Sleep Problems in Your 30s and 40s Could Be a Major Predictor for Cognitive Decline

By Alexandra Frost, Jan 12, 2024

Experts say adults over 18 should sleep anywhere from seven to nine hours a night‌. While you sleep, your body is fixing you up for the next day. “Sleep helps mood, anxiety, cognition, and a myriad of other health issues,” says Dr. Alex Dimitriu, MD, psychiatrist, sleep medicine physician, and founder of Menlo Park Psychiatry & Sleep Medicine. “Most fundamentally, the brain recharges when we sleep, and does a lot of cleanup and organization, so it is no surprise that poor sleep has a negative impact on cognition. The good news, at least in my practice, is that improving sleep can also improve many of the above stated issues.”

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Exercise combined with mindfulness best for mental health, researchers say

By Jessica Freeborn, Jan 9, 2024

Non-study author Dr. Alex Dimitriu, double board certified in Psychiatry and Sleep Medicine and founder of Menlo Park Psychiatry & Sleep Medicine, noted to MNT: “Both exercise and mindfulness separately have been shown to improve mental well-being, so it is no surprise that the combination of the two is effective. I often tell my patients, especially those with depression, to remember and care for their basic ‘animal needs,’ among these are always sleep, diet, exercise, meditation/mindfulness, time in nature, and time with friends and family.” Dr. Dimitriu said that combining any of the aforementioned positive behaviors could improve mental health outcomes even more.

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New Year can bring better sleep at night if you follow these 9 smart steps

By Melissa Rudy, Jan 1, 2024

A method used by the U.S. military in World War II could help people fall asleep in less than five minutes, some claim. The “military sleep technique” involves relaxing every muscle in the body, starting with the face and working your way down, while taking slow, deep breaths. “Muscle relaxation going down the body, along with a focus on deep breathing, can be an effective way to both increase relaxation and reduce thinking,” Dr. Alex Dimitriu, founder of Menlo Park Psychiatry & Sleep Medicine in California, told Fox News Digital.

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The Young are Not So Restless When It Comes to Sleep

Fast forward ten years, and California psychiatrist and sleep medicine expert Alex Dimitriu tells Healthline.com that the stress of career concerns may keep you awake. His prescription? Forget counting sheep and zero in on “exercise, meditation, regular bed and wake times” plus “connecting with friends and family outside of your immediate household.”  Dr. Dimitriu’s work-arounds include exercise during the day and a regular bedtime and waketime schedule so your body knows where it’s supposed to be when the lights go out at night and dawn breaks the next morning.
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How to manage the side effects of Zoloft in women

By Racheal Ede,

“There are some studies that show antidepressants like sertraline can result in increased bone loss in older women,” says Alex Dimitriu, MD, founder of Menlo Park Psychiatry & Sleep Medicine in Menlo Park, California. “The benefits [of taking Zoloft] should be closely weighed against the risks and discussed with your physician,” Dr. Dimitriu says. “In my practice, the benefits have often outweighed the risks.”

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Is the key to weight loss a great mindfulness routine? Here’s what doctors and therapists say

By BethAnn Mayer Dec 21, 2023

“Stress can negatively impact sleep, and lack of sufficient sleep, in turn, can result in increased eating, especially of carb-rich foods, as the body looks for quick sources of energy,” said  Dr. Alex Dimitriu, MD, who is double board-certified in psychiatry and sleep medicine and the founder of Menlo Park Psychiatry & Sleep Medicine. 

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How Multiple Sclerosis Affects Your Sleep

By Elizabeth Millard, Dec 20, 2023

Characterized by difficulty falling asleep or waking up and struggling to get back to sleep, insomnia can, in addition to wrecking the next day, exacerbate some MS symptoms, the National Multiple Sclerosis society reports. What’s the connection between MS and staring at the ceiling at 3:30am? A couple factors, according to Alex Dimitriu, M.D., psychiatrist and founder of Menlo Park Psychiatry and Sleep Medicine in California. For one, medications commonly used for MS, such as steroids, can make it difficult to wind down in the evening, and that can be exacerbated by anxiety over being unable to fall asleep.

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Are Your Bipolar I Disorder Meds No Longer Working?

By Elizabeth Millard, Dec 5, 2023

Your Stress Levels Are Soaring. Another possibility for reduced medication effectiveness is that your meds are actually working, but they simply can’t counteract chronic stress, says Alex Dimitriu, M.D., a psychiatrist and founder of Menlo Park Psychiatry and Sleep Medicine in the Bay Area of California. According to research in Current Topics in Behavioral Neurosciences, it’s unclear why stress is so damaging for those with bipolar disorder, but it does seem to increase the onset of episodes and can make them more intense. “For those with bipolar I, this might start as feeling more irritable, having a low mood, experiencing trouble staying on task, or having low motivation,” Dr. Dimitriu says. “As stress builds, meds may not work as well.”

