Sleep is the normal physiological process of our body which is as important as respiration and digestion. Sleep is vital for maintaining our physical and mental health. Normal adults require 8 hours of sleep every day, whereas it 14 to 15 hours of sleep is recommended for for infants and toddlers.

What are the different stages of Sleep

Every human has a natural circadian clock in their body, which is responsible for maintaining our sleep - wake homeostasis. The different stages of sleep include REM and NREM that is rapid eye movement sleep and non rapid eye movement sleep respectively. REM is the deep sleep stage in which it is very difficult to wake up the person as this stage includes the sensory inhibition and all voluntary muscles along with almost all interactions with the surroundings are inhibited. Therefore, a person s physical stress and tiredness also gets relieved during this stage of sleep. NREM sleep is the stage between REM and awakening and here the person may have sensory connection with his or her surroundings, but may not respond.

Sleep and its benefits
Sleep and stress have a very strong connection with each other. The best way to relieve stress and any other mental disturbance is sleep. It is essential to have knowledge about sleep psychiatry for almost all physicians as they face many sleep deprived patients in their day to day practice.

    Sleep is not only responsible for relieving mental stress and depression, but has other benefits as well
    Sleep is also essential for the normal physiological growth in early infancy and it is vital for development of normal alertness, attention and knowledge
    It also relaxes our voluntary muscles and thereby, relieves us from physical stress
    Sleep disturbance may also aggravate diseases in our body. Sleep is also the state of recovery and healing.

Sleep psychiatry also insist on meditation and ensures that people have normal pattern of sleep, in order to maintain the mental health of the person in a normal state.

Sleep Pyschiatry: Its Stages and Benefits

Migraine is a very common form of a headache which strikes nearly 15 % of the population. Females are more prone to migraines. Science has not been able to find the real cause behind migraine attacks and the way it treats these massive headaches is also patchy at best. A migraine occurs for a definite period of time, usually, comes with a warning and paralysing pain.

Ayurvedic view
According to Ayurveda, migraine is a tri-dosha disorder. It occurs when vata or the wind element goes out of sync. Vata controls the nervous system and brain activity. Vata imbalances are linked to many diseases like joint problems, dizziness and it happens because of faulty metabolism, poor elimination, sleeplessness, etc. Pitta the fire element also has a role to play in migraines. It causes dilation of the blood vessels, which brings on a migraine attack.

Ayurvedic physicians can identify which dosha is causing a migraine. If the patient is constipated, has acute pain and has dry skin, his Vata is out of whack. If a patient has nosebleeds, is hypersensitive to light, has burning eyes and is irritable, pitta is out of balance. And if a patient has fatigue, is depressed and has a dull throbbing in the head, he is suffering a Kapha imbalance.

Ayurvedic therapies

Shirolepa: Application of herbal pastes to pacify pitta like sandalwood, camphor, Jatamansi.
Shiro Dhara: Medicated oils are poured on the scalp.
Taila dhara: Oils like ksheerabala taila, chandanadi taila are poured on scalp for calming higher vata imbalances. 
Ksheera dhara: Here cow milk is poured on the scalp to pacify pitta.
Takra dhara:  Also known as buttermilk is poured when there is obstruction to passage of vata.
Kavala graha: Oil pulling done with oils like chandanadi taila and mahanarayana taila.
Shirovasti: Medicated oils are retained on the scalp by wearing a leather cap.
Sneha nasya: Oils like Anu tailam are poured into nostrils.
Apart from there therapies herbs like Kumari or Aloe vera, Amalaki or amala and Bala or Sida cardifolia are very useful as migraine cures. Several Ayurvedic medicines are also very useful in migraine-like-

Pathyadi khada: It is used in the treatment of headaches, earaches, and migraine etc.
Shirashooladi vajra rasa: It is used in the treatment of headache, migraine, tension headache, vascular headache etc.
Bhoonimbadi khada: Used as a cure for fever, cold, sinusitis, headache.
Kamadugha rasa: Used to cure all high pitta conditions.
Godanti Bhasma: 250 mg of this medicine is also given twice a day for immediate relief from migraines.
Patients should also eat warm, nutritive foods like sesame, sweet fruits, cumin, garlic, jaggery and rice for balancing Vata. For balancing pitta, they should stay away from smoking and drinking at the very least.

Migraine - 8 Ayurvedic Remedies For Treating It!

Insomnia is a disorder where a person has difficulty sleeping. One can have problem falling asleep or staying asleep for long. Some people also have disturbed sleep. This can be a major problem as due to lack of sleep one feels tired and fatigued all day.

Recurring cases of insomnia hamper your daily activities and interfere with the smooth functioning of your life. Therefore, this condition should not be ignored and treated immediately.

Here are the various ways to treat insomnia:
Non-Medical (Cognitive and Behavioral treatment)
Several psychological and behavioral techniques can be used for the treatment of insomnia. Many of these methods can be easily self-taught and others require a therapist to be carried out properly. 

1. Relaxation training, which is also called progressive muscle relaxation involves the patient to tense and relax his muscles systematically in various parts or regions of the body. Relaxation techniques, such as breathing exercises, various forms of meditation, mindfulness and guided imagery are used for treating insomnia people. The use of audio recordings for guidance in these techniques is quite popular.

