Is Your Brain Getting Enough Sleep?

Getting enough sleep is important because it helps your body and mind to recover from the day’s activities. When you’re well-rested, you’re able to think more clearly, make better decisions, and be more productive. Sleep helps to boost mental wellbeing by improving mood and memory function. A good night’s sleep can improve mood and concentration, reduce stress, and increase energy levels.

The 4 major reasons we need sleep are:

  • To restore and rejuvenate our bodies
  • To improve our moods
  • To increase our productivity
  • To protect our mental health

Poor sleeping habits are the most common cause of insufficient sleep, but there may also be underlying medical conditions that a specialist, like a psychiatrist can diagnose and treat.

There is a direct connection between sleep and brain health. Sleep is important for the brain because it allows the brain to rest and recharge. During sleep, the brain processes information from the day and consolidates memories. Additionally, sleep is necessary for healthy brain function and plays a role in mood regulation.

A deep dive on the science of sleep and the brain

As we prepare for bed, clusters of sleep-promoting neurons in many parts of the brain become more active. This happens because the body releases chemicals called neurotransmitters that activate these cells. These sleep-promoting cells help to quiet down other parts of the brain so we can get a good night’s sleep.

Neurotransmitters are chemical messengers that send signals between nerve cells, and they play a major role in regulating mood, cognition, and behavior. When we don’t get enough sleep, it can cause these neurotransmitters to become unbalanced, which can lead to issues with your brain and mental health. They are the conduit, or chemical facilitators, for sleep and play an important role in communication between the brain and other parts of the body.  Therefore, it is possible that your body is ready for sleep, but your brain hasn’t gotten the message yet because of a disruption in that conduit system.

Genes are responsible for the efficient (or not) production of neurotransmitters in your body, which are essential for the proper functioning of the brain. Therefore, some people are more susceptible to developing certain disorders due to an imbalance of these key brain chemical levels – including insomnia, anxiety, or depression.

Serotonin is the neurotransmitter responsible for mood regulation, sleep, appetite, and pain sensation. It impacts all of these things because it helps to regulate the body’s circadian rhythm. This rhythm controls when we feel awake or sleepy and also how hungry or full we feel. GABA is another neurotransmitter that is associated with sleep, muscle relaxation, and sedation. When levels of GABA are low, insomnia can result. There are other neurotransmitters that play a role in sleep and wakefulness. Acetylcholine, histamine, adrenaline, cortisol, and serotonin all help to shape how we sleep and how alert we are.

Conversely, sleep deprivation can lead to an imbalance in these neurotransmitters, creating a “snowball effect” for individuals who already have an imbalance due to their genetic makeup.

How much sleep do you need?

There is no one answer to how much sleep each individual needs, as it depends on a person’s individual health and daily activities. The Sleep Foundation provides a range of hours for each age group, with the recommendations acknowledging that there may be some wiggle room on either side of the range for “acceptable” amount of sleep.

  • Most adults need 7 to 8 hours of good quality sleep on a regular schedule each night.
  • Kids need even more sleep than adults and teens need 8 to 10 hours of sleep each night.
  • School-aged children need 9 to 12 hours of sleep each night and preschoolers need to sleep between 10 and 13 hours a day (including naps).

Getting enough sleep isn’t only about total hours of sleep; it’s also important to get good quality sleep on a regular schedule so you feel rested when you wake up.  Insomnia can include trouble falling asleep, getting up multiple times during the night, or waking up too early and being unable to fall back asleep.

How do you know if you are not getting enough sleep?

There are several key signs that you are not getting enough sleep: feeling tired during the day despite getting enough rest; having trouble concentrating; experiencing mood swings; being irritable; experiencing physical symptoms (such as headaches, dizziness, or flu symptoms). If you are experiencing any of these signs and you think you may be sleep deprived, call our offices to schedule a diagnostic consultation and get the bottom of why you struggle with sleep!

Author Angelo Sambunaris, M.D.

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Halloween

The fall brings many of our favorite things: piles of brightly colored leaves, apple cider with donuts, and cooler temperatures that allow us to turn off our air conditioners finally! But for many, the spooky season of Halloween time only highlights the nightmares that interfere with sleep and quality of life. Today we examine the relationship between anxiety and the nighttime disturbances of nightmares and night sweats.

Nightmares and anxiety

If you have frequent nightmares, you have parasomnia — a type of sleep disorder that includes unwanted disturbances while you’re falling asleep, during sleep or when you’re waking up. Nightmares and bad dreams are overlapping and common forms of parasomnia. Nightmares can be thought of as “vivid, disturbing, or frightening dreams that cause a startled awakening (Levin & Nielsen, 2007)”, and bad dreams are “very disturbing dreams which, though being unpleasant, do not cause the dreamer to awaken” (Robert & Zadra, 2008).

An anxiety dream falls under this umbrella as well; it is any dream that causes stress or distress. You might feel panicked or nervous during the dream, but often these feelings continue even when you wake up or worse, linger on during your day.

Although nightmares often inspire feelings of terror more intense than general anxiety, these also count as anxiety dreams, since anxiety during the day can make nightmares more likely. Nightmares can be triggered by many factors outside of anxiety including trauma (such as an accident or other events), irregular sleep cycles/schedule, some medications, substance abuse and/or withdrawal, and other medical conditions such as depression, heart disease or cancer.

However, the primary cause of nightmares is stress or anxiety. Sometimes, the ordinary stresses of daily life, such as a conflict at work or school can trigger a nightmare. A major life change, such as a move or the death of a loved one, can have the same effect. Experiencing anxiety is associated with a greater risk of nightmares.

How does anxiety trigger nightmares?

As you might already know, your brain remains active while you sleep. The brain uses this time to carry out critical functions required to refresh your body and optimize your brain function during your waking hours. Part of this process that happens when you sleep includes encoding experiences and sensations into memory and organizing all that data, much like a filing system.

It follows, then, that if your recent thoughts and feelings cause stress and fear, your dreams will likely follow a similar pattern. Not everyone living with anxiety will have bad dreams, but research does suggest anxiety can play a significant part in nighttime distress.

In a 2014 study, those who met criteria for generalized anxiety disorder had more bad dreams than participants who didn’t have anxiety. Bad dream frequency was significantly associated with depression, anxiety, worry, and poor quality of life. The study also showed that bad dreams led to greater daytime feelings of anxiety and depression and lower quality of life. In short, anxiety, and nightmares can feed into each other, creating an unpleasant cycle.

Night sweats and anxiety

Night sweats are something you probably recognize if you are experiencing them, but clinically it is defined as being flushed, very hot, and sweating for no apparent reason. This can happen when trying to rest, go to sleep, or when waking up, even though the room temperature is normal or cool. There may be a medical reason for your night sweats your body fighting off a virus or bacteria. What’s more, night sweats can be caused by perimenopause, menopause, the aftereffects of menopause, or by other hormonal problems. Night sweats can come and go infrequently, occur on a regular basis, or go on every night for what seems to be indefinitely.

Anxiety night sweats may precede, accompany, or follow an escalation of other anxiety sensations and symptoms (things like nervousness, anxiety, fear, and elevated stress) or occur with no obvious trigger. It can also come in waves, where it’s strong one moment and eases off the next.

Why does anxiety cause night sweats?

In short, an over-active mind causes the physical symptoms associated with night sweats. Your stress response in your head causes a physical response in your body including changing your body’s metabolism, respiration, and perspiration. This response is why the heart beats harder and faster, breathing becomes shorter and shallower, and we sweat.

Experiencing night sweats is a common consequence of a stressed or anxious mind, and an indication of how the body can mismanage itself based on our mental state. When the nervous system is healthy, it manages these systems and functions normally and invisibly for the most part. But when the nervous system becomes hyper-stimulated on a regular basis, the body is more apt to move from “thinking to feeling” in a shorter time span – a type of muscle memory if you will. Nightmares and the stress responses they trigger can also be a cause, or part of the circle of night sweats.

What to do if you are experiencing nightmares or night sweats on a regular basis

It’s always wise to seek support if your symptoms begin affecting your work, relationships, or overall quality of life. The best way to combat the negative effects of anxiety is to prevent them in the first place! Dr. Sambunaris suggests changing your sleep habits first:

  • Create an atmosphere that is conducive to great sleep. Build in time to wind down that includes taking a warm shower, banning screen time and devices, and/or reading a book. Keep the lights low, the temperature cool, and sounds to a minimum.
  • Once you’re in bed, let your mind wander to positive thoughts like going to your own “happy place,” positive things about your day, or expressing gratitude for the people in your life.
  • Make time for exercise during the day – studies have shown that even just 30 minutes of moderate aerobic activity during your day may help you sleep better.
  • Avoid caffeine and other stimulants during the day (or at least after lunch) to give your brain the best chance of relaxing at night.

If you have tried all of these suggestions, and you still find that your sleep disturbances are affecting your quality of life, it’s time to talk to a physician like Dr. Sambunaris who specializes in anxiety disorders. Recurrent or long-lasting stress and anxiety could be a sign of a more serious mental health issue that will not go away on its own. Make an appointment to get a clear diagnosis of what is keeping you up at night by calling 770-817-9200.

Sources: https://mayocl.in/3SUZcvI https://bit.ly/3ejLLGH https://bit.ly/3RStBtc

Author Angelo Sambunaris, M.D.

Alcoholism: Understanding the Disease and Finding a Path to Recovery

Dr. Sambunaris & Associates – Alpharetta, GA

Alcoholism is a serious, chronic disease that affects millions of individuals and families across the United States. It impacts physical health, mental well-being, relationships, and careers—but with professional help and evidence-based treatment, recovery is absolutely possible.

At Dr. Sambunaris & Associates, we specialize in the comprehensive care of patients struggling with alcoholism and co-occurring disorders such as anxiety and depression. Our approach is rooted in science, compassion, and long-term results.

What Is Alcoholism?

Alcoholism, also known as Alcohol Use Disorder (AUD), is a medical condition characterized by an inability to control or stop drinking despite the negative consequences it causes. It is more than just drinking too much—it’s a disease that changes the brain and behavior over time.

People with alcoholism often experience:

  • Cravings for alcohol
  • Loss of control over how much or how often they drink
  • Physical dependence or withdrawal symptoms
  • Tolerance (needing more alcohol to feel the same effect)

It’s important to remember that alcoholism is not a moral failure. It is a diagnosable and treatable medical condition.

Warning Signs of Alcoholism

Alcoholism can present differently depending on the person, but common signs include:

  • Drinking alone or in secret
  • Prioritizing alcohol over responsibilities
  • Memory blackouts or gaps from drinking
  • Neglecting personal appearance or health
  • Mood swings, irritability, or anxiety when not drinking
  • Withdrawal symptoms (sweating, tremors, nausea) when trying to quit

If you or someone you love is experiencing these symptoms, it may be time to seek help.

Our Approach to Alcoholism Treatment

At Dr. Sambunaris & Associates, our treatment programs for alcoholism are designed to address both the physical and psychological aspects of addiction. We combine the latest medical research with compassionate care to develop individualized treatment plans.

Our services may include:

  • Comprehensive Psychiatric Evaluation
  • Medication-Assisted Treatment (MAT) to reduce cravings and withdrawal symptoms
  • Behavioral Therapies, including Cognitive Behavioral Therapy (CBT)
  • Dual Diagnosis Care for patients with co-occurring anxiety, depression, or PTSD
  • Ongoing Support and Relapse Prevention Planning

Our mission is to empower patients to reclaim control over their lives and move toward lasting recovery.

Q&A: Alcoholism and Treatment Options

Q: How do I know if I or a loved one has a drinking problem?
A: If alcohol use is interfering with daily responsibilities, causing relationship issues, or leading to physical or emotional distress, it’s time to seek a professional evaluation. We can help you determine if it’s alcoholism and what steps to take next.

Q: Is alcoholism a disease or a choice?
A: Alcoholism is classified as a brain disease. While the initial choice to drink may be voluntary, over time alcohol can hijack the brain’s reward and control centers, making it incredibly difficult to stop without help.

Q: What role does mental health play in alcoholism?
A: A significant number of people with alcoholism also struggle with mental health conditions like anxiety, depression, or trauma. Treating both the addiction and underlying mental health conditions simultaneously is crucial for successful recovery.

Q: Can medications help me stop drinking?
A: Yes. FDA-approved medications such as naltrexone, acamprosate, or disulfiram can help reduce cravings and prevent relapse when used in combination with therapy.

Q: Is treatment confidential?
A: Absolutely. At Dr. Sambunaris & Associates, your privacy is a top priority. All consultations and treatment plans are strictly confidential.

Q: Do you offer support for families of alcoholics?
A: Yes. We understand that addiction affects the entire family. We offer family education and therapy options to support healing for everyone involved.

Start Your Journey to Recovery

If you or a loved one is struggling with alcohol use, you are not alone—and help is available. At Dr. Sambunaris & Associates, we’re committed to helping individuals understand their condition, regain control, and build a life free from addiction.

📞 Contact Dr. Sambunaris & Associates today for a confidential consultation.
Phone: (770) 817-9200
Address: 5755 North Point Parkway, Suite 256, Alpharetta, GA 30022
🌐 Website: https://drsambunaris.com

Recovery is not only possible—it starts with a single step. Let us help you take it.

