The Best Non-Wearable Sleep Trackers To Gain Insight Into Your Nights

By Kelly O’Sullivan, July 18, 2024

Dr. Dimitriu was consulted for this article. “We spend about a third of our lives sleeping, yet it seems like many of us still aren’t sure if we’re getting the rest we need. If you want to learn more about your sleep health but don’t want to wear a gadget on your wrist or finger, the best non-wearable sleep trackers might be worth trying. These devices use advanced technology to gather data about your sleep patterns and—unlike smart watches or fitness trackers—are usually placed under your mattress or on your nightstand.”

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Best cooling comforters of 2024: How to stay cozy without overheating

By Suzy Hernandez, July 11, 2024

The top cooling comforters incorporate advanced cooling technologies, along with materials like cotton, eucalyptus, and bamboo, which Dr. Dimitriu identifies as the coolest and most effective for dispersing heat and enhancing ventilation. 

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Vraylar and pregnancy: Important safety considerations

By Sarah Bradley, July 8, 2024

Alex Dimitriu, MD, psychiatrist, sleep medicine specialist, and founder of Menlo Park Psychiatry & Sleep Medicine in California, says many experts compare the use of Vraylar during pregnancy to that of Abilify (aripiprazole). The two drugs are closely related, he adds, but Abilify has been around longer and studied far more than Vraylar. “In the medical literature, aripiprazole is pregnancy category C, meaning it has been shown to have adverse effects in animals and uncertain effects in humans,” Dr. Dimitriu says.

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Dealing With ‘Brain Zaps’? Here’s Why They Might Be Happening—and What to Do

By Beth Ann Mayer, July 6, 2024

We’ll get more into brain zap causes in a bit, but research and experts point to abruptly stopping antidepressant medications as the No. 1 trigger. “Venlafaxine, in particular, has been associated with these symptoms, but other serotonergic antidepressants, especially with short half-lives, can cause them as well,” says Dr. Alex Dimitriu, MD, the founder of Menlo Park Psychiatry & Sleep Medicine, who is double board-certified in psychiatry and sleep medicine.  A 2020 review of previous studies involving more than 2,300 people who had taken antidepressants found that 42.5% of them said they felt brain zaps.

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Study pinpoints 3 common antidepressants tied to the most weight gain

By Jessica Freeborn, July 5, 2024

Alex Dimitriu, MD, double board-certified in psychiatry and sleep medicine, and founder of Menlo Park Psychiatry & Sleep Medicine, who was not involved in the current study, offered further insight into antidepressants to MNT: “The most common uses of antidepressants are for depression and anxiety, where they can significantly boost mood, energy while reducing negative thoughts, obsessive thoughts, and rumination. It is believed that antidepressants may also work by increasing levels of BDNF — brain-derived neurotrophic factor. BDNF is like miracle grow for neurons, which often means it can help people change old patterns of thinking, and be more open to new ideas, perspectives, which can be helpful.”

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The Best Rest

By Dr. Alex Dimitriu, July 2, 2024

In psychiatry and medicine in general, sleep should be considered a vital sign. Almost every psychiatric condition, whether anxiety or bipolar disorder, ADHD or dementia, is substantially affected by lack of quality sleep. Poor sleep undermines impulse control, making us “bingey,” settling for quick fixes over more meaningful goals; harder stuff takes perseverance and discipline—that is, impulse control. More than a decade of work as a psychiatrist and sleep medicine specialist has taught me that helping people sleep better is most of the cure.

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Can you drink while taking Rexulti?

By Sarah Bradley, July 2, 2024

“Most people taking any type of psychiatric medication should try to avoid alcohol entirely, or at least greatly minimize their intake,” said Alex Dimitriu, MD, psychiatrist, sleep medicine specialist, and founder of Menlo Park Psychiatry & Sleep Medicine in California. 

