Upload
lenhan
View
218
Download
1
Embed Size (px)
Citation preview
7/18/15
1
“How Sleep Impacts PTSD”
Presented by Karen Lansing, MFT, BCETS Cop Whisperer® Enterprise © 2015
Permission to reproduce given to the
EMDR CONFERENCE 2015
A Few Worrisome Facts...
Loosing only 3 hours of sleep is able to impair driving ability to maintain speed and road position at an = level of the .05 BAL.
20 hours of wakefulness will cause impairment = BAL of .10 (2 x’s the presumptive level of intoxication in most US States).
With Consistently Good Sleep ... The Brain Looks Like This
With a Chronic Sleep Deficit the Brain will Look Kinda Like This...
7/18/15
2
• 1.9 x’s more likely than well rested responders to be injured on the job.”
• 2.2 x’s more likely to commit a medical error...
• They’re 3.6 x’s more likely to be involved in a safety-compromising behavior:
Contributors included protocol deviation / dropping patients / medication errors
2012 study out of Univ of Pittsburg links sleep deprivation of EMS
Responders to increased rates of Injuries and medical errors.
Patterson, Weaver et al, Association between poor sleep, fatigue and safety outcomes in EMS Providers, Prehosp Emerg Care; 2012; 16(1)86–97.
Study Examines Effects of Sleep Deprivation on Shift Work: Medical professionals are beginning to call fatigue the #1 problem in our field
By Jane Jerrard
Saturday, March 1, 2008 Issue of FireRescue
“When we are over-tired, our compassion and empathy are often the 1st to go.”
T. McCallion: Study examines Effects of Sleep Deprivation on Shift Work (http://www.jems.com/article/news/study-measures-effect-sleep-deprivation
BUT WAIT...THERE’S MORE!!!
Research has shown that while sleep loss has negative effects on three basic areas—motor performance, cognitive function, and mood—it has the strongest effect on mood and weakest on motor functions.
Graveyard Shift (2300-8:00) officers: 8%
Day (7-1700) & Swing Shift (1600-0200) officers reported a drop in their ability to easily handle minor irritation: 1%
(J.J. Pilcher, and A. Huffcutt, “Effects of Sleep Deprivation on Performance: A Meta-analysis,” Sleep, no. 19 (4): 318-326.)
Once the body is fatigued... loss of coordination, accuracy, response time, gauge of distance. If sleep doesn’t come then in an effort to gain rest the body will go into “micro-sleep mode”...
Welcome to the greatest Killer of Cops...
There’s no way to predict when a person will fall into this state.
So Far in July 2015: Vehicle related: 29 Weapon related: 18
7/18/15
3
“Fatigue is 4 times more likely to cause workplace impairment than alcohol and other drugs.”
Ironically, chemical abuse normally is addressed immediately by management. However, the lack of sleep, probably the most common condition adversely affecting personnel performance, often is ignored.”
Spcl Agent Dennis Lindsey
Sr. Instructor, DEA Academy
And that can cause errors / failed rescue attempts that can then cause traumatic events to occur ...
“There is a strong sugges.on that CHRONIC sleep disturbance BEFORE a trauma.c event can increase someone’s risk of geAng PTSD.” Germain, et al; ”Clinical correlates of poor sleep quality in PTSD,” Jrnl of Traumatic Stress Vol 17, 2004
= =
So...
7/18/15
4
“Sleep of PTSD suffers is known to be more fragmented than normal and they appear to retain an inappropriate level of Vigilance.”
Mellman, Kumara,Kulick-Bell & Nolan, 1995 Melman, 1997
What May Cause the Disription to Sleep?
A New Description of PTSD...?
Dr. Robert Stickgold Dept. of Psychiatry, Harvard Medical School EMDR: a Putative Neurobiological Mechanism of Action Journal of Clinical Psychology, Vol. 58 (1), 61 - 75 (2002)
It’s not a memory dysfunction...It’s a break down in sleep dependent memory reprocessing
that’s normally brought on with REM sleep.
And What Happens in REM SLEEP?
7/18/15
5
Here’s a Brilliant Guy who can help explain a few things....
He was the 1st since Freud to ask... Why do we
Then REM Sleep Induced Reprocessing Kicks in...
REM
Trauma Based Memory
Fragmented
Fragmented Sleep Occurs
Adaptive Learning i.e. newTactics
for the future
Bringing about adaptive behaviours and change for the future. Connects up and Integrates Memories to Make Sense
Integration
(connecting dots & gaining context)
Dr. Robert Stickgold Dept. of Psychiatry, Harvard Medical School
EMDR: a Putative Neurobiological Mechanism of Action Journal of Clinical Psychology, Vol. 58 (1), 61 - 75 (2002)
Sound Familiar?
7/18/15
6
IN CLOSING...
I’m now lobbying to rebrand PTSD As
“Post Trauamtic Sleep Disorder”