In general, there are patients with insomnia who - many patients with insomnia will actually over report the lack of sleep that they are getting.
Shelby HarrisWe have other opposite problems with circadian rhythms that can happen when you - a lot of times with older adults. They start to go to bed at 6:00, 7:00 at night and they wake up at 2:00 in the morning. And they're rhythms actually shift earlier, but sometime it can just kind of miss the mark and shift too much earlier and that's when we need to treat it with bright light.
Shelby HarrisSo you have it, you awaken from it and you can recall, in detail, what just happened, that's a nightmare. So it's very different from a dream where you generally don't wake up from it and you don't have this dysphoric emotion.
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 Harris