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The best cooling pillows in 2024: Sweet dreams for hot sleepers

By Suzy Hernandez, June 27, 2024

According to Dr. Dimitriu, depending on the materials, cooling pillows can improve comfort. Cooling pillows work to help manage temperature and promote a cooler sleeping environment. They generally use materials to absorb and pull away heat from the body, like a gel layer or memory foam.  

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Does Magnesium Help to Reduce Anxiety?

By Jessica Migala, June 17, 2024

And there’s the sleep part of the equation. “Anxiety, sleep, and mental well-being are all intertwined,” says Alex Dimitriu, MD, a board-certified psychiatrist and sleep medicine physician in Menlo Park, California. As a mild anti-anxiety agent, magnesium can also promote sleep. “Better sleep, in turn, results in less anxiety the following day,” Dr. Dimitriu says.

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Why Real-World Anxiety Keeps Following Me Into My Dreams

By Sydni Ellis, June 12, 2024

Can Anxiety Cause Bad Dreams? You’re not imagining it — the experts we spoke with overwhelmingly agreed that anxiety can contribute to bad dreams. “Anxious thoughts while someone is asleep can manifest themselves as bad dreams or stress dreams,” Alex Dimitriu, MD, a double board-certified physician in psychiatry and sleep medicine and founder of Menlo Park Psychiatry & Sleep Medicine, tells PS. “Stress dreams, such as missing an important event, a test, or a flight, are often quite common in people undergoing stress during their daily lives. In turn, this mental activity can also activate the body and result in a lighter, more fitful sleep.”

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Does Magnesium Help You Sleep?

By Jessica Migala, June 11, 2024

So where does magnesium fit into things? “Magnesium is a beneficial muscle relaxant and mild anti-anxiety agent,” says Alex Dimitriu, MD, a board-certified psychiatrist and sleep medicine physician in Menlo Park, California. 

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These drugs can be a bedroom bummer

By Alpana Mohta, MD, June 11, 2024

Board-certified psychiatrist Alex Dimitriu, MD, spoke with MDLinx about the prevalence of sexual dysfunction with SSRIs: “The likelihood of SSRIs inducing sexual dysfunction is about 50% while being treated.” However, he notes, in some cases, this issue persists even after stopping the medication; this is known as post-SSRI sexual dysfunction (PSSD).

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Wait, What’s the Difference Between White Noise and Brown Noise? Experts Sound Off

By Bethann Mayer, June 9, 2024

“Sleep is so precious to our emotional and physical health,” says Dr. Alex Dimitriu, MD, who is double board-certified in psychiatry and sleep medicine and the founder of Menlo Park Psychiatry & Sleep Medicine. “Fundamentally, it helps the part of our brain that sets us apart from most other animals, the prefrontal cortex.” Dr. Dimitriu explains that this part of the brain helps us plan, imagine and exercise self-control. “When we are sleep deprived, we have less self-control, which makes us more impulsive, moody, reactive and with stronger and more intense feelings,” Dr. Dimitriu says. “This can make for a bumpy day and can also strain relationships.” Yet, Dr. Dimitriu is weary of advertising that offers any miracle solutions. If you’re going to buy a machine, you may wonder: brown noise vs white noise, what noise is best for sleep?

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This Busy Mom Says She Was Scammed After Shopping In Her Sleep

By Rachel MacPherson, June 5, 2024

Alex Dimitriu, MD, who is dual board-certified in psychiatry and sleep medicine, explains parasomnias are disorders of confusional arousal, meaning that the person is half awake and half asleep when they act out — which can range from sleepwalking to sleep talking and night terrors. “It can be thought of as anything you might do almost “automatically” while half asleep,” he says. Generally, though, parasomnias tend to be more simple behaviors, such as incoherent sleep talking.

Adding sleep apnea to the mix can increase the risks of engaging in unwanted unconscious behaviors. Anything that disrupts sleep, including sleep apnea, pain, or noise, can cause confusional arousal, says Dr. Dimitriu. 

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