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12 Things High School Students with ADD/ADHD Want Their Teachers to Know

by Annie Barraza

As educators and parents prepare for the upcoming school year, I thought it would be helpful to share the following list that has been compiled by teens with ADHD.

They have kindly shared with me what is important to them and what they find most frustrating in working with teachers and parents. (Editing has been done to improve clarity.) Throughout my son’s high school career, I have copied this list countless times, giving each of his teachers insight into his behaviors and feelings at the beginning of the school year.

Teachers, parents, and administrators around the country have asked numerous times for permission to reprint the list. Please feel free to share it with other parents and teachers that you think may benefit from it.

12 Things Teens with ADHD Would Like Their Teachers to Know

1) I forget things, even important things.

There is a myth that states, “If it is important enough, you will remember it.” Please understand that this is a myth. My memory may not work the same as yours. Just because I forget does not mean that it doesn’t matter. I am not trying to be a smart alec or arrogant when I say “I forgot.” I really do forget.

2) I am not stupid.

I may sometimes lose my place during your class or take a few minutes to get my thoughts together before speaking, but I am not stupid. ADHD does not have anything to do with intellect.

3) Please be patient if I ask the same question many times or ask too many questions.

I am not trying to be arrogant. I am trying to understand. I am trying to comprehend, and I am trying to remember what you have said.

4) I really do want to do good.

For many years, I have struggled with schoolwork. It is frustrating for me. I want to pass your class, I want to do my best, and I want to feel good about the work I have done.

5) I do complete my homework.

I often lose papers, leave my homework at home or in my locker. I often don’t know where my homework is when it is time to hand it in. But I do complete it. Loose papers are the most difficult to keep track of. If it is possible to complete my homework in a notebook, I will be able to keep track of it better.

6) ADHD is not an excuse, I should not use it as one, and neither should you.

ADHD is a real disorder. It causes me to forget things, to be impulsive, to act without thinking, to lose track of my belongings, to be inattentive, and sometimes it causes me to process information a little more slowly. I do not like being different and would very much like to be “normal.” I do not like to be made fun of for being different.

7) I need help to succeed.

This is sometimes very hard for me to accept. I do not like having to ask for help. Sometimes asking for help makes me feel stupid. Please understand this and be patient. Please sometimes offer your help without my having to ask. Please understand that needing help makes me feel inadequate and that I may resent you asking. That doesn’t mean that I do not want or need your help.

8) If you notice me acting in inappropriate ways, please talk with me in private.

Please do not talk to me in front of the class. This is humiliating. Please do not insult me or call attention to my differences or weaknesses in front of other students.

9) I don’t like having “special accommodations” in the classroom.

Sometimes they are needed to help me succeed and do well. But that doesn’t mean that I like it. Please don’t call attention to any special treatment in front of other students. Please do not draw attention to my ADHD.

10) Detailed explanations of your expectations will help me.

I work best when I know exactly what you expect from me. I will do best if your expectations are in writing so that I can refer back to them if needed. The more detailed your classroom and class work plan is, the better I will do. Knowing what to study and how to study will help me when taking tests. Knowing how you expect projects to be completed will help me to do a good job.

11) Learning about ADHD is one of the best ways to help me.

Read about ADHD, how to teach children with ADHD, and talk with parents and other teachers to learn as much as you can. Understanding and learning about ADHD will help me to do better in your class.

12) Although I have ADHD, I am not ADHD.

I am a person. I have feelings, hopes, and expectations. I have needs. I want to be liked and accepted. I want to feel good about myself. All of this is important to me. Sometimes I act out to hide my embarrassment or shame. This does not mean that something is not important. On the contrary, it means that it is very important and I am hiding my disappointment that I failed.

CategoriesADHD

5 Mistakes Adults with ADHD Make at Work

by Annie Barraza

The workplace can be a difficult place for adults with ADHD. Lack of focus, procrastination, lateness, and disorganization are common signs of ADHD in adults. All create problems on a day to day basis at work. According to a study completed in 2003, adults with ADHD were much more apt to have problems than their non-ADHD counterparts. The study showed:

  • About 44 percent of adults with ADHD reported some behavioral problem at work as compared to less than 3 percent of those without ADHD
  • Over 17 percent of adults with ADHD have been fired from a job at some point in their careers as opposed to less than 4 percent of non-ADHDers
  • Approximately one-third of adults with ADHD have quit at least one job because of boredom as compared to 15 percent of those without ADHD
  • A little over 17 percent of adults with ADHD felt compelled to quit a job because of hostility in the workplace, as compared to less than 5 percent of those without ADHD
  • Around 11 percent of adults with ADHD have been disciplined by their boss as compared to less than 1 percent of non-ADHDers

What is an adult with ADHD to do? Many try to work harder, take more work on to prove themselves, or end up sacrificing other areas of their life to focus on their jobs. The following are five mistakes adults with ADHD often make when trying to improve work performance.

1. Trying to conform.

One of the positive traits of ADHD includes thinking outside the box. That means you often have a new or unique way of doing things. Trying to accomplish tasks according to a non-ADHDer’s instructions often doesn’t work. Whenever possible, adapt tasks to your way of learning and accomplishing. Revise procedures to work with your thinking and learning style. If you have a job where tasks must be completed in a certain way, use mnemonics, lists, or other reminder systems to help you follow along with the procedures.

2. Trying to work harder.

From the time you were in grade school, you might have heard things like, “not trying hard,” or “not living up to potential.” You have it ingrained in you that if you just try harder, you can do it. However, working harder isn’t usually the answer. It makes you exhausted and more prone to burn-out.

3. Trying to do it all.

You might believe that you must prove that you can do the work, that you must accomplish just as much, if not more, than your non-ADHD counterparts. You are afraid to ask for help because you think others will say, “See, he can’t do it.” You come in early, stay late, work through lunch, and frustrate yourself trying to keep up. This often makes the situation worse because of the added stress. Instead, talk to your boss, explain exactly what you need help with and why this help is beneficial to you and the company.

4. Giving up other parts of your life to make the job part work.

It might take you longer to complete a project or task than it does for those without ADHD. You want to do a good job and want to focus on your work. You give up other parts of your life, such as your social life or time for yourself. Unfortunately, “all work and no play” frequently ends up with you tired, irritable, and lonely. No matter how demanding your job is, schedule time each week to get together with friends and family, spend quality time with your partner and children, and do something you enjoy. Those with a balance of work and play are usually more satisfied with their lives.

