or if you told me, like, everything is okay, but I'm really having trouble getting to sleep because I can't get this out of my mind, then I would not suggest a sleeping medicine because I would think there's nothing wrong with your sleeping system. But sleep is being blocked because you are distressed. System is amped up when your brain is trying to sift down into a peaceful place. That's the time that the intrusive thoughts about this new trauma. Come into your mind. So can we use something that in a time-limited way like right around bedtime decreases, the distress signaling in your brain so that you can fall asleep as opposed to like a heavy-handed Intervention, which would say, let's put you on some sleep medicines. When it's not really your sleep system, that's broken. It's your Yes, higher, that kind of thing. Just because I love the details of this kind of thing. Yeah, what class of compound or drug? Might fit that last example, right? The distress, signaling, prior to bed. This is one of the interventions and it may actually be the intervention. I got to think hard about that. That has the most success. If not, it's in the top three, which is using medicines that are called antipsychotics, but this is a terrible. Double name it saying just because terrible morning things are just because they're used for. That doesn't mean that's all that they do. It's such a misnomer to name something by like what its first use is. I don't call $2 a baseball card buyer, even though that's probably the first thing I bought was a dollar so it's even ties has the medicines and then they don't get used for this. But but low dosing of those medicines blocks where to call D2 receptors blocks receptors. Around distress transmission and very low. Dosing is often immensely helpful in situations where there's a lot of distress signaling and that's impacting sleep. So I can't count the number of people I've seen, you can't sleep, and they've tried quote-unquote every sleeping medicine and sometimes they actually seemingly have but they're not going to sleep then because to say, oh they have a sleeping problems. Just pointing out the obvious that they're not sleeping. That's not a medical conclusion, but to point out there sleeping system isn't broken. Hence, no impact from the 15th sleeping medicines, but their distress, signaling is now increased because of some new trauma were triggering of an old trauma or vicarious trauma, then we can solve that often very readily and that leads back to, you know, you were talking about the empathic engines and the idea of neurogenesis. And and it may be that neurogenesis is very helpful in certain parts of the brain. It may be that neuronal pruning is helpful. In other ways to. Right. Let's go Point by Point, really. Understand is what positively impacts connectivity and that maybe neurogenesis in certain parts of the brain, but it may be changing balances of neurons and maybe it's neurogenesis of inhibitory. Neurons. Things get complicated enough that like how we can look at that, though, in a practical sense, because we're not the like the cord neuro scientists. How we can look at that practically is saying what we're trying to do is Alter brain connectivity, whether we're using psycho. Therapy or a hug to a person that you care about or were using medicines, or using Western medicines were in pathogens. What we're trying to do is change the sequence and patterning of brain connectivity from one that is stereotyped in a negative way. That you said that reflexive, Shane ones that primes the audience before the curtain goes up to say that is gonna be bad and you're going to hate it. So when we shift that we're really shifting connectivity and that's how we See old things in new and true ways.
Low-Dose Antipsychotic Medications Can People With Trauma Get to Sleep
#533: Paul Conti, MD How Trauma Works and How to Heal From It