REASONS FOR INSOMNIA OR INSOMNIA-LIKE BEHAVIORS…

Primary insomnia (i.e. no reason)

Poor sleep hygiene (i.e. no regular bedtime, watching bright screens too late, not winding down before bedtime, not sleeping in same location/ bed, falling asleep in front of a TV, then having to wake up to move to bed)

Shift work sleep disorder

Coming off of sedating medicines (i.e. rebound insomnia)

Prescribed stimulants which are long-acting or are taken too late in the day (e.g. Ritalin, Adderall, Vyvanse)

Over-the-counter stimulating medications and herbals

Drinking caffeine WITHIN 12 HOURS IF BEDTIME.

Drinking alcohol too late, leading to initial sedation, but then the sedation wears off a few hours later and the brain pops awake a few hours into sleep

Restless leg syndrome (RLS) or periodic limb movements (PLMS)

Neurological disorders: dementias, Parkinson’s Disease, seizure disorders

REM sleep behavior disorder

Parasomnias: sleep walk, sleep talk, sleep eat, nightmare disorder, and sleep paralysis

Nocturia (i.e. having to urinate at night), then not being able to get back to sleep

Shortness of breath or nocturnal cough (e.g. with asthma, emphysema, congestive heart failure, reflux of stomach acid)

Racing thoughts (e.g. with anxiety, mania, obsessivenes)

Depression

Panic disorder

Pain

Snoring

Obstructive sleep apnea

Loud environment (e.g. bed partner snores, children come into bedroom, pets move around, outdoor noises)

Charles Tadros, M.D.

August 4, 2021

Saint Louis, Missouri

ARE YOU A LUMPER OR A SPLITTER?

Does everything need to be done correctly, all at once, or else it is not worth your time, energy and attention?

Do you need to see the whole project, necessary steps, and final goals at the beginning, or can you accept everything being piecemealed in an organic fashion?

Charles Tadros, M.D.

August 3, 2021

Saint Louis, Missouri

SELF LOVE IS GIVING ONE’S SELF FORGIVENESS, CARING, ATTENTION, AND LEEWAY (to try, fail, try again). THIS IS THE EXACT SAME LOVE WE SELFLESSLY HAVE FOR OUR OWN CHILDREN.

Charles Tadros, M.D.

August 2, 2021

Saint Louis, Missouri

THE UNFORTUNATE TRUTH IS THAT EVEN THE BEST OF IDEAS HAVE TO BE ADVERTISED, MARKETED AND SOLD. OTHERWISE, THEY DIE IN QUIET ANONYMITY, INSIDE OUR HEADS.

Charles Tadros, M.D.

July 31, 2021

Saint Louis, Missouri

IN RETROSPECT, THE VAST MAJORITY OF MY OWN FINANCIAL DECISIONS WOULD HAVE TURNED OUT MUCH BETTER IF I HAD HAD SIGNIFICANTLY MORE PATIENCE.

Charles Tadros, M.D.

July 31, 2021

Saint Louis, Missouri

FOR OBSESSIVE PERFECTIONISTS, 100% OF THE STATEMENTS BELOW ARE ARTIFICIAL, GENERATED BY OUR MINDS, AND NOT BASED IN REALITY…

“IT IS NOT DONE YET.”

“IT IS SUCH A BIG PROJECT.”

“IT IS TOO HARD TO START.”

“I HAVE SO MUCH GOING ON.”

“YOU DO NOT REALIZE HOW MUCH TIME THIS IS GOING TO TAKE.”

“I DO NOT GET A SENSE OF REWARD FROM DOING THIS.”

Charles Tadros, M.D.

July 30, 2021

Saint Louis, Missouri