5. Not writing down information.

Deficits in short-term memory are an ongoing problem for adults with ADHD. You think, “I will remember that,” only to forget it a few minutes later. You might worry that you will become distracted or lose your momentum if you stop what you are doing to write down information. But not writing down information often leads to problems later. Instead, keep your phone, tablet, or pen and paper handy at all times to jot down notes and miscellaneous information. You can take time later to put the information in the proper place, such as your calendar, but take the first step and get it written down.

CategoriesNarcolepsy

Does Cataplexy without Narcolepsy happen?

by Annie Barraza

Although narcolepsy without cataplexy happens often, Cataplexy almost never occurs without narcolepsy, except in the rare case that is the result of a major brain trauma.

Some drug therapy and lifestyle changes can take care of mild symptoms of narcolepsy and without cataplexy, it can be managed easily enough to maintain a normal life.

What is Cataplexy?

Cataplexy is exclusively a symptom of narcolepsy that is experienced by seventy percent of the 3 million people who suffer from narcolepsy worldwide.

Narcolepsy with cataplexy has its own biomarker.  That is, there is a specific, measurable trait that is exhibited by most narcolepsy patients with the symptom of cataplexy.  The peptide hypocretin-1, which is derived from the hypothalamus in patients with healthy sleep patterns and a narcoleptic without cataplexy, tends to be deficient in cataplectic. This unique feature has earned Narcolepsy with Cataplexy its own separate diagnosis from the narcolepsy without cataplexy.

Most Narcolepsy symptoms can be seen as a disassociated part of REM sleep.  Cataplexy is no different. One of the things that happen during REM sleep is that the body’s muscles lose tone and go limp. Cataplexy is the same phenomenon, during wakefulness.

Hypocretin-1 plays a major role in the sleep/wake cycles of the brain.  A deficiency manifests itself in the symptom of cataplexy.  There is no correlation between hypocretin-1 deficiencies without cataplexy in narcolepsy, making it an unreliable test for narcolepsy without cataplexy.

Cataplexy is the uncontrollable loss of muscle tone.  It can be a minor annoyance or a major event.  Either way, it can be embarrassing to the person suffering from it. Cataplexy episodes are triggered by strong emotional response. Anger and robust laughter are at the top of the list.

A cataplectic episode can range from unnoticeable to a serious event.

  • Mild Cataplexy

When cataplexy is mild, it can go unnoticed.  Perhaps the patient experiences a little clumsiness or trips.  It can manifest in a single tiny muscle group, usually in the face.  A droopy eyelid or momentary slackening of the jaw can be from cataplexy. Cataplexy can last as little as a few seconds, hardly giving it enough time to register as ever having happened at all.

  • Severe Cataplexy

Cataplexy can last for over an hour.  It can affect the arms or legs.  It commonly affects the neck, resulting in the head suddenly falling forward.  In some cases, the entire body is affected. The result is a total collapse. The subject is awake and alert, but unable to move or communicate. It can be frightening to experience, especially when it is new.

Diagnosing Cataplexy

Diagnosing narcolepsy without cataplexy and narcolepsy with cataplexy is done much the same way.  There are no simple blood tests that reveal the disorder.  Even testing for a hypocretin-1 deficiency is a difficult and painful process.  It requires a spinal tap to test the spinal fluids. Because of the risk involved, this kind of test is not likely to become a mainstream diagnostic tool.

Without cataplexy, narcoleptic diagnosis involves a detailed history and the use of sleep studies.

Sleep studies include the nocturnal Polysomnogram and the multiple sleep latency test (MSLT).  The MSLT is the currently accepted standard in testing and data collection for the diagnosis without cataplexy of narcolepsy.

The nocturnal Polysomnogram and the MSLT are usually done together, consecutively. This way, a physician can get a complete portrait of sleep habits and REM cycles of his or her patient.

The tests are performed in a sleep clinic. The subject has a continuous electroencephalogram (EEG) while they are settled into a room in which to sleep.  The EEG and visual monitoring will be used to record everything the patient experiences during a restful state.

For the nocturnal Polysomnogram, they will spend the night.  For the MSLT, the next day they will have 5 scheduled naps that are 2 hours apart and will last for 20 minutes.

With the presence of moderate to severe cataplexy, diagnosis is simple, since cataplexy is a narcolepsy specific symptom, if it is present, a diagnosis of narcolepsy with cataplexy is certain to follow.  If the episodes are milder, a detailed history and probably the use of journaling the symptomatic episodes may be required as there is no other way to uncover the existence of cataplexy.

Cataplexy Treatments

Without cataplexy narcoleptic symptoms can often be managed with careful lifestyle changes such as dietary guidelines, strict adherence of bedtimes and scheduled daytime naps.  Often, drug therapies that include the use of stimulants and antidepressants are required.

Narcolepsy patients with cataplexy almost always need to be treated with drugs.

Behavioral and Pharmacological Treatments

Behavioral

for narcolepsy

Pharmacological:

For EDS

Pharmacological:

For cataplexy

avoid sleep deprivation

Methylphenidate

Xyrem

sodium oxybate

strategic naps

Amphetamine

Protriptyline

avoid caffeine

Modafinil

Imipramine

involve the people you associate with regularly

Selegiline

(also anti-cataplectic)

Selective serotonin reuptake inhibitors

Sodium Oxybate

The most effective drug treatment for cataplexy and EDS is gammahydroxybutyric acid (GHB). It is the only drug approved by the FDA for the treatment of cataplexy.  It is sold in the USA as sodium oxybate and is produces as the drug Xyrem.

Xyrem works on the part of the brain that controls sleep cycles. At higher levels, as a very effective sedative.  Promoting deep restful sleep at lower levels it is a stimulant that keeps EDS at bay.

GHB is a highly regulated substance as it is associated with illegal abuse. IT has a high rate of dependence and serious withdrawal symptoms. It induces a euphoric effect that is similar to the street drug ecstasy and it has been used to facilitate date rape. It has the ability to stimulate the human growth hormone and so it has also been abused by body builders.  Overdoses of GHB can result in respiratory depression, bradycardia, seizures and death.

The most common side effects of Xyrem are:

  • headache
  • nausea and vomiting
  • dizziness
  • nasopharyngitis
  • somnolence
  • urinary incontinence

Sodium Oxybate needs careful consideration with patients that have heart concerns as it raises sodium levels in the blood.

CategoriesADHD,  Narcolepsy

Types of Narcolepsy: What You Might Not Know About The Different Types of Narcolepsy in an Overview

by Annie Barraza

Narcolepsy is an intrusive sleeping disorder that is currently affecting around 200,000 American people. Narcolepsy is one of medical science’s most unique sleeping disorders. Not only is Narcolepsy itself an odd and interesting disorder, it comes as a package deal with various other unique medical problems like Cataplexy, hallucinations, Automatic Behavior, and even Sleep Paralysis. Patients who have been diagnosed with the disorder should learn about all types of Narcolepsy, and undiagnosed patients who may be suffering should study Narcolepsy and its different types.

