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Why Do You Wake Up At Night: Barry Krakow (Transcript)

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Barry Krakow at TEDxABQ

Fulll text of sleep disorders specialist Barry Krakow’s talk: Why do you wake up at night? at TEDxABQ conference.

Listen to the MP3 Audio here:

TRANSCRIPT:

Barry Krakow – Sleep disorders specialist

20 years ago, this little purple box saved my life. It all happened in one night, a night of the most restful sleep I’d ever known.

Earlier that day, I was talking with my friend and colleague, Dr. Thomas Meade, a pioneer in dental sleep medicine.

I was belaboring Tom with my two-year running battle with chronic insomnia, frequent awakenings, trips to the bathroom, struggling to get back to sleep, exhausted in the morning and tired and sleepy throughout the day.

Plus two car accidents tied to sleep deprivation.

Tom’s cheshire cat grin told me he’d heard this story before, as he pulled this magic box out of his oversized briefcase. He pulled it open, took out this piece of plastic, plopped it in a mug of water, boiled it in a microwave.

And then he handed it to me and said, “Bite this.”

After clenching my teeth into the warm plastic mold, I handed it back. He smoothed the surface, handed it back to me and he said, “Well, let’s see if you breathe any easier tonight”, which was a strange thought to someone who was complaining about insomnia.

That night was so memorable. I can still picture in my mind’s eye, waking up, turning over and asking my wife, “Jessica, what happened?”

Nothing happened that night. There were no awakenings, no trips to the bathroom. I felt incredibly rested from the best sleep I’d had in two years, really 35 years as the true nature of my sleep disorder finally dawned on me.

This exact moment changed my life dramatically, because that day I experienced an enormous burst of energy in my mind and in my body, the likes of which I never dreamed possible for my own health.

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This moment also revolutionized my thinking, practice, and research in the field of sleep medicine.

The irony is Christian Guilleminault made this discovery linking sleep, breathing and insomnia in 1973.

Nearly 50 years later, we’re here discussing how something physical could cause insomnia. An idea that has flown so far below the radar of the general medical profession and even portions of the sleep medicine community.

All because of the failure to ask this singular question: Why do you wake up at night? Why do you wake up? How common are awakenings in this audience at minimum?

Probably one-third of you struggle with sleep or make trips to the bathroom. Yet because so many of us wake up we think it’s normal.

Well here’s news flash Number one: if you wake up, suffer from broken sleep, trips to the bathroom, you’re tired and sleepy the next day, you suffer from a serious sleep disorder, chronic insomnia, a devastating and costly condition.

Chronic insomnia damages your brain and your heart and worsens anxiety and depression. It even inhibits your ability to fight off infections.

Billions of healthcare dollars are used up through the ravages of sleepless nights on your mental and physical health. Billions more are lost economically from sick days, workplace accidents and decreased productivity.

And of course, billions more are spent in the desperate search for sleep aids over the counter drugs, prescription sedatives, vitamins, minerals, supplements, herbal remedies, yet few find truly lasting relief.

Mental health patients suffer the most from insomnia. Yet more drugs are prescribed – tranquilizers, antidepressants, anti-psychotics, anti-seizure drugs. They may help mental health, but these drugs cause side effects to worsen your sleep.

Millions more insomniacs believe or are led to believe that the only solution to sleepless nights are drugs. And yet they suffer for years without finding a cure and often never hearing of any other options.

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So if drugs are not the answer to this very vexing condition that drives some people so crazy, they become suicidal or make some people feel crazy out of the embarrassment, shame and fear from not being able to sleep, what is the answer?

Well for these psychological problems, cognitive behavioral therapy for insomnia (CBTI), is a potent tool because so many insomniacs frustrate themselves lying awake in bed, tossing and turning, checking the clock, trying to force sleep. All of which, just aggravates their sleeplessness.

CBTI is empowering to you far beyond drug therapy, because it teaches you to stop losing sleep over losing sleep. Yet, neither CBTI nor drugs answer our question:

Why do you get up at night?

Normal sleepers wake up and go right back to sleep. Why? Because they’re sleepy.

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