{"page":"\u003clink rel=\"stylesheet\" href=\"https://lessonplanet.com/assets/packs/css/resources-572d6a42.css\" /\u003e\n\u003clink rel=\"stylesheet\" href=\"https://lessonplanet.com/assets/packs/css/lp_boclips_stylesheets-f4d0de30.css\" media=\"all\" /\u003e\n\u003cdiv data-title='What is Narcolepsy and What to Do About It?' data-url='/boclips/videos/65112d541d03ec367d2439e0' data-video-url='/boclips/videos/65112d541d03ec367d2439e0' id='bo_player_modal'\u003e\n\u003cdiv class='boclips-resource-page modal-dialog panel-container'\u003e\n\u003cdiv class='react-notifications-root'\u003e\u003c/div\u003e\n\u003cdiv class='rp-header'\u003e\n\u003cdiv class='rp-type'\u003e\n\u003ci aria-hidden='true' class='fai fa-regular fa-circle-play'\u003e\u003c/i\u003e\nVideo\n\u003c/div\u003e\n\u003ch1 class='rp-title' id='video-title'\u003e\nWhat is Narcolepsy and What to Do About It?\n\u003c/h1\u003e\n\u003cdiv class='rp-actions'\u003e\n\u003cdiv class='mr-1'\u003e\n\u003ca class=\"btn btn-success\" data-posthog-event=\"Signup: LP Signup Activity\" data-posthog-location=\"body_link_boclips\" data-remote=\"true\" href=\"/subscription/new\"\u003e\u003cspan\u003e\u003cspan\u003eGet Free Access\u003c/span\u003e\u003cspan class=\"\"\u003e for 10 Days\u003c/span\u003e\u003cspan\u003e!\u003c/span\u003e\u003c/span\u003e\u003c/a\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv class='rp-body'\u003e\n\u003cdiv class='rp-info'\u003e\n\u003cdiv aria-label='Hide resource details' class='rp-hide-info' role='button' tabindex='0'\u003e\u0026times;\u003c/div\u003e\n\u003ci aria-label='Expand resource details' class='rp-expand-info fai fa-solid fa-up-right-and-down-left-from-center' role='button' tabindex='0'\u003e\u003c/i\u003e\n\u003ci aria-label='Compress resource details' class='rp-compress-info fai fa-solid fa-down-left-and-up-right-to-center' role='button' tabindex='0'\u003e\u003c/i\u003e\n\u003cdiv class='rp-rating'\u003e\n\u003cspan class='resource-pool'\u003e\n\u003cspan class='pool-label'\u003ePublisher:\u003c/span\u003e\n\u003cspan class='pool-name'\u003e\n\u003cspan class='text'\u003e\u003ca data-publisher-id=\"30356011\" href=\"/search?publisher_ids%5B%5D=30356011\"\u003eCurated Video\u003c/a\u003e\u003c/span\u003e\n\u003c/span\u003e\n\u003c/span\u003e\n\u003c/div\u003e\n\u003cdiv class='rp-description'\u003e\n\u003cspan class='short-description'\u003eWhat is narcolepsy? It’s a neurological disorder that results when your brain is unable to regulate your sleep wake cycle. In this video I will discuss how to recognize narcolepsy and how it is treated.  Two of the classic symptoms are...\u003c/span\u003e\n\u003cspan class='full-description hide'\u003eWhat is narcolepsy? It’s a neurological disorder that results when your brain is unable to regulate your sleep wake cycle. In this video I will discuss how to recognize narcolepsy and how it is treated.\u003cbr/\u003e \u003cbr/\u003e Two of the classic symptoms are excessive daytime sleepiness and cataplexy. \u003cbr/\u003e \u003cbr/\u003e Cataplexy is the loss of muscle tone that is triggered by strong emotions such as laughing or anger. The muscle tone loss can be very dramatic such as collapsing to the floor. Or it can be very subtle such as a slight facial droop.\u003cbr/\u003e \u003cbr/\u003e With narcolepsy, REM (rapid eye movement) sleep intrudes into your wakefulness. So while you are awake and talking, you suddenly become overwhelmingly sleepy. When you fall asleep, you immediately start dreaming.\u003cbr/\u003e \u003cbr/\u003e People with narcolepsy are not necessarily sleep deprived. They usually get an adequate amount of sleep, but they can’t control the timing of their sleep.\u003cbr/\u003e \u003cbr/\u003e Signs of narcolepsy \u003cbr/\u003e Hypnogogic hallucinations – This is a weird experience that happens at sleep onset. You can see bizarre and vivid images as you are transitioning from being awake to being asleep. \u003cbr/\u003e \u003cbr/\u003e Sleep paralysis usually occurs with the hallucinations. Because your body is normally paralyzed when you dream, and this is called REM atonia, people with narcolepsy can get sleep paralysis at odd times of the day when they fall asleep. The paralysis usually lasts a few seconds to a few minutes. Because the paralysis and hallucinations happen at the same time, it makes the whole experience of falling asleep very creepy.