The Different Types of Narcolepsy

Technically, there are not different types of Narcolepsy. Unlike other sleep disorders like Sleep Apnea, there is not a central and an obstructive classification. Narcolepsy is the same in all patients who suffer from its symptoms. The disorder is defined as the uncontrollable urge to sleep at inappropriate times during the day; this is absolutely true in all patients with Narcolepsy, so technically, there is one medically recognized type of the disorder.

More often than not, however, most Narcolepsy patients experience at least one or more complicated disorders in addition to their Narcolepsy. The majority of narcoleptics also suffer from one of the following four complications: Cataplexy, Hypnagogic Hallucinations, Automatic Behavior, and Sleep Paralysis.

Narcolepsy with Cataplexy

Only three million people in the entire world suffer from some type/degree of Narcolepsy. Out of those three million people, only two percent also suffer from Cataplexy. Cataplexy is thought to be unique to Narcolepsy patients, and is often one of the disorder’s primary identifiers; it is often associated with other Narcolepsy symptoms like Sleep Paralysis and hallucinations.

Cataplexy is defined as the sudden loss of muscle tone and strength coupled with severe daytime sleepiness. The sudden loss of muscle strength can be mild or severe. In mild Cataplexy episodes, there may only be a small portion of muscle on the body that becomes paralyzed. In opposition, severe episodes of Cataplexy can leave the entire body unable to move or speak for several minutes at a time. These sudden changes in muscle tone are often triggered by the patient’s witnessing of a strong emotional response.

Laughter, crying, and shouting are some of the most common triggers in people with this type of Narcolepsy.

Cataplexy is extremely dangerous, and is one the leading causes for accidents, especially automobile accidents. Because Narcolepsy patients are unable to determine when an episode of Cataplexy will occur, there Cataplexy victims often live in constant fear of witnessing a trigger and embarrassing themselves in public.

Narcolepsy with Hallucinations

Unlike the rare Cataplexy, this type of Narcolepsy is extremely common. Patients who suffer from Narcolepsy are at a high risk for experiencing Hypnagogic Hallucinations; in fact, hallucinations are one of the disorder’s most commonly recognizable symptoms. Where Cataplexy is only present in two percent of all Narcolepsy patients across the world, as many as fifty percent of all narcoleptics are thought to suffer from Hypnagogic Hallucinations.

There are two main types of hallucinations: Hypnagogic Hallucinations and Hypnopompic Hallucinations. Hypnagogic Hallucinations occur during the transitional period that takes place when the brain is shifting from a place of wakefulness to one of sleep. Hypnopompic Hallucinations, on the other hand, are the opposite; these hallucinations occur when the body is shifting from a place of sleep to one of wakefulness. Hypnagogic Hallucinations are seen in this type of Narcolepsy, and can be extremely vivid.

Patients who also suffer from Hypnagogic Hallucinations experience intense dream-like visions when they are falling asleep. Many Hypnagogic Hallucinations incorporate various images that actually present in the sleeper’s environment into vivid hallucinations. These hallucinations can involve the manipulation of the patient’s vision, hearing, sense of touch, sense of balance, and even their ability to move. Many Narcolepsy patients who suffer from the hallucinations describe them as bizarre, and even frightening. Because the hallucinations are so realistic, patients become afraid of them; many patients even fear the hallucinations as a sign of mental instability.

Narcolepsy with Automatic Behavior

One of the most interesting, and consequently dangerous, types of Narcolepsy includes symptoms of Automatic Behavior. Often confused with sleep walking, Automatic Behavior refers to the continuation of an activity that was taking place while before falling asleep after falling asleep. In many cases, Automatic Behavior occurs when patients with this type of Narcolepsy attempt to fight off sleepiness in an effort to complete an activity. For example, patients who suffer from this type of Narcolepsy may suddenly fall asleep while washing the dishes. Instead of dropping the plate they were holding when they suddenly fell asleep, patients with Automatic behavior continue washing the plate as if they remained awake.

Although Narcolepsy patients with Automatic Behavior continue performing the activity while unconscious, they have absolutely no memory of the even upon wakening; the event is out of conscious control. Unconscious periods of continued behavior can last anywhere from a few short seconds to as long as half an hour. Patients who experience this unique disorder often wake up in strange places disoriented and frightened. Automatic Behavior becomes a serious and dangerous problem when it occurs during dangerous activities like driving or cooking.

Automatic Behavior, also called automatism, is not unique to Narcolepsy types. It is a common symptom of many different psychiatric and neurological disorders. Schizophrenia and Fugue are common psychiatric disorders that are associated with Automatic behavior.

Narcolepsy with Sleep Paralysis

Although it is possible to see symptoms of Sleep Paralysis in patients plagued with disorders other than Narcolepsy, Sleep Paralysis is most commonly associated with this form of Narcolepsy. In addition to Cataplexy and hallucinations, Sleep Paralysis, which can also be called Isolated Sleep Paralysis, completes the trio of famous Narcolepsy identifiers (in addition to daytime sleepiness, of course).

Narcoleptics who suffer from Sleep Paralysis experience periods on paralysis, either when going to sleep or upon wakening. During an attack of Sleep Paralysis, the victim is completely unable to move voluntarily, and must wait for the attack to pass. Although Sleep Paralysis is passing, and not physically harmful, it can still be terrifying and stressful to try and deal with on top of Narcolepsy’s other problems and complications.

CategoriesNarcolepsy

Hypocretin Deficiency: Narcolepsy with Cataplexy

by Annie Barraza

Narcolepsy without cataplexy and narcolepsy with cataplexy are two different classifications in international diagnosis.

While there is little known about the cause of narcolepsy, over the past few decades scientists have made huge leaps in the understanding of cataplexy.

Evidence of a Deficiency in Hypocretin-1 in patients with cataplexy has given Narcolepsy with cataplexy its very own biomarker. During clinical testing of the cerebrospinal fluid (CSF), nearly all narcolepsy patients with cataplexy had a severe deficiency of the protein hypocretin-1which is normally located in the hypothalamus.  The reason for this deficiency is unknown, but there is speculation that it may be an autoimmune dysfunction. Cataplexy is also sometimes referred to as a hypocretin deficiency syndrome.

Narcolepsy without Cataplexy

The diagnosis of narcolepsy sleep disorder can be a difficult one to confirm.  There are no physical tests.  No genetic testing, no blood tests.