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9 Questions to Ask Your Doctor About Bipolar I Disorder

By Elizabeth Millard,  Dec 3, 2023

A major aspect of managing bipolar I disorder is having conversations with your health provider about next steps, says Alex Dimitriu, M.D., a psychiatrist and founder of Menlo Park Psychiatry and Sleep Medicine in the Bay Area of California. “The intensity of bipolar can be profound and result in tremendous personal and professional damage,” he says. “Fortunately, treatment can make a significant difference in mitigating the effects, and that requires careful monitoring of how the condition is affecting you.” With that in mind, here are some more questions to ask your doctor, so you can take charge of your BD-I treatment.

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Not Getting Enough Sleep? This Wellness Hack Could Make Up for It

By Danielle Sinay, Nov 14, 2023

“Sleep loves rhythm and regularity, and part of that regularity is having a predictable sequence of events that starts telling the brain to slow down and get ready for bed,” says Alex Dimitriu, MD, a double-board-certified psychiatrist and sleep medicine specialist and founder of Menlo Park Psychiatry & Sleep Medicine in California. “A regular sleep-and-wake schedule, as well as a daily schedule for slowing down past a certain hour, is very helpful for sleep. Try not to sleep in too long on the weekends, ideally not more than an hour later than usual.”

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Taking the plunge: Immersing in cold water can help your mental state

By Claire Wolters, Nov 10, 2023

Alex Dimitriu, MD, dual board-certified in psychiatry and sleep medicine and Founder of Menlo Park Psychiatry & Sleep Medicine, says that some of the benefits of cold plunges could be the body’s demonstration of resilience or grit. “Being able to push through the ‘mental barrier’ and aversion associated with entering a cold bath or shower may have a positive benefit on our ability to overcome challenges and initiate action despite our internal resistance,” Dr. Dimitriu says. “This type of discipline may be beneficial psychologically and may also toughen our psyche by increasing tolerance for pain and our ability to overcome our own resistance and aversion to challenges.”

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Do you really need to use a top sheet? Experts explain.

By Zoe Malin, Oct. 31, 2023

Top sheets are also sometimes preferred by hot sleepers. Duvets, comforters and quilts are thicker and heavier than top sheets, and can trap heat more easily, says Dr. Alex Dimitriu, a double board-certified doctor in psychiatry and sleep medicine, and the founder of Menlo Park Psychiatry & Sleep Medicine. People tend to sleep better when their body temperature can decrease at night, he explained, so some fold down their outermost layer of bedding and just use a thin top sheet. It gives them something to cover their body with, but it’s lightweight and breathable, so it traps less heat.

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Experts express concern over mental health advice posted on social media platforms

By David Rossiaky, Oct 23, 2023

Dr. Alex Dimitriu, a specialist in psychiatry and sleep medicine as well as the founder of Menlo Park Psychiatry & Sleep Medicine, agreed. “If it sounds too good to be true, it probably is,” Dimitriu, who also was not involved in the book, told Medical News Today. What are the harms of online mental health advice? “Anyone looking for hope is prone to misinformation and this is especially true with mental health,” said Dimitriu.

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Melatonin by Form: Pros and Cons of Pills, Gummies, and Liquids

By Jessica Migala, Oct 11, 2023

Most melatonin pills contain 1 to 10 mg of melatonin. One of the main pros of taking a capsule or tablet is that you can break them up in order to take smaller doses than one tablet would otherwise contain. Though you should always let your doctor guide you about dosage, “in numerous clinical trials and in my practice, less is more — 300 micrograms (0.3 mg) — is effective for many people as long as they also follow good sleep hygiene practices,” says Alex Dimitriu, MD, who is double board-certified in psychiatry and sleep medicine and the founder of Menlo Park Psychiatry & Sleep Medicine in California.

If you are taking a smaller dose, make sure you purchase 1 mg dose pills, otherwise, dividing one pill up into the size needed would be extremely challenging.

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How — and Why — Our Dreams Change As We Age

By Alexandra Frost, Oct 11, 2023

“Dreams can sometimes change over time, but they can also be quite seemingly random at times. People may have periods of dreaming more or less, or about specific themes, but this can be related to travel, diet, daylight savings time changes, and daily stressors or life events,” says Alex Dimitriu, MD, Founder of SiliconPsych.com, board-certified in psychiatry and sleep medicine. 

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