2. Stimulus control enables building an association between the bedroom and sleep. This is done by limiting several kinds of activities done in a bedroom. This may include going to bed only when very sleepy and leaving bed if you cannot sleep within twenty minutes. A strict bedtime and wake up time schedule has to be maintained.

3. Cognitive behavioral therapy or CBT involves changes in behavior like maintaining a strict sleep time schedule, elimination of afternoon naps and other habits related to sleep. A cognitive component is also added to this method. Unhealthy beliefs and fear regarding sleep are challenged and positive, rational thinking is encouraged. CBT is a very effective procedure for treating insomnia and the track record regarding success is high.

4. Changes in lifestyle are required to treat insomnia and prevent recurrence of insomnia, you should change certain habits and start some new practices. You should limit your intake of caffeine, alcohol and nicotine. Do not consume coffee or tea before going to sleep and avoid smoking. The habits may be stimulating and will keep you awake. Your diet should be balanced. You should avoid having rich and spicy food before going to bed. Avoid late meals and maintain a proper schedule for meals. Regular exercise can improve the symptoms of insomnia and you should try to work out every day.

Medical Treatment
There are many forms of medicines, which can treat insomnia. This includes over-the-counter medicines, as well as prescribed medicines. The type of medicine required completely depends on the severity and symptoms of your insomnia and other factors related to health. Therefore, you must consult a doctor before having any kind of medicine for treating insomnia.

The most common medicines for insomnia, which are usually prescribed by doctors are benzodiazepine hypnotics, non-benzodiazepine hypnotics and melatonin receptor agonists. However, medicines should only be taken after consulting with a specialist. Insomnia not only affects your health but also interferes with all your daily activities. Proper treatment should be taken to treat the same.

Ways to Treat Insomnia

Cure insomnia with natural remedies


Insomnia is the situation where someone is unable to sleep, despite being tired or having had a tough day. It also applies when a person can fall asleep but is unable to stay asleep for long. Sleep apnea, chronic pain, indigestion, stress, medications, hormones, depression, chronic pain and restless leg syndrome are few of the symptoms of insomnia. Insomnia has become quite common and increasing ever so rapidly with our daily stressful lifestyle. There are some simple ways to combat insomnia:

1. Make Sleep a habit : 
There is a general practice to cut the sleep short whenever we go behind the schedule. Be it sitting for an important examination or preparing for a challenging assignment. It is always the sleep whom we sacrifice. This is a very bad practice. We need to remember that adults needs eight to ten hours of sleep for proper mental functioning. So make sleep a habit , try to follow a simple routine. It will help you establishing  regular sleep-wake cycles which will in long run prevent insomnia.

2. Add amino acids to diet: 
Include in your diet, foods that are high in the amino acid called tryptophan because they help calm the nerve. Chicken, tuna and turkey are such types of foods.

3.Drink hot milk: 
It has been an age-old custom to have a glass of warm milk before going to sleep. So, If you are not allergic to dairy products, you can drink a glass of milk before bedtime. It has sedative effect due to presence of tryptophan.

4. Avoid caffeine after noon and Limit alcohol and nicotine intake:
Avoid Coffee, alcohol and food with high fat content and foods which can cause allergies, at least a few hours before your bedtime. Drinking water or coconut water, after drinking alcohol is advisable. This increases the hydration level in the body and helps you sleep. You should also avoid nicotine  which is also a stimulant thus adversely affects normal sleep.

5. Pick magnesium rich foods: 
Foods which are high in magnesium are known to relax our system. Foods like oats, leafy vegetables, sunflower seeds and sesame can be included in your diet for best results against insomnia.

6. Stay away from your phone at bedtime:
It has been postulated that the blue wavelengths produced by your smartphone and other gadgets (and energy-efficient LED light bulbs) significantly suppress the production of melatonin, the hormone that makes you sleepy, according to University of Basel research. So it is better avoiding surfing the phone at bed. You have enough time with it during the whole day. Is not it? Let her sleep too.

7. Practice yoga:
Practice 15 minutes of simple, yoga-like poses (such as neck rolls, shoulder rolls, and arm and back stretches) to help your muscles unwind before hitting the bed. But you should go slowly. “The goal is to loosen your muscles to prepare your body for a good night’s sleep, not increase your heart rate,” 

8. Try aromatherapy:
Studies have shown that aromatherapy aids in sleep. Lavender oil is most commonly used, It's also an inexpensive, nontoxic way to slip into a peaceful slumber. Find a spray with real lavender and spritz it on your pillow before bedtime and it may help you go asleep better.
 
9. Adopt deep breathing exercises:
Practice deep breathing  and relaxation exercises. They are simple and can be performed lying on bed. This will help you let go stress and worries that are troubling you and will therefore calm your nerves.

10. Re-organise your bedroom:
Bedroom should be quiet and dark to have proper sleep. You can use dark window curtains which will cut the lights from outside. You can try using sleep mask. Try not to watch television for at least half an hour before bed. Make your bed comfortable with extra mattress, pillows that are not too soft or too hard. Doing these simple things will make a lot of difference in your sleep habit.
 