Doctors will take a complete history and use clinical testing like the multiple sleep latency test or MSLT, and perform a nocturnal Polysomnogram to determine the existence of narcolepsy or its symptoms.

During the nocturnal Polysomnogram, the patient is placed in a comfortable room and monitored all night to determine the cause of symptoms like insomnia and EDS. An electroencephalogram or EEG is used as well as video monitoring to record body functions and sleep patterns and activity.  Some pertinent data that is recorded would be breathing, including the existence of apnea. Pulse and blood pressure, Snoring, sleep talking and restlessness.  The onset and duration of REM sleep is carefully recorded.

The MSLT is done the day after the nocturnal Polysomnogram.  The patient will stay at the clinic the rest of the day and have 5 naps during their stay.  The naps are done in the same relaxing setting as the nocturnal Polysomnogram. An EEG is used again, as well as video surveillance to monitor and record the time it takes the subject to fall asleep, or if the onset of REM sleep is accomplished. These factors are standard to diagnose narcolepsy.

Narcolepsy alone can be difficult to live with.  Falling asleep at inappropriate times wreaks havoc on patients’ lives.  School, work and relationships become impossible to maintain and patients sometimes then succumb to depression and reduced sense of self-worth.

With carefully planned lifestyle changes such as tight bedtime routine, strict diet and scheduled daytime naps, patients with mild narcolepsy symptoms can sometimes beat the disease. However, when symptoms are more severe, the lifestyle changes are still utilized, but drug therapy is added to round out the treatment.

Drug treatment for narcolepsy includes stimulants such as Provigil or Nuvigil are used to combat Excessive Daytime Sleepiness or EDS. These drugs help the narcoleptic stay awake during the day. Many people with narcolepsy need stimulants to function at an acceptable level in their daily lives and to live successful and prosperous lives.

Narcolepsy Therapies

Behavioral

Pharmaceutical

for EDS

Pharmaceutical

for Cataplexy
>Carefully controlled night time sleep Methylphenidate sodium oxybate, GHB
Scheduled daytime naps Amphetamine Protriptyline
smaller, lighter, more frequent meals Modafinil Imipramine
Involvement of friends, family and associates Selegiline (also anti-cataplectic) Cloniipramine

Narcolepsy with Cataplexy

Patients who have the condition: narcolepsy with cataplexy, also suffer the same EDS symptoms as narcolepsy without cataplexy.  However, they have the added stress of the symptom of cataplexy.

Cataplexy is a bizarre and rare phenomenon that affects over two million patients with narcolepsy. When a patient experiences cataplexy, they lose muscle tone and function, suddenly and without warning.

These episodes can be so slight they go unnoticed.  Perhaps the patient will feel clumsy for a moment.  Or an eyelid may droop or the cheek may go slack. It may last for as little as a few seconds. Hardly enough time to register the change.

A cataplexy episode can also be more severe. In the event of a severe episode, a person can lose all muscle control in his or her body and a total collapse is experienced.

Cataplexy can cause psychological trauma, particularly after the first episode or when it strikes in children because the collapse is experienced while completely awake and alert.  The inability to move or respond to their environment is particularly terrifying for many patients.

What Causes Narcolepsy?

No one knows what causes narcolepsy without cataplexy. There is some speculation that it is genetic, but there is insufficient evidence as it rarely runs in families. Recently, some evidence has come to light that it may be an autoimmune function, like cataplexy. There must be much more research done to confirm this and even longer before a suitable diagnosis and treatment can be formulated on the autoimmune basis.

Sodium Oxybate- Xyrem

Xyrem is the brand name for the drug sodium oxybate.  The chemical is gammahydroxybutyric acid or GHB.  GHB is the most effective treatment of cataplexy. It has the disorder covered on both ends of the spectrum.  GHB is paradoxical in its behavior in the body. It is both an extremely effective sedative and a potent stimulant. In high doses, it interacts with the GAGA system; it has a sedative effect and inhibits the release of dopamine in the brain.  At a lower dose, it works as a stimulant.  It stimulates the brain to produce dopamine and glutamate.

GHB has been successfully used to treat several disorders, such as depression and insomnia for years in other countries.  In the US, however, it is only approved by the FDA for the treatment of Cataplexy. It does not affect the deficiency of hypocretin, but the symptoms of cataplexy are greatly improved.

GHB is associated with tremendous amounts of negativity. In high doses, it is a highly effective sedative.  It has been called the “date rape drug” for its most infamous criminal use. It is sometimes abused as a street drug, as in moderate amounts, it causes euphoria.  On the street, it’s referred to by several names, including as “liquid ecstasy.”  It has been abused by body builders as well. In small amounts it stimulates the production of the human growth hormone.  It is addictive and abrupt cessation can cause terrible withdrawal symptoms.

Antidepressants for Cataplexy

Even though the FDA has not approved them for this use, several antidepressants are being used to manage the symptoms of cataplexy.  There needs to be a lot more research done into the effectiveness of antidepressants for cataplexy.

Tricyclic antidepressants have shown a lot of promise in the treatment of narcolepsy and its symptoms.  Unfortunately, there are a whole host of frightening side effects that are common to tricyclic antidepressants.  Although they were a popular treatment in the past, they are not used very often anymore.

Although less proven, the selective serotonin reuptake inhibitors, or SSRIs, like Prozac, Paxil and Zoloft are commonly used to treat these symptoms.  Their effectiveness is the subject for debate among doctors and scientists until proven one way or another.

CategoriesNarcolepsy

Narcolepsy Medications and Treatment Options

by Annie Barraza

Getting the right narcolepsy medication can be a complicated, trial and error type of ordeal for patients that suffer from the symptoms of narcolepsy. Some medications for narcolepsy are not suitable for everyone, and for this reason it sometimes takes years for some people to receive the correct combination of medical treatments and drugs.

Who Needs Medication for Narcolepsy?

People suffering with the symptoms of narcolepsy can sometimes get through every day by simply making lifestyle changes. These changes include better sleep schedules, routine naps at set times throughout the day and a well-balanced diet. These are the lucky few who do not need medication. Narcolepsy has some complications that are worse than a mere inconvenience. Those experiencing cataplexy are in real danger of becoming seriously injured at any time during the day. Patients with narcolepsy and cataplexy must have the medication of narcolepsy symptoms.

Narcolepsy is a disorder characterized by sudden, yet brief, periods when sleep is uncontrollable. When seeking medications narcolepsy patients should be prepared to give a complete history to their physician. Patients must report a detailed history of personal medical and health information and keep a journal of sleep disturbances, insomnia, hallucinations and sleep attacks for their doctor when seeking treatment and medications of narcolepsy symptoms.

