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Delayed Sleep Phase

Delayed Sleep Phase Syndrome (DSPS) is a very common condition that affects sleep timing. People with this condition often can't fall asleep until very, very late and have trouble waking up in time for school, work, or other commitments.

Individuals with DSPS cannot sleep until early morning (usually past 3 a.m.) Unlike insomniacs, they fall asleep at the same time every night, even if it is very late. If DSPS is the only condition they are suffering from, they are able to sleep well and still need the normal amount of sleep.

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They will find it difficult to wake in the morning if they have not slept for long enough. However, if they are able to sleep for as long as they need (until noon usually) they will wake up feeling refreshed and they will not be tired again until the same time the next night. An individual is most likely suffering from DSPS if these symptoms continue for a month or longer.

Delayed Sleep Phase is caused by the body's internal clock. The body's inability to fall asleep earlier stems from the internal clock being out of sync with the sleeping and waking times they are trying to carry out. DSPS can develop gradually or can come on suddenly.

Delayed Sleep Phase is only considered a disorder when it interferes with the person's daily life. Many people can live quite happily with DSPS. They find ways to carry on their normal schedule while living with it. If a person does consider it to be a problem, they should keep a sleep log every day.

This takes a few minutes and the items entered into the log should include:

  • Time they tried to fall asleep
  • Time they think they fell asleep
  • Any night time awakenings
  • Time they woke up
  • Time they got out of bed
  • Time they had to get up
  • Whether they woke by themselves, used an alarm clock, or woke because they were disturbed
  • How they felt during the day
  • Any daytime naps including when and for how long
  • What medications are being used

Finding a sleep specialist can also help in dealing with DSPS. This can include a physician who can recognize and treat Delayed Sleep Phase, sleep disorder clinics, or the departments of psychiatry, neurology, and internal medicine at a local hospital.

There is no known cure for DSPS, however individuals may be treated if they are properly diagnosed. Light therapy is one known treatment. This consists of treating the patient to very bright light in the morning and very dim light in the evening. This has proved useful in treating DSPS. Chronotherapy can also be used.

This involves the patient trying to go to sleep earlier and earlier every night until the desired sleep time is achieved. Melatonin is also a new treatment that can be used. This hormone can be taken orally at night and it induces sleepiness and a more natural sleep. A lifestyle adjustment may also be needed. This includes avoiding working late, and to stop taking any naps during the day.

 

 

 

 

 

 

 


 

 


 

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