Sleep & Emotional Health

Structuring Emotion

We all intuitively associate poor sleep with irritability, but we don't normally associate sleep with our basic emotional wellbeing and stability. Apart from its ability to alter our mood, we don't consider our emotional life to be actually constituted, in part, by sleep quality. Our daytime experiences impart the principle material for that constitution. For us, everything meaningful is embedded within an emotional or feeling-based core. One of the basic functions of sleep is to prune the massive clutter of information entering our brain on any given day, and to firm up the far reaching associations that are important for intelligence, dexterity, creativity, and memory. That very same process is at play addressing our emotional life. 
We tend to forget that a great deal of emotional processing has to occur in order for our brain to establish the important facts to remember and incorporate into our mind daily. During sleep, the brain needs to prune out not only irrelevant connections, but a massive amount of competing relevant ones. How does it do it? To some degree, by the emotional relevance of the experience. But that means that the brain must re-create the ability to absorb new emotional information the next day. If it does not, it gets bogged down by previous emotions. They begin to take on a life larger, and usually more negative in tone if they are not adequately processed during sleep. They become highly volatile and off-balance. Thus we become volatile and off-balance.

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Sleep & Mental Health

One of the functions of REM sleep and associated with dream mentation is the process of stripping-out the highly charged emotional aspects of experiences bound for learned-associations and memory, so that we do not constantly relive the strong emotions. The goal is to remember the important connections to the emotional association, not to constantly relive the turmoil. The emerging details of this fundamental role of emotional processing during sleep have profound implications for the very robust association between sleep and depression, mood-disorders, and anxiety disorders. Like many issues related to the clinical evaluation of sleep, current evidence is turning over long held notions that traditionally considered most sleep disorders to be purely secondary to other medical and psychiatric conditions.
Increasingly, a revolution in practice is underway whereby sleep processes are understood to be at the center of many mechanisms. Nowhere is this bi-directional relationship more apparent than in the realm of mental health. It is absolutely crucial to address basic cognitive and emotional wellbeing with a clearly defined and systematic sleep evaluation. Sleep disorders, including clinical insomnia, are highly correlated with a whole range of mental disorders. It is not the purview of the sleep specialist, and certainly not a sleep diagnostic provider to suggest expertise in the clinical practice of mental health, but it is increasingly recommended throughout the field of sleep medicine, that health professionals treat sleep disorders in tandem with mental disorders. Both aspects are now considered "primary" clinical disorders.

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