Symptoms of Narcolepsy

Narcolepsy has a wide range of symptoms that can drastically impact the lives of the people suffering from them. Many of the symptoms are shared among several other sleep disorders such as insomnia and sleep apnea. This fact alone makes it very hard to diagnose the disease.

The following is a list of some of these symptoms.

  • E.D.S. or excessive daytime sleepiness is the most common of all narcolepsy symptoms, in fact, in many ways; E.D.S. is narcolepsy when you think about it.
  • Cataplexy is when a person suddenly loses his or her muscle control. This is sometimes mistaken for epilepsy due to the falls it commonly produces. A narcolepsy patient who suffers with cataplexy is at a higher risk for personal injury, than people who don’t.
  • Sleep paralysis is a frightening ordeal that is linked to narcolepsy. Sleep paralysis occurs when a person is falling asleep or just when they’re beginning to wake up. The brain disconnects from the body leaving the person aware, but unable to speak or move. However, it should be stated that many people who occasionally experience sleep paralysis are not always diagnosed with narcolepsy.
  • Hallucinations are when a person hears and/or sees things that are not really there. This is a very common factor found in patients who are suffering from sleep paralysis, as well as a symptom of sleep deprivation.
  • Insomnia is a symptom of narcolepsy.  People with narcolepsy do not actually sleep more hours per day than people without narcolepsy. Their night time sleep is usually interrupted and irregular, causing the strong need to sleep during the day.

Types of Medication and Narcolepsy Treatments

  • Stimulants

Most medications that are used for the treatment of narcolepsy but are not for E.D.S. are stimulants. Stimulants help the patients get through the day feeling energized and help regulate their sleep cycles.  Among these is a wide array of Amphetamines including:

  • Dextroamphetamine (Dexedrine)
  • Methamphetamine (Desoxin)
  • Amphetamine Salts (Adderall)
  • Methyphendiate (Ritalin)
  • Armodafinil (Nuvigil)
  • Modafinil (Provigil)

There have been many successes and a few failures over the years in the quest to find successful treatments of narcolepsy. One medication, Pemoline (Cylert) was removed from the market due to the risk of liver failure and even death. People taking the listed medications to treat narcolepsy may find some that work and others that don’t. Many neurological disorders share symptoms and treatments with narcolepsy and are often treated with the same drugs.  Like these, trial and error is the key to finding the correct combination of medication for each patient. Some of these medications take several weeks to become truly effective. Sometimes the secret is in a very tight combination. Care should be taken as stimulants should not be taken by people with a history of psychiatric issues or heart complications.

  • Antidepressants

Antidepressants help with mood, but they are also useful in the treatment of R.E.M. or rapid eye movement disruptions, hallucinations, and cataplexy.

Some of the more common antidepressant medications include:

  • Venlafaxine (Effexor SR)
  • Atomoxetine (Strattera)
  • Fluoxetine (Prozac)
  • Sertraline (Zoloft)
  • Protriptyline (Triptil and Vivactil)
  • Imipramine (Janamine and Trofanil)
  • Desipramine (Norpramine and Petrofran)
  • Clomipramine (Anafranil)

A newer drug that is used to treat these same narcoleptic symptoms is Sodium Oxybate (Xyrem). Sodium Oxybate is completely different than the other antidepressants listed, because it has to be taken in separated doses, it is a liquid and it promotes stages three and four of sleep. When taken as directed, Sodium Oxybate can actually eliminate the need for other antidepressants. There are several side effects associated with sodium oxybate.  These side effects include: headache, nausea, dizziness, vomiting, and urinary incontinence. A caution to consider are that it is sodium and therefore people with a history of heart disease should not take it.

Other Narcolepsy Treatments

As well as a large number of prescription medications, narcolepsy symptoms can also be treated with lifestyle changes. In most cases these lifestyle changes are an absolute necessity for the person to get the most out of the medication being taken. A “more bang for your buck” mentality should be used when using medications for the treatment of narcolepsy. The following is a list of the changes that people with narcolepsy should make to get the most from their treatment.

  • Proper diet
  • Avoid caffeine, alcohol, nicotine and over the counter cold medications
  • Schedule naps throughout the day, 10 to 15 minutes each, especially after meals
  • Improve night time sleeping habits, a regular hour for bedtime and arising helps
  • Avoid night time work
  • Keep a sleep journal handy at all times to record sleep disturbances and daytime sleep deep breathing exercises and stretching
  • Involve all people that you see on a daily basis

Contact your local clinic to request more information about these treatments as well as listing for support groups for narcolepsy and other hypersomnias.

CategoriesNarcolepsy

Narcolepsy Blood Test & Other Useful Facts

by Annie Barraza

What is Narcolepsy?

Narcolepsy is a health conditions wherein a person feels sleepy throughout the day. Sleep disorders can result from any of three basic reasons. These are:

  1. Insufficient or poor sleep: An ideal example of this is the people suffering from sleep apnea. This problem can be sorted out if the patient’s sleep-related breathing issues are taken care of.

  2. Weakened Brain System: This is also one of the reasons that can keep any person awake. A perfect example of this is Narcolepsy. In this situation, an individual feels very sleepy throughout the day even after having a good sleep at night.

  3. A mixed condition: The condition of Narcolepsy usually develops in a person in his or her earlier childhood or teen years and eventually, with growing age and weight, it takes the form of sleep apnea, adding to the existing problems of the condition.

It is important to note that if a person is suffering from both the critical conditions and the treatment is applied on only one such as sleep apnea and not on the other, it can lead to disastrous results.

Treating sleep apnea may improve the health conditions of the patient but cannot eradicate the problem from its root. Cardiac and stroke related dangers can be alleviated but the untreated narcolepsy will make them fall asleep anyway, paving way for other complications. There can be more than one reason and symptom to any kind of sleep disorder. Hence, it’s essential to offer proper and wholesome treatment to the patient.

As mentioned earlier, Narcolepsy causes brain-related sleepiness in a person. In addition, it is also associated with REM sleep disorders. REM or Rapid Eye Movement sleep disorder in a person occurs immediately after he or she falls asleep. This disorder can be caused by hypnopompic hallucinations and hypnagogic. The hypnopompic hallucinations and hypnagogic is the occurrence of the fragments of dreams before or after the sleep. Another cause of REM sleep can be sleep paralysis or a situation where a person finds himself or herself unable to call out or even move his or her body while sleeping or waking up. Cataplexy as well as dreaming during short sleep can also cause REM sleep disorders. Cataplexy is a medical condition under which the patient feels weakness in his muscles due to any kind of emotional impact, such as laughter. Patients suffering from cataplexy typically always also have Narcolepsy, but patients having Narcolepsy might not always experience cataplexy.