 



From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.


Fight insomnia naturally. #SleepWell 

One of the worst neurological disorders to have is dementia. It is a general term used to describe cognitive decline of the brain. It s not specific disease but denotes several brain disorders and mental illnesses. A person suffering from dementia can have severe impairment in judgment, loss of memory and thinking. Dementia is a very difficult disease not only for the patient but also for their families and caregivers. 

Some facts about dementia are as follows:

It s not a mental disorder occurring in old age but it does degenerates with age.
An estimation of 47.5 million people worldwide suffers from dementia and 60% of these people live in low and middle-income countries and according to WHO this figure is likely to increase.
Every 4 seconds a new case of dementia is reported
Dementia is a collective term to describe the many types of in people, such as 

Alzheimer s Disease: It is one of the most common type of dementia accounting for 60-80% of dementia case. People suffering from Alzheimer s have fewer nerve cells and the size of the brain shrinks.
Vascular Dementia: Another most common form of dementia occurring after a stroke.
Lewy Body Dementia: It is neurodegenerative condition that involves a protein called alpha-synuclein which changes the brain. Symptoms may be similar to Parkinson s disease.
Symptoms of dementia can range from mild to moderate to severe that includes:

Memory Loss
Disorientation meaning inability to focus or pay attention
Changes in visual perception
Impairment in reasoning and judgment
Dementia can be caused by damage to brain cells or progressive brain cell death. As a result communication between brain cells become difficult. Other symptoms include:

Stroke
Brain Tumor
Head Injury
Prion Disease
HIV Infection
Reversible Factors

There are no definite tests for dementia. Doctors and neurologists have to medical history, blood tests and CT scans to find out whether a person has dementia or not. However, the most potent evaluation comes from a set of questions that are asked to a patient suspected of having dementia. The ability to answer those questions correctly is one of the best diagnoses for dementia.
There is no specific treatment for dementia as it is not a curable disease and degenerates with time. However, medicines or drugs given for Alzheimer s can be given to people suffering from dementia.
Although results vary depending upon a person s lifestyle s and habits, doctors suggest eating healthy, exercising regularly, and stopping smoking and drinking may prevent some types of dementia.
The best treatment for dementia is to treat the person with care and love so that they don t feel neglected.
Dementia is often associated with old age but that is not always true. It is important to gain knowledge and educate others also.

Dementia - Quick Facts You Must Know About It!

Neurodevelopmental disorders refer to any impairment and disorder of the brain and nervous system growth and development. Disorder in the brain and nervous system can affect the emotional, physiological, psychological ability and overall timely development of a child. With advanced technology and continuous study in the medical field, one can now assess the neurodevelopment of his/her children. Neurodevelopmental Assessment concentrates on the overall growth and development of a child including his/her weaknesses and strengths. A complete developmental profile is generated with the help of various tests and examinations. This assessment is used to analyse the various developmental factors including social and communication skills, functional and motor skills, cognition and learning abilities, and language and speech development. Neurodevelopmental Assessment involves a team of child s close people including parents, guardians, and family members who help to understand the medical history if any. It helps doctors to provide appropriate ways to assist the child in his/ her growth and development.

Tests and Examinations

Tests for the Neurodevelopmental Assessment may vary from child to child depending upon their condition. But, there are usually some tests that are done to understand the overall development of the child. These tests may include speech tests, hearing tests, blood tests, physical examinations, and questionnaires, which may be given before or during the assessment process.

Assessment

The assessment processes and sessions may vary depending upon the need of the child. However, usually, there are three major sessions that help the pediatrician understand the concerns of the family and parents. These sessions include consulting about the detailed medical history of the child, understanding the problem and its possible cause, and providing proper ways and treatment options for the patient. 

In the first session, parents and guardians are asked about any medical concern they have and the medical examination of the child is carried out accordingly. A standardized assessment with the child will be carried out by a clinical psychologist and the parents and guardians are asked to complete a questionnaire for the assessment. Depending upon the age, questionnaire may be sent to school for teacher/s to complete.

The next session is usually led by language and speech therapist to discuss and understand the current language and speech concerns of the child. Previous assessments and medical examinations are taken into account to carry out further assessments. An occupational therapist will assess the child s ability to perform self-care activities and other tasks according to his/her age. The session may include the assessment of a child s motor skills and abilities and reflection on any probable sensory-based problems that may be affecting the child s occupational performance.

The last session mainly includes the discussion with the parents and guardians to help them understand the problem, its causes, and treatment options. If the child requires any further assessment or/and recommendations, then the parents are told about that too.

Takeaway
Neurodevelopmental Assessment of children is often performed on kids who do not show the developmental signs according to their age. Parents and guardians should not hesitate to consult their children to clinical psychologist and therapist as the early intervention and assessment can help in the timely growth and development of the children.

Neurodevelopmental Assessment (0-5 Years)  - What Should You Know?

Don't wait any longer, manage your Neuro Rehablitation online with a Lybrate doctor today

Consult for Neuro Rehablitation - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES