The Role & Treatment of Autonomic Dysfunction in Sleep Disorders |Dr. Pocinki| Dyscovery Education

Dyscover great information on the role and treatment of autonomic dysfunction in sleep disorders. If you have dysautonomia and have trouble with sleeping, including not being able to fall asleep, waking up frequently during your sleep, and waking up feeling as if you had not slept at all, then this video is for you!

Learn about:
*The role of the autonomic nervous system in sleep (1:44)
*Factors that contribute to poor sleep in those with dysautonomia, (16:07)
*How to restore autonomic balance to improve sleep, (20:01)
*Treatment options for sleep disorders include nonpharmacologic (25:13) and pharmacologic options (27:53).

Dr. Pocinki is a general internist in private practice in Rockville, Maryland. He has been interested in joint hypermobility syndromes and related autonomic and sleep disorders since the late 1990s, and speaks regularly on these subjects at local and national meetings. His publications include co-authoring two major 2017 articles on the evaluation and management of fatigue and autonomic dysfunction in Ehlers-Danlos patients, and a chapter on sleep disorders in The Dysautonomia Project. He has received a variety of awards and recognition for service to his profession as well as for the quality of his practice, most recently the American College of Physicians Leadership Award and the Ehlers-Danlos Society’s Lifetime Achievement Award.

Disclaimer: The information presented in these videos is for informational, and educational purposes only. This information or the use thereof does not create any patient-physician/practitioner relationship, and should not be used as a substitute for professional diagnosis and treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions you may have regarding a medical condition or treatment before undertaking a new healthcare regimen. Never disregard professional medical advice or delay in seeking it because of something you have viewed in this video and others on this channel. Dysautonomia Support Network and its Board of Directors expressly disclaim responsibility and shall have no liability, for any damages, loss, injury, or liability whatsoever suffered as a result of your reliance on the information contained on this site.

[LotusLibra]

Thank you for this. My general practitioner told me that the root of my issues was anxiety and that I just needed cognitive behavioral therapy. I pushed to see a neurologist out of my network and finally got the suggestions to take propranolol, nortryptaline and he was the one who recognized my hEDS along with my immunologist. Your information in this video helped me decide against Zolpidem (also prescribed by my GP) as I was worried about taking that living alone but also because of any residual impairment. I’m sincerely grateful for doctors who think outside the box to help us find a better quality of life. ❤

[taylormyers]

I can't tell you how grateful I am that I found this video.

[TallDiana]

I’m hyper mobile, have full body neuropathy and dysautonomia on top of a thirty year old spinal cord injury. Much of my pain these days is burning, which isn’t easy to control with medication, but for decades I had severe back and leg pain below my injury. I’ve also suffered for years with trigeminal neuralgia. Besides head to toe burning, I have neuropathic itch. All my peripheral nerves, inside and out, are sick.

I’m finally having a sleep study in a few weeks. For more than fifteen years, I’ve only slept for three of four hour hours, at most, usually interrupted. Now it’s two- I go to sleep about 10PM, and wake up at midnight. When I’m falling asleep, there’s a revving of the heart and a need to vocalize if I don’t want to move. This is usually repetitive. These are DEFINITELY waking me up.

Oddly, I’m wide awake after sleeping two hours and can’t recall any wake up process, I’m just awake again. If I happen to manage five hours or more, which happens a few times a month, THEN I’m tired. 🤷🏼‍♀️

[melymel]

Thank you! I never get deep sleep and have worn Fitbit for years. I had a sleep study ordered and had many surgeries so I will be getting it done. I was diagnosed with autonomic insufficiency when I was 17 and back then was treated with an alpha blocker. Well fast forward to now, I’m passing out at the dentist. ( I had a fast positive tilt table test when I was 17) 2
Dentists say I need a sedation dentist and must be put under. I can’t locate one. I can’t be put in a down position and need a lot of dental work done. My blood
Pressure is 95/55.

[kaymack]

What a great doctor who seems to actually listen to his patients and work with them, because after all we are the experts on us and the doctor is the expert on the disease. Great, informative presentation.

[dh]

Thank you so much for this amazing information!

[simonram]

Can I use bisoprolol for the night time adrenaline? I am currently taking it in the morning, but my sleep is always extremely shallow. Will shifting this betablocker at bedtime help with the sleep?

[bethlyons]

I totally agree with your findings thankyou for your intelligent research and therapy.

[BedWords_]

as a mast cell patient (along with the rest :P) the discussion of gen 2 antihistamines being designed *not* to cross the BBB was just a huge epiphany. gonna have to try out some hydroxyzine. speaking of mast cells, anyone discovered a sleep monitor that doesn't induce skin irritation yet? because that has stopped me from using my garmin regularly (though i suspect it's less accurate anyway)

[zenzenchi]

Is there anyone got Dysautonomia after getting Covid? I got the symptoms after omicron hit me. And I’m a foreigner is there anyway I can get treatment?

[roborandy]

Doesn’t Propranolol decrease melatonin? When is the best time to take it so sleep won’t be impacted?

[velosoph]

Propagating Benzodiazepines for sleep problems and saying he doesn’t experience tolerance and dependence. He might want to check in on numbers of benzo dependence and visit a rehab to see for himself.

[mishellemiller]

Can I get the power point slides for this?

[sub_to_me]

Are we allowed access to download the slides shown?

[DavidLee-qdfw]

No mention about cannibus ? Plus or minus ?

[backalleygaming]

wait how was it that you tested a persons adrenaline through out the time ? also i stopped antidepressants around 10 months ago i was extremely anxious 24 /7 and my sleep changed . i would fall asleep but feel like im awake. id wake up with anxiety through the roof where i would have to shout just to feel slightly better. i was improving a little but covid hit me around a month ago and it set everything back in motion and i also got brain fog with it as well.
its been told that long covid and acute covid causes neuro inflammation and long causes dysautonomia, i did see that i have a blood pressure drop when i stand up and my heart rate goes up about 35 ppm.
do i have dysautonomia ? and how do i treat it ? i love the results you shown but with out sleep and non stop anxiety, no work . im not getting rest but I'm not really having too much work stress. what should i do? im in australia ..