If you're going somewhere East from here, generally what you want to do is you want to try to have your bed time earlier and earlier so what we'll do is I'll have someone adjust for a week or two by going to be 15 minutes earlier and getting up 15 minutes earlier every night. So that can be a really simple thing.
Shelby HarrisHonestly, what we use a lot is melatonin. So we use lower dosages of melatonin, taking it at different times, depending upon where we are traveling and that can really help adjust the body's rhythm to wherever you are going.
Shelby HarrisSo there's a few different ways that we treat insomnia. The first thing that we always do is we look at the cause.
Shelby HarrisWhen you are more awake at nights, they'll toss and turn, they'll think more, they get frustrated. And when that starts to happen, you really don't sleep even more because you're making your body tense and your mind is getting more and more active.
Shelby HarrisNow circadian rhythms become very interesting and problematic for patients because when you become a teenager, your rhythms actually tend to naturally shift.
Shelby HarrisNow there's some night terrors that happen in adults. And if it starts as an adult and you've never had them before, then there might be other things that are happening; it might be anxiety, depression, stress. And that's when you might have more of a thorough psychological evaluation.
Shelby Harris