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Manganaro points out that someone else, with a different nervous system, could have sleep-study results similar to mine yet feel completely fine. Though she has to grade apnea on a scale of mild to severe for health insurers, she is less interested in the number of arousals patients have at night than in the severity of their symptoms during the day. "If your brain is responding to the sleep-disordered breathing as a danger, and your fight-or-flight system turns on and the anxiety syndromes start up, it doesn't matter how many times an hour you're waking up," she says.
We help people as young as 4 through the lifespan with solid language and learning abilities develop their social thinking and related social skills. Our strategies help parents and professionals teach social information to individuals around the world with and without diagnoses, including neurotypical children. Of the diagnostic labels that we address, some of the most popular are: Asperger’s syndrome, Autism Spectrum Disorders Levels 1 & 2, Social Communication Disorder, PDD-NOS, ADHD, NVLD, Mixed Receptive-Expressive Language Disorder, twice exceptional, social anxiety, head injury, etc.
Undercutting that hypothesis, though, are sleep studies that show that tiredness isn't necessarily related to the number of apneas or arousals patients experience—and some patients may have fairly normal- looking sleep studies but still suffer from brutal fatigue. These findings have prompted some scientists to bore in on the fact that UARS coexists with a host of other psychiatric and somatic disorders—anxiety, depression, posttraumatic stress, irritable bowel syndrome, ADHD, and fibromyalgia, among others. They've suggested that the exhaustion—and somatic disorders—aren't caused by a shortage of sleep but by the nervous system's overreaction to the disordered breathing. If that's true, treating the irregular breathing could mean the anxiety or fibromyalgia recedes without doing anything else.
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I'm almost embarrassed to admit how much I believe in Gold's theories: My experiences are anecdotal, and I've been reporting on science and health long enough to know that medicine shouldn't be a matter of faith but of data. Yet for the first time in my life, my symptoms make sense, and I've found a treatment that works. My husband used to gently tease me for being, as he put it, "highly calibrated," as I tried in vain to come up with something that would relieve my unrelenting anxiety, insomnia, and irritable bowel (which, frankly, I believed were linked, well before I read dozens of papers on the topic). My husband was right: I was sensitive and remain so. But in the past, it was like I was trying to fine-tune an intricate machine that was on fire. You need to put out the blaze before you can experiment with the monkey wrench. I've come to think of the cool breeze from my CPAP machine as a little air conditioner for my brain. It turns down the temperature; it cools off my hot reactions. It gives me the time and peace to regard the beautiful machine of my body and mind with gratitude and kindness instead of fear and disgust.
Social Anxiety Disorder (SAD) is a social phobia which is caused due to many reasons. It is the inability of the person to mix up with the surrounding people.
And then I crunched through the night guard I wore to stop me from grinding my teeth at night. Oddly enough, it was my dentist, Michael Gelb, who diagnosed my problem when I went to get a new one. He peered down my throat and then motioned for his assistant to come over. "Look at that big tongue! No wonder!" he exclaimed. He turned to me. "This is easy. I know what you have. You're waking up in a panic? In a cold sweat? Like someone just threw a rock through your window?" he asked. Yes, yes, yes, I told him. "You have low blood pressure? Cold feet?" Uh, yeah. "You have anxiety?" Yes.… "You had your wisdom teeth out? Were you ever told you needed a palate expander as a kid?" Umm…yes? "You have UARS. It's the young, thin, beautiful women's sleep disorder. You should write about it!"
Social anxiety disorder, or social phobia, is different because of the degree of discomfort a person feels in those situations. Someone with social anxiety disorder will go to great lengths to avoid situations that make them feel that discomfort. They may dread a situation for great lengths of time before the event, and feel physical symptoms from it.