Who can suffer From Narcolepsy?

Both males and females can suffer from Narcolepsy. The main symptom of this disease is sleepiness, which usually takes place in latter part of the childhood, teen years or beginning of 20s. Narcolepsy can also develop in the individuals who are 30 years of age, but, this is very rare.

Symptoms of Narcolepsy

The symptoms of narcolepsy are falling asleep at a frequent rate, hyperactive behavioural pattern, and even other conditions such as Cataplexy.

Causes of Narcolepsy:

This disease is caused if the chemical “neurotransmitters” is found to be missing in the brain cells. Neurotransmitters controls and supervises the communication link between different brain cells and nerve.

Some members in a family can be genetically prone to developing Narcolepsy. However, this is not considered to be a purely genetic ailment in people. Narcolepsy may sometime result from excessive stress, but, as with the instances of genetic causes, this is not strictly a psychological disorder.

How to diagnose Narcolepsy

In order to diagnose Narcolepsy, some careful steps need to be taken. The patient’s history should be carefully observed. His or her sleeping habits should be closely monitored, and a multiple sleep latency test should be conducted. Other than this, the cataplexy disorder should also be taken into consideration.

Is a Narcolepsy blood test helpful?

Narcolepsy cannot be conclusively diagnosed by blood test. However, there are some medical practitioners that believe that blood test can help diagnose this medical condition in a patient. They think that individuals suffering from Narcolepsy have specific HLA types. HLA types are genetically ascertained signs on white blood cells that help in finding out tissue compatibility-for instance, to check an individual’s willingness to donate a kidney to the one whose system may not accept the kidney that has been transplanted. HLA types are determined by a blood test. However, these tests cannot be used for diagnosing narcolepsy because of two reasons: 1) the test will be in negative for the patients who are suffering from narcolepsy as well as cataplexy, and 2) about 25% of the people have same HLA types that are related to Narcolepsy.

How to cure Narcolepsy?

Narcolepsy can be treated if proper medication as well as a bit of common sense is applied. A Narcoleptic patient cannot be treated solely on the basis of medication. The treatment should be designed according to each individual case in concern. In this process, it is important to remove all the aggravating elements that can cause the symptoms to grow more serious, and cause the suggested medications to become less useful.

To elucidate it further, the practitioner cannot recommend a diabetic to do anything whatever he or she feels like because insulin shots are being given. Prescribing medication also means that the patient should be given a proper diet chart and counselled as and when required. This is applicable in case of all types of ailments including Narcolepsy.

Also, the medical practitioner who is treating the individual with Narcolepsy symptoms should possess experience and expertise in handling these types of cases. Physicians should inform the patient about the things or conditions that can pose further risks to his or her health. Not only this, it’s the duty of the practitioner to educate his patient about the ways to handle this disorder with a positive attitude.

Some of the medications that can be prescribed to a Narcoleptic patient are sodium oxybate (Xyrem) and antidepressants. Sodium oxybate (Xyrem) taken at night. All these are stimulating agents. Since these medications may contain some side-effects, physician should prescribe them with utmost care to any individual based on his or her medical records, symptoms, and more.

CategoriesADHD,  Narcolepsy

Narcolepsy Treatment and Drugs

by Annie Barraza

Narcolepsy is a sleep illness that affects the lives of over three million people in the world today. This illness knows no color or class. It is found in both the rich and the poor. Some of the aspects of narcolepsy can be dangerous to the patients suffering from it and the people around them. Treatment of narcolepsy is a must for anyone who is plagued by this illness.

Narcolepsy treatments come in many forms. Most people, who have narcolepsy sleep disorder, must undergo a comprehensive treatment plan in order to have a chance at a normal life. Ultimately, this means a very rigid schedule is necessary to keep sleep attacks at a minimum and medications are usually needed to control the symptoms of narcolepsy.

Symptoms of Narcolepsy

The symptoms of narcolepsy can range in severity and they can cause a person much stress on a day to day basis. These can be as simple as someone forgetting to take the shopping list to the store with them after they very carefully wrote it. This person may not be a forgetful person, but narcolepsy has a way of causing such small dramas. The following is a list of narcolepsy symptoms and what can stem from them:

  • Excessive Daytime Sleepiness (E.D.S.) – This is when a person has trouble staying awake during the times when they need to be awake. They may fall asleep during a meeting at work, or in worse cases, while driving a vehicle.
  • Cataplexy- This is when a person suddenly a without warning loses muscle control. This can result in falls, which can leave a person seriously injured.
  • Sleep paralysis- This is when a person is aware of their surroundings, but can’t move or speak. This usually happens right when the person is going to sleep, or just as they begin to wake up.
  • Hallucinations- This is when a person sees or hears things that are not there. This is very common in people suffering with sleep paralysis.

Dangerous Aspects of Narcolepsy

Without proper treatment narcolepsy can get out of control and become dangerous to the person suffering with it, as well as the people around them. This can make every day, normal activity a real hassle to those involved, especially if the person with narcolepsy does not involve the people he or she knows by telling them about this condition. A person suffering from narcolepsy may be considered rude or lazy by those not knowing the whole story. This in turn can lead to embarrassment. Here is a list of the life altering aspects associated with narcolepsy symptoms:

  • Cooking can be a real hazard if the person falls asleep even for just a few seconds. This danger includes the stove catching fire and sharp knives causing injury.
  • Driving vehicles and/or operating machinery are already an activity that requires extreme attention in order for it to be safe. Someone with narcolepsy poses an increased risk for fatal injuries, especially if untreated.
  • Schooling can be drastically affected if a person with narcolepsy falls asleep during a lecture. Important information can be lost in just a few seconds.
  • If a person falls asleep on the job, the most likely disciplinary action is termination. A person with narcolepsy risks this situation on a daily basis. If the condition is made known, the employer may be lenient when dealing with situations like this.

Non Medication Narcolepsy Treatments

Treatment for narcolepsy starts at home with the person making a conscious decision to change his or her lifestyle. These changes, in necessity, range from somewhat important to very necessary, depending on the severity of the illness in the person. These changes include, but are not limited to:

  • Better sleeping habits
  • Avoid night time work
  • Scheduled naps during the day time
  • Involve friends, family, and co-workers
  • Improved diet
  • Avoid drugs, alcohol, nicotine, and over the counter medications that promote drowsiness
  • Keep a sleep journal handy at all times
  • Wear a medical bracelet to alert others of the condition
  • Seek counseling

These lifestyle changes combined with narcolepsy treatment drugs can provide anyone suffering with narcolepsy with a more normal life. These changes all must start with the person saying “I can change for the betterment of my life”.

