Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

A Night in the Life

It is contrast to see once productive individuals suddenly spend days in nonproductive pursuits, becoming increasingly deconditioned, and doing little to mobilize.

However, there are factors that must be considered, perhaps one of the most significant of which is lack of sleep. You would think with all the _available_ time that they would get too much sleep.

In reality, most sleep very poorly. While some of this may be attributable to being unable to find a comfortable position and/or moving during sleep, triggering pain and sudden awakening, much of their sleep problem arises from their sleep hygiene.

They lay in bed watching TV, often day and night, but even more problematic is that when they turn off the light, they are _tired of all this pain_ but they are not truly physically fatigued.

Further, when the lights go out, the thoughts begin_what is going to become of them_how can they financially survive_how do they meet the needs of family_what skills do they have enabling future productivity. This is further complicated by any alcohol or caffeine consumed.

You may find that accurately diagnosing their sleep problem and its impact will go a long way to a patient who has the energy to assume more responsibility for their daylight hours.

Once the sleep disorder is accurately diagnosed, there are numerous medications that may be of assistance, but recent studies suggest that these fail to address the core issue, the negative thoughts and behaviors. For those, it may be most effective for the patient to enter a short treatment regimen of cognitive-behavioral psychotherapy.”

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