By David Rossiaky, August 11, 2022

Dr. Alex Dimitriu, an expert in psychiatry and the founder of Menlo Park Psychiatry & Sleep Medicine in California and BrainfoodMD, told Healthline that first you need to take stock of what it is you’re actually feeling. “See how you’re feeling on the weekend if you’re not working. It’s important to understand if the fatigue is due to your sleep, or your anxiety, or your actual level of busyness during the day,” he said. While it wasn’t the study’s main focus, it does mention that glutamate concentrations decrease during sleep. “I think it starts with sleep the night before and sleep in general. Sleep is fundamental and I think getting enough of it regularly is probably the best way to fight cognitive fatigue,” said Dimitriu.

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By Batya Swift Yasgur, MA, Aug 8, 2022

“Pain can certainly worsen insomnia and disrupt sleep; but lack of sleep, in turn, can increase how much pain people experience,” says Alex Dimitriu, MD, founder of Menlo Park Psychiatry and Sleep Medicine and a member of SleepFoundation.org’s medical review board.

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By George Citroner, Aug 4, 2022

Dr. Alex Dimitriu, double board-certified in Psychiatry and Sleep Medicine and founder of Menlo Park (California) Psychiatry & Sleep Medicine and BrainfoodMD, also finds women’s rate of depression often exceeds that of men. According to Dimitriu, the reasons for this difference between men and women may be attributed to biological factors that include hormone changes after puberty and post-partum depression. “All possibly pointing to a hormone-mediated increase in sensitivity to stress, with a possible variation in serotonin sensitivity,” he said. “Psychologically, women have also been found to be more likely to internalize feelings, and have greater sensitivity to interpersonal relationships.”

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By David Rossiaky, Aug 4, 2022

Experts believe that practicing mindfulness is one way to avoid getting caught up in achievement and overconsumption. There comes a point when “it’s time to change your aspirations and switch from wanting to enjoying,” said Dimitriu. “I think it is essential to have as much practice using the brake as using the gas pedal,” he added.

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By Mili Godio, Aug 2, 2022

“Not everyone is an equally deep sleeper, and people with any sleep issues at baseline will often have a harder time sleeping in a louder and less comfortable environment — such as an airplane,” added board-certified psychiatrist Dr. Alex Dimitriu, a sleep medicine specialist. He noted that posture plays a big role in the discomfort we feel — and as anyone who has slept on a plane knows, “the head tends to fall off to the side or forward, which is both uncomfortable and can cause neck pain, and [can] even make breathing less efficient.”

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By George Citroner, July 25, 2022

Individuals experiencing moderate and severe anxiety disorders may want to use WATs with caution, said Jeff Leininger, NP, a psychiatric nurse practitioner with Menlo Park Psychiatry & Sleep Medicine in California. He said that neuroscience points to a “dysregulated serotonin system” for people with active eating disorders like anorexia, bulimia, and obsessive-compulsive disorder (OCD). “This dysregulation combined with increased psychosocial stressors cause individuals to fixate on thoughts and behaviors,” he added.

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By Susan Fishman, July 22, 2022

According to Emily Heard, MFT, a marriage and family therapist in Menlo Park, California, power imbalances in relationships often arise around specific themes, including: 

• finances
• sexual intimacy
• decision making
• duties and responsibility

When trying to handle these or other power imbalances, Heard explains three common dynamics can play out:

• demand/withdrawal
• distancer/pursuer
• fear/shame

“By acknowledging the relationship power dynamic,” Heard says, “any of the themes can be addressed, whether it’s a major life decision or a simple disagreement.”

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