Medical Treatments for Narcolepsy

Most of the time, narcolepsy is misdiagnosed due to the lack of medical history in a person. This could result in the prescribed medications being the wrong ones. Trial and error is usually the only thing that can be done in the beginning of narcolepsy drug treatment. Here is a list of types of drugs commonly used in the treatments of narcolepsy.

  • Stimulants- These are very common types of drugs used to promote wakefulness. Stimulants should be taken carefully, due to the side effects. Patients suffering from any psychiatric ailments should avoid stimulants.
  • Antidepressants- These are used to treat cataplexy and hallucinations due to sleep paralysis.
  • Sodium Oxybate- This is used to promote very peaceful sleep. This type of drug has to be taken carefully in several doses for it to work properly. It reduces E.D.S. and works to prevent cataplexy attacks.

Usually patients with narcolepsy need more than one of these types of drugs for the effects to be successful in their treatment. Narcolepsy drugs, as with any drugs, need time to build themselves up in the person for the treatment to be of benefit to him or her.

Narcolepsy Drug Treatment-Specific Drugs

Some common stimulants used to stimulate the central nervous system are:

  • Provigil
  • Ritalin
  • Concerta

Some common antidepressants used to treat cataplexy and hallucinations are:

  • Prozac
  • Zoloft
  • Sarafem
  • Effexor

Some older tricyclic antidepressants include:

  • Vivactil
  • Tofranil

These two drugs aren’t as common due to the side effect they produce, although they are considered by doctors to be very effective in controlling cataplexy.

The most common version of sodium oxybate is:

  • Xyrem

Xyrem has to be taken with absolute, extreme care. This drug has been called the “date rape drug” due to the intense deep sleep it can induce. This drug is also not like the other narcolepsy drugs, because it is a liquid instead of a pill. The doses have to be taken in multiples over a period of hours for Xyrem to work properly. Too much at one time can cause coma or even death.

Check with your local clinic for more information on how to manage insomnia, sleep apnea, narcolepsy and other hypersomnias.  There may be a guide available with narcolepsy health information or a list of available treatments and drugs.

CategoriesADHD,  Narcolepsy

Challenges and Practices in Narcolepsy Diagnosis

by Annie Barraza

Even though disease, Narcolepsy can be identified positively through physical observation, physicians are still misdiagnosing patients. Misdiagnosis happens especially when dealing with those that have psychological problems.  Clinical evidence suggest that tests on a patient’s cerebrospinal fluids (CSF) can nearly confirm Narcolepsy, as 90% of Narcoleptics tested in studies have shown to have no hypocretin-1 in their CSF.

Often doctors will rely on symptom reporting by patients, questionnaires, testing sleep latencies in patients, and monitoring a patient as he/she sleeps and may not test the patient’s CSF before starting therapy.  Doctors can however be firm in their diagnosis by observing the presence of nearly all Narcolepsy symptoms together in a patient.  The confirmation of cataplexy, for example confirms a patient has Narcolepsy, as it is unique to Narcolepsy.

Diagnosis and treatment of Narcolepsy is somewhat standardized but methods and drugs vary from patient to patient most of the time.  Upon diagnosis doctors usually choose to prescribe two frontline medications (modafinil, sodium oxybate).  Both of these drugs are habit forming and sodium oxybate can be very dangerous.  For this reason the process of diagnosis may take some time because the doctor wants to be sure of his diagnosis before prescribing it.

Most patients do not receive their Narcolepsy diagnosis until ten to fifteen years after the first symptoms start appearing. For a doctor to make a correct narcolepsy diagnosis they must take into consideration the patient’s family and medical history. This includes the medications the patient is taking and any even what the person eats regularly. Diagnosing narcolepsy becomes easy when the patient exhibits all major narcolepsy symptoms listed below:

  1. Excessive daytime sleepiness (EDS) and an urge to take frequent naps during the day. These daytime naps must happen every day for six months at least in order for it to be considered as solid basis for narcolepsy diagnosis. Diagnosing narcolepsy is common in young adults and adolescents; bringing the problem to their attention when they suddenly fall asleep at school or at work. Sometimes, patients also experience insomnia but the majority of time a narcoleptic will have no issue falling asleep and entering almost directly into REM sleep.

  2. Cataplexy or sudden muscle weakness and loss of muscle control and tone, causing the patient to stop motor activity.

  3. Visual or auditory hypnagogic hallucinations that occur right before falling asleep.

  4. The inability to move upon awakening, or sleep paralysis.

However, narcolepsy diagnosis that’s based solely on symptoms can be problematic for several reasons. One reason is that some patients that receive a Narcolepsy diagnosis often seek medical advice for just one symptom (frequently hypnagogic hallucinations or sleep paralysis) which could be caused by other similar disorders; epilepsy in particular. Another reason for the difficulty in the diagnosis of narcolepsy is that the symptoms do not always become apparent to anyone for several years. This is true for the patient himself and even to a skilled observer. In certain cases, a patient is required to consult specialists in the field, or get treated and monitored at a sleep disorder clinic for a more effective treatment for Narcolepsy and to confirm that a patient does indeed have Narcolepsy.

Questionnaires for Diagnosing Narcolepsy

The Epworth Sleepiness Scale is one of the questionnaires for sleeping habits that a doctor can administer to get a more reliable narcolepsy diagnosis. The ESS makes use of simple questions in measuring excessive sleepiness; differentiating it from the normal sleepiness we usually feel in the daytime. See figure 02-01a for the test.

Figure 02-01a: The Epworth Sleepiness Scale

*Note this test varies slightly with different results analysis.

  

Situations

 Chance of Dozing0-none1-slight chance2-moderate chance3-high chance
Sitting and reading Indicate score (0-3)
Sitting inactively in public places Indicate score (0-3)
As a car passenger for one whole hour without any breaks Indicate score (0-3)
Watching television Indicate score (0-3)
Sitting and talking to someone Indicate score (0-3)
Sitting quietly after lunch (without alcohol) Indicate score (0-3)
In a car stuck for a few minutes in traffic Indicate score (0-3)
Lying down for an afternoon rest when circumstances allow Indicate score (0-3)
Show Results 1 – 6: Getting enough sleep7 – 8: Tends to be sleepy but is average9 – 15: Very sleepy and must seek medical advice. Over 16: Dangerously sleepy

Multiple Sleep Latency Tests

MSLT or multiple sleep latency tests can also help in making an accurate Narcolepsy diagnosis. The MSLT makes use of a device that can measure the time a patient takes to fall completely asleep during the day while lying inside a quiet room. Patients are asked to take 4-5 scheduled naps that are 2 hours apart. People with healthy sleeping habits usually fall asleep in 10-20 minutes. However, patients with a diagnosis of Narcolepsy show a significantly shorter time duration; approximately less than eight minutes, when moving from wakefulness to sleep. At least two of these naps are REM sleeps; the sleep state associated with dreaming. Still, the test has its limitations. There is no clear definition which abnormal results are proven to be basis for diagnosing narcolepsy. The Epworth Sleepiness Scale might be more precise in identifying narcolepsy from regular daytime sleepiness.

