Sleep,stress,depression

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Sleep,stress,depression

  1. 1. Why do I feel so… Sleep, Stress & SLEEP DEPRIVATION • Fatigue STRESS • Fatigue DEPRESSION • Fatigue • Depressed mood • Depressed mood • Depressed mood Depression • Muscular skeletal pains/Headaches • Muscular skeletal pain/Headache • • Change in appetite Sleep changes • Increased appetite • Changes in appetite • Diminished interest in activities • Anxiety/Panic • Anxiety • Restlessness or slowness Just Between Women • • Irritability Poor • • GI problems High blood pressure • • Feeling F li worthless or guilt thl Poor concentration / ilt concentration/memory • Relationship problems indecisiveness Lisa Mesaros, PAC • Lack of coordination • Trouble Sleeping • Recurrent thoughts of death • Decreased Libido • Weight gain or loss • Nonspecific symptoms of • Decreased immune depression (Abdominal pain, function Back pain, Headache, Joint Date: February 28th, 2013 • Worsening diabetes pain, Neck pain & Weakness) • High blood pressure • Increased risks for Heart 1 attack and stroke 2Symptoms = A visit to your primary care Prescribing treatmentproviderA Typical Visit / Patient A Typical Visit / Provider • Treatment must address sleep, stress & possible depression for• “Why am I so tired?” • “Are you getting enough symptom improvement sleep” • Consider medication (short term vs. long term)• “Why do I have daily • Practice good sleep hygiene headaches?” • “What are your life • Consider counseling stressors” • Stress reduction• “Why “Wh can’t I sleep?” ’t l ?” • Could this be a major• “Why am I anxious / depressive disorder depressed / irritable?”• “Why is my memory poor?” Your provider may not be capable of addressing all of • “Umm, I forgot the last your problems… question….” “I love this provider! She is really on to something” VS. “Just give me the medications to fix me…I have more important 3 4 things to do” gProviders do not work miracles… Tips for managing symptoms / stress • Don’t worry about thing you can’t control • Prepare as best you can for event you know may be stressful • Work to resolve conflicts with others • Ask for help when you need it • Set realistic goals • Exercise regularly • Set aside time to do things you enjoy • Eat well balanced meals and get enough sleep • Meditation or other relaxation techniques (www.Mediationoasis.com) 5 6 1
  2. 2. Physical Symptoms Fatigue Depressed mood Anxiety/PanicChange in appetite Sleep Deprivation Irritability Stress Depression Anxiety/Panic Muscular skeletal pains/Headaches 7 2

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