Understanding and Treating Anxiety: Hope and Healing with Dr. Sambunaris & Associates

Anxiety is more than just feeling nervous before a big event—it’s a serious and often overwhelming mental health condition that affects millions of people across the country. Left untreated, anxiety can interfere with relationships, career success, physical health, and overall quality of life. Fortunately, with the right care, anxiety is highly treatable.

At Dr. Sambunaris & Associates, we specialize in evidence-based, integrative treatment for anxiety and related conditions. Our approach goes beyond symptom management to address the root causes of anxiety and help individuals regain control of their lives.

What Is Anxiety?

Anxiety is a normal human response to stress or danger, but for some people, it becomes chronic and excessive. When anxiety becomes persistent and interferes with daily life, it may be diagnosed as an anxiety disorder.

There are several types of anxiety disorders, including:

  • Generalized Anxiety Disorder (GAD) – persistent and excessive worry about everyday matters
  • Panic Disorder – recurring panic attacks and fear of future attacks
  • Social Anxiety Disorder – intense fear of being judged or embarrassed in social situations
  • Phobias – irrational fears of specific objects, activities, or situations
  • Obsessive-Compulsive Disorder (OCD) and Post-Traumatic Stress Disorder (PTSD) – often co-occurring with anxiety

How We Treat Anxiety at Dr. Sambunaris & Associates

We believe that every individual deserves personalized and compassionate care. Our team utilizes a combination of clinical psychiatry, advanced diagnostics, and the latest treatments in neuroscience to create tailored care plans. Treatments may include:

  • Comprehensive Diagnostic Assessments
    We begin with an in-depth evaluation to understand your unique symptoms, history, and any contributing biological or neurological factors.
  • Medication Management
    If necessary, we carefully prescribe and monitor medications that help regulate brain chemistry and reduce anxiety symptoms.
  • Cognitive Behavioral Therapy (CBT) and Other Psychotherapies
    These evidence-based therapies are designed to help individuals identify and challenge negative thinking patterns and develop healthier coping mechanisms.
  • Clinical Research Opportunities
    As a leading research center, we offer access to cutting-edge treatments and clinical trials that are not available in most standard practices.
  • Integrated Wellness Support
    We support the whole person—addressing sleep, nutrition, stress, and lifestyle habits that may impact anxiety levels.

Why Choose Dr. Sambunaris & Associates?

Dr. Sambunaris is nationally recognized for his expertise in neuropsychiatric disorders and has served as a principal investigator in over 300 clinical trials. Our Alpharetta-based team combines world-class experience with a warm, patient-centered approach that respects your privacy and individuality.

We don’t just treat symptoms—we aim to restore peace of mind and quality of life.

Frequently Asked Questions (FAQ) About Anxiety

Q: How do I know if I have anxiety or if I’m just stressed?

A: While occasional stress is normal, anxiety involves persistent feelings of worry, fear, or dread that don’t go away and may worsen over time. If you feel constantly on edge, struggle with sleep, experience physical symptoms (like heart palpitations or stomach issues), or avoid certain situations out of fear, you may be dealing with an anxiety disorder.

Q: Is anxiety treatable without medication?

A: Yes, many people find relief through therapy, lifestyle changes, and non-pharmaceutical treatments. However, for some, medications can be a helpful and necessary part of recovery. At Dr. Sambunaris & Associates, we work with you to find the right balance based on your specific needs and preferences.

Q: What makes your practice different from other providers?

A: We offer a unique combination of personalized psychiatric care and access to cutting-edge clinical research. Our deep understanding of brain science allows us to explore treatments beyond the typical “trial-and-error” approach. We prioritize your comfort, confidentiality, and long-term results.

Q: What should I expect during my first appointment?

A: Your first visit involves a comprehensive consultation where we review your medical and mental health history, current symptoms, and personal goals. From there, we’ll create a customized plan that may include therapy, medication, or participation in a clinical research study.

Q: Is everything confidential?

A: Absolutely. We understand the sensitive nature of mental health care and uphold the highest standards of privacy and confidentiality. Your trust is our top priority.

Take the First Step Toward Healing

If you or a loved one is struggling with anxiety, know that help is available—and hope is real. At Dr. Sambunaris & Associates, we’re committed to walking beside you on your journey to wellness.

Contact Dr. Sambunaris & Associates today for a confidential consultation.
📞 Phone: (770) 817-9200
📍 Address: 5755 North Point Parkway, Suite 256, Alpharetta, GA 30022
🌐 Website: https://drsambunaris.com/

Rediscover calm. Reclaim your life. Let’s take the next step—together.