Polysomnography

Polysomnography is a study of an overnight sleep that can prove valuable in determining the major cause of sleepiness. A patient, without changing any of his daily habits, goes to the sleep centre two hours before bedtime. Various devices are used to monitor the patient while he sleeps:

  1. The ECG or electrocardiogram monitors the patient’s heart
  2. The EEG or electroencephalogram monitors the brain’s electrical activity
  3. The Electrooculogram monitors the eye movements
  4. The Electromyogram monitors muscle movements

With these instruments, doctors can record a patient’s condition, and monitor activity as their patients pass, or fail passing, through the stages of sleep. Neuroimaging methods can also be used in studying or confirming physiological sleep theories and discovering new relevant information about neurobiological aspects of the human sleep, memory and dreams. A few studies in neuroimaging focus on subjects suffering from narcolepsy and other sleep disorders.

Narcolepsy Diagnosis and Narcolepsy Treatments are carefully adapting with new findings.  Newer drugs are replacing older ones and doctors are diagnosing patients with better confidence. With proper diagnosis Narcolepsy symptoms can be treated quickly and nearly all signs and symptoms of the neurological disorder can be substantially reduced.

CategoriesADHD,  Narcolepsy

Narcolepsy Diet and Food Habits Effect on Narcolepsy

by Annie Barraza

What is Narcolepsy?

Narcolepsy is a disease that causes serious sleeping disorders to rise to the surface. At any time (especially during the day) narcolepsy victims experience sleep attack. Irrespective of time and place the sleep attack creates an embarrassing situation. Most Narcolepsy patients are depressed and hesitate to join in at any social or family events. This sleeping disorder can be threat for their professional life too. However, with more improved medical treatments and other therapies it is quite easy to heal diseases like cancer and others. Just a few changes in lifestyle and other practices can dramatically help to restore normalcy in a patient’s life.

Find out if you really suffer from Narcolepsy

A Narcoleptic patient has to go through two different levels of testing. This is the basic diagnosis of Narcolepsis. At the first level you go through a kind of Sonography. Polysogram is the first level. During this test more than two dozen electrodes are attached to different part of the body like nose, hand, abdomen and others. They transfer data to polysonogrph that records all the information. This helps the experienced professionals to diagnose the disease properly.

In the second level, the test will be on MLST or multiple sleep latency. This particular tool is used to record the time gap of daytime naps.

If you experience the effects of a sleeping disorder frequently, don’t ignore those symptoms. Often people consider them as general symptoms and later face severe difficulties in personal and professional life. When you have the option to prevent it, then why not start as soon as possible.

Take care of your food habits

For Narcoleptics, it is not good to drink alcohol. It is kind of depressant that weakens the nervous system and creates feelings of drowsiness. Therefore, for better sleep when it is an appropriate time to do so, it is best to avoid alcohol or any nicotine.

There are several side effects of sleepless nights. If you are not able to sleep properly at night, you won’t be able to work properly or concentrate on anything; this can result in other serious symptoms. Good sleep can enhance the working capacity of your brain. Thus don’t suppress it with alcohol or other intoxicants and try to sleep peacefully at night.

Not only does alcohol or caffeine affect sleep, but there are also specific dietary habits that can have a long-term effect on your sleep. Your food habits require changes if you experience sleeping disorder symptoms on a frequent basis. High protein or high-energy foods are good for those who suffer from the condition. It is also best to avoid junks or spicy food. This type of food affects the metabolism and the digestive system of your body and can result in Narcolepsy attacks. Try to eat a heavy meal at least five hours before you go to sleep. Don’t exercise after a heavy meal. If you can walk for fifteen or twenty minutes after your meals, it would definitely help you to sleep well at night. Drink water after an hour or two of eating food. You can also consult a nutritionist to get suggestions on a better, more helpful diet.

Many Narcoleptic people wake up at night to have something and they can’t sleep again until they eat. This is why majority of Narcoleptics end up gaining weight. When they wake up between sleep cycles, they are totally oblivious what had happened before. Still, a clue from the kitchen can help them to remember the whole scenario. It is not that they are hungry or they have the appetite to eat something. People facing this issue should try to stay away from food when they don’t need it. It won’t be very easy to avoid it at an advanced stage. Often you will fail to control the situation. Still if you try it now, you are bound to succeed once a positive habit has been formed.

Change your sleeping habit

As it is has been said earlier, sleeping disorders are the primary symptom of Narcolepsy. To prevent sleep attacks, a good, deep sleep at night is very important. After a certain time at night, forget all your office works or any other issues, no matter how important they are. If you want a productive morning, utilize the night. Try to sleep and awake at the same time every day. Sleep in dark and quiet room. For better sleep, try something that relaxes you. Drinking lukewarm milk or bathing in a warn tub before going to bed are some things worth mentioning. Narcolepsy patients can’t sleep for a long time at a stretch. In order to sleep properly, take a break of twenty minute. If it still doesn’t work, then read some books or magazines until you feel sleepy.

A daytime nap is good relief for Narcoleptics. Plan your daytime schedule so that you can get at least 15 to 20 minutes to take a nap. To avoid sleeping frequently during office hours, daytime napping is the best alternative, and some work environments may even have areas that would be convenient and discreet for taking a quick catnap while on break.

Regular exercise is good for Narcoleptics

Don’t forget to exercise regularly. It is well known that many Narcoleptics have been helped by yoga and other exercise forms. If you find it difficult to exercise, a brisk walk in the morning can be of great help. Exercise or walking increases the body strength and improves the metabolism of your body. Thus you can remain active during the day and enjoy a sound sleep at night.

Narcolepsy is not an incurable disease. If you can change your lifestyle, you can soon come out of it and you can also go for medication and natural therapies to get added relief. There are several holistic practices available that can help too. No matter what method you follow, practice it properly. Listen to what your doctor or mentor or nutritionist advises you, and don’t try to do it all on your own.

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