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Show i Chronic insomnia suffers must unlearn condition Jennifer S Lorin Palmer of Springville, Ut. are happy to announce the arrival of their first child. BRAYDEN JOHN PALMER was bom on Aprfl2.2000.infeyson.Ut. He weighed 7 fos. 7 oz. was 20" long. Brayden has many grandparents including 5th generation grandparents who welcomed him into the family. Grandparents are Tim I Karen Palmer of Price, John Arlene Eden of Cleveland. Barbara Hender. Curtis Afcert Palmer, Barbara Lyman, Wanda Laws, S Stanley N. Lyman of Blanding. tion and cannot depend on prescription medications alone to relieve their sleeplessness, says a Stanford expert Many longterm Insomnia sufferers have developed habits that need to be unlearned through a process called cognitive behavioral therapy explains Rachel Manbcr, PhJL, assistant professor of psychiatry and behavioral sciences and director of the insomnia program at Stanford Medical t . Phyllis Page of Myton, of Cleveland. . cousins also uncles Many aunts, welcome Brayden Velma Eden I We're pleased to announce the opening of our satellite at 125 So. Main Looking forward to serving the medical "Insomnia is often a natural symptom of stress, but frequently the solutions we chose to deal with a locations to serve your needs: 280 North Hospital Drive, Price 125 South Main, Helper TWo Insomnia allow the problem to persist even alter the stress baa been removed, " says Manber. Fbr example, anxiety about not sleeping fuels the problem and trying harder" makes sleep more difficult to achieve, says Manber, a clinical psychologist J 1 1 t H And In some cases, Insomnia may be a sign of a serious medical problem or an underlying sleep disorder, she adds. Fbr example, sleep apnea, which interferes with normal breathingduringrest, or restless legs syndrome, which causes a continual twitching that interrupts sleep, often appear as insomnia. Jean-Mauri- "We really do need to treat insomnia In a context of what is going on in patients lives," Manber : says. Manber recommends that pa-tients who cant sleep should work CheriePalmPAC. Daniel C. Monahan M.D. Poitras M.D. ce 1 Dipiomate American Board of Internal Medicine ft: bhne to mink aAaub 9flatAet r s adds. insomnia. needs of the community tm accessed on the Web at wwvKaasmnetxrgbenters) Cognitive behavioral therapy, she says, will help patients change their habits, their sleep schedules and their attitudes about their problems. Underotandlngonea biological clock can help optimize sleep-wak- e schedules to make the best use of wakeful hours, Manber says. IV tients can learn through education and therapy how to deal with daily stress and how to avoid stressful activities just before bedtime, she . In fact, an International study published in the March 17, 1999, issue of the Journal ofthe American Medical Association, reported that recclvingbrlef group sleep therapy (cognitive behavioral therapy) Is more effective In--, longterm in battling late-lif-e somnla than taking slocplngpills. National surveys have shown that nearly half of all Americans have difficulty sleeping and millions of people, particularly older adults, or chronic suffer from long-ter- May. , - Centers Seep Disorders Clinic. Clinic Helper Medical in Mid Located with a psychologist specializing in sleep disorders medicine. (A list of centers accredited ty the American Academy of Sleep Medicine can be Chronic insomnia sufferers often need to "unlearn" their condi- . We teach patients In cognitive therapy that it Is In their best Interest to reduce anxiety about sleeplessness and to feel its OK to get out of bed when sleepless and use the time fora relaxing fun activity such as reading waitings pleasant television program or solving a Jigsaw puzzle, she says. Medications may be useful and some are approved by the Fbod and Drug Administration for shortterm use (about two weeks). "Beyond that, sleeping pills often are not helpful because people build up a tolerance as well as a physical or psychological dependence, which make the drugs ineffective even ter doses are increased, Manber says. "Some patients may need sedatives for longer than &few weeks but this should be prescribed only under strict medical monitoring and treatment, sleep-induci- ng which normally should include cognitive therapy A physician can help patients who do require medication to find a drug and a dosage schedule that minimize the potential for tolerance g and dependency Some sesome medications and hypnotic are and antidepressants dating showing promise for their ability to provide relief with minimal side short-actin- effects, Manber says. Patients who take drugs under minimal or no supervision often fed they can't vrean themselves from the medications, bees Jse they are likely to have trouble sleeping mediright after they stop taking cation, says Manber. "But after a night or two, the sleeplessness that comes from withdrawal usuofally disappears and patients off on and ten find that their sleep more similar," the drugbecomes sheadds. Other strategies recommended by Manber and other sleep experts Irdude a short nap duiing the day carefully timed to be in accord with ones biological clock, ftjoplc should also plan meals to allow several hours to digest food before bed. A host of relaxation techniques, such as brcathingexerclscs, structured medication and muscle relation are helpful to relieve Insomnia, the psychologist says. Light therapy which involves exposure to illumination from a specially designed lightbox, can be useful In resetting someone's biological clock," says .Manber. But she cautions that this method Is recommended only when the Internal body rhythm Is misaligned with a persons desired sleep schedule. . People need to work with rhythm, Manber Bays. . Melatonin, a natural hormone that has been reputed In popular literature to Induce sWept Is prob- ably useless for this purpose when taken as a supplement, ex- -. cept when used to adjust biological docks, Manber says, Wmen who plan to conceive are advised to avoid melatonin because of preUminarydata that suggest the hormone may interfere with conception in humans.. "People can help themselves reduce anxiety about insufficient Bleep by remembering that no single sleepless night is goingto be that horrible," says Manber. Fbr some people, she says, anxi- . .. ety about staying awake makes the problem worse. : I i a professional to determine the proper schedule for their own ' W . V v r - I V .an 11 xLxnd m . . Green buds burst Into view, blossoms grace the eye In a variety of colors oy Recliner Chair "Ashley" r Warm temperatures are ending the dormant cycle of many trees, shrubs and flowers. As the grounds warm, life re- newed surges forth into limbs that were stark grey sticks apinst the blue sky. Green buds are bursting quickly into view, and blossoms of many colors will soon grace the : . eye. Spring has sprung! SfNlCMnDniy vaneuoi tWsSjflw IWnHiifc lTwlfiMlTiMt CMHMKMSkJy x V.A "V 77T. ; l Snf Tir ,V 'runiNi - RsmmCmnI V Easffccn GJflaEa (VianuGacOuccd Homo Assosiaflioca . l,MnD : N ' $99 r1 wntu TriKnfwlMiiHi :SL $3 fihro a S oy ,r"!ll?draT Recliner Chair .v "Olympia . iHPvflb0iSwf . QOUwsribwkiiwi UayS-- O IbwSplM 1 10:G3 clki SEF(MlSnMrf HI Jab (F r onayMroibi(afi Imftltt) XVtoNl&nNdM GmMDiM A . I J. 9 1 MaOtfpl. yiPmiW . to 7:00 pxu everyday Vlt 7 hotsos on display tOBCflJMAUf BVD22M . 5l V CmmmMSwI unrsnr 100 hwlbw tj Umi if ImImIm POOR5 |