – get up and do something non-stimulatory like reading.
- Do not smoke or drink tea/coffee.
- Get up at the same time every morning. Even if it is tempting to sleep later – do not – as this will affect your getting to sleep at night.
My Sleep Plan
Things I can start doing to help me sleep (e.g. exercise)
Changes I need to make to my bedroom
Changes I need to make to my routine
I will go to bed at:
I will get up at:
For more information click Sleeping Problems Handout To Take Home.
Mind in Brent, Wandsworth and Westminster is pleased to announce a new addition to the Board of Trustees.
James Newman comes with huge experience in the commercial sector. He is currently a member of the executive of a global technology and software company. He specialises in Corporate Affairs, Business Strategy, Communications and Marketing.
James says, “I am delighted to have been appointed to the Board as I was, and am, so impressed by the work Mind in Brent, Wandsworth and Westminster deliver, and that of Mind charities nationally. It is essential we tackle the shame people associate with mental health problems and I look forward to supporting the charities sustainability, growth and enabling people to live the life they choose.”
Sue Williamson, Chair of the Board of Trustees said, “We are delighted to welcome James who has a proven track record in the commercial sector and a passion for mental health and wellbeing. He joins a dynamic and ambitious Board and Senior Management Team and will help drive us forwards.”
We are delighted to announce that Mind in Brent, Wandsworth and Westminster has been chosen by Brent Council to expanded its specialist housing services for mental health sufferers in Brent.
Dominic Bond, Deputy Service Manager, Mind in Brent, Wandsworth and Westminster said: “This is a great opportunity to further improve mental health care for people in Brent. Having specialist mental health housing services will offer sufferers tailored recovery programmes and the chance to lead fulfilling lives.”
The expansion will see Mind in Brent, Wandsworth and Westminster managing a further three housing support services across the Borough. The services, like those the charity currently runs in the Borough, will help people on their recovery journey to develop the skills and gain the confidence needed to live independently in the community.
Who are the services for?
The services are for adults in Brent aged 18+. They are designed to support individuals with moderate to high mental health needs, including those with dual diagnosis. Typically, people with moderate to high mental health needs tend to be suffer from discrimination, economic adversity and social exclusion. These services aim to change this.
What do the services offer?
There will be a range of programmes including;
– Financial planning and budgeting
– Addiction management and cessation
– 1-2-1 support with daily tasks
– Community link building
– Individual and group
– Training, volunteering and employment
– Therapeutic arts groups
Does Mind in Brent, Wandsworth and Westminster provide similar services anywhere else in London?
Similar services are already in place across Brent, Wandsworth and Westminster.
For more information on the services please contact: Esdras Foxe, 020 7259 8100
Be it a special birthday, religious festival or other time when you would usually be with those you love, the current coronavirus social distancing and self-isolation practices have made these gatherings impossible. This is hard for many of us and whilst there is no replacement for being with a someone you love in person, we hope that these tips and ideas might help.
If the people you love have a smartphone and access to internet connection why not try one of the many apps that allow you to see each other? Having asked around here at Mind in Brent, Wandsworth and Westminster, the team mostly use WhatsApp and FaceTime to talk with and see their loved ones.
Meet in groups
If you want to spend time together in groups why not try using Zoom or the HouseParty app. Both of these online tools allow multiple people to gather, see each other, talk and share. Several members of our team are arranging family lunches and evening meals with everyone gathering on Zoom to celebrate Passover and Easter.
How about setting up group emails, WhatsApp groups or other social media groups? It’s a great way to share photo’s, jokes and updates. You can be in touch with people, pick up messages and share thoughts at whatever time suits you.
You’ve got mail
The Royal Mail is still working so why not send something in the post? Many of the online shops and outlets are still taking orders and delivering too so you could send each other small things like your favourite book.
The good old fashioned phone
And of course, use the phone for either longer conversation or when you just want to talk one to one. Take the time to call at least one person everyday, especially those who re living alone. Even if you just have 5 minutes, we all like to know that someone is thinking of us.
Look how much you’ve already managed to adapt to. Look how resilient you’ve already been. There’s no ‘right’ way to respond to this because it’s never, ever happened before. Give yourself some credit.