\u003cbr/\u003e \u003cbr/\u003e People without narcolepsy can experience hypnogogic or hypnopompic hallucinations as well. Hypnopompic hallucinations occur during the transition from sleep to waking up. It can be accompanied by significant sleep inertia and even confusion. You may have seen someone close to you wake up confused and talking without making sense for a few minutes until they fully wake up. If you ask them about the nonsensical stuff they were talking about, they probably won’t remember what they said. \u003cbr/\u003e \u003cbr/\u003e Other symptoms of narcolepsy include choppy sleep, nightmares and leg jerking.\u003cbr/\u003e \u003cbr/\u003e Diagnosing narcolepsy\u003cbr/\u003e  Your doctor may suspect narcolepsy from your symptoms, but the diagnosis requires a sleep study. The sleep study would include a polysomnogram and multiple sleep latency test (MSLT). The polysomnogram measures your muscle activity, breathing and brain activity. The Sleep latency test measures your time to fall asleep. A normal sleep latency is 15-20 minutes. Narcolepsy is diagnosed with a sleep latency of less than 8 minutes and the presence of 2 sleep onset REM periods. With narcolepsy you must show on testing two instances when you go straight from awake to REM. \u003cbr/\u003e \u003cbr/\u003e Narcolepsy treatment\u003cbr/\u003e Medication\u003cbr/\u003e The gold standard treatment is a medication called Xyrem or sodium oxybate. This medication treats the daytime sleepiness and the cataplexy. \u003cbr/\u003e \u003cbr/\u003e Sodium oxybate is related to the drug GHB – gamma hydroxyl butyrate also known on the street as liquid ecstasy. GHB is illegal, sodium oxybate is not. \u003cbr/\u003e \u003cbr/\u003e If you continue to have daytime sleepiness, your doctor may add a stimulant such as Provigil or Nuvigil to your Xyrem. Sometimes antidepressants are used to treat the cataplexy, hypnagogic hallucinations and sleep paralysis.\u003cbr/\u003e \u003cbr/\u003e Behavioral treatment\u003cbr/\u003e We usually recommend people take at least three scheduled 10-15minute naps during the day to help with the sleepiness. It may help prevent the sleepy episode from occurring by napping BEFORE you get sleepy. With this approach, you are sleeping on your terms and not having it creep up on you while you are at a traffic light.\u003cbr/\u003e \u003cbr/\u003e Narcolepsy usually develops in late adolescence or early adulthood. It can go undetected in many people for years, but if you are age 50, and only recently having trouble staying awake during meetings, it’s probably not narcolepsy.\u003cbr/\u003e\u003c/span\u003e\n\u003c/div\u003e\n\u003cdiv class='action-container flex justify-between'\u003e\n\u003cbutton aria-expanded='false' aria-label='Read more description' class='rp-full-description' type='button'\u003e\n\u003ci class='fai fa-solid fa-align-left'\u003e\u003c/i\u003e\n\u003cspan id='read_more'\u003eRead More\u003c/span\u003e\n\u003c/button\u003e\n\u003cdiv class='rp-report'\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv aria-labelledby='resource-details-heading' class='rp-info-section'\u003e\n\u003ch2 class='title' id='resource-details-heading'\u003eResource Details\u003c/h2\u003e\n\u003cdiv class='rp-resource-details clearfix'\u003e\n\u003cdiv class='detail'\u003e\n\u003cdl\u003e\n\u003cdt\u003eCurator Rating\u003c/dt\u003e\n\u003cdd\u003e\u003cspan class=\"star-rating\" aria-label=\"4.0 out of 5 stars\" role=\"img\"\u003e\u003ci class=\"fa-solid fa-star text-action\" aria-hidden=\"true\"\u003e\u003c/i\u003e\u003ci class=\"fa-solid fa-star text-action\" aria-hidden=\"true\"\u003e\u003c/i\u003e\u003ci class=\"fa-solid fa-star text-action\" aria-hidden=\"true\"\u003e\u003c/i\u003e\u003ci class=\"fa-solid fa-star text-action\" aria-hidden=\"true\"\u003e\u003c/i\u003e\u003ci class=\"fa-regular fa-star text-action\" aria-hidden=\"true\"\u003e\u003c/i\u003e\u003c/span\u003e\u003c/dd\u003e\n\u003c/dl\u003e\n\u003c/div\u003e\n\u003cdiv class='detail'\u003e\n\u003cdl\u003e\n\u003cdt class=\"educator-rating-title\"\u003eEducator Rating\u003c/dt\u003e\u003cdd\u003e\u003cdiv class=\"educator-rating-details\" data-path=\"/educator_ratings/rrp_data?resourceable_id=82566660\u0026amp;resourceable_type=Boclips%3A%3AVideoMetadata\"\u003e\u003cspan class=\"not-yet-rated\"\u003eNot yet Rated\u003c/span\u003e\u003c/div\u003e\u003c/dd\u003e\n\u003c/dl\u003e\n\u003c/div\u003e\n\u003cdiv class='detail'\u003e\n\u003cdl\u003e\n\u003cdt\u003eMedia Length\u003c/dt\u003e\n\u003cdd\u003e6:00\u003c/dd\u003e\n\u003c/dl\u003e\n\u003c/div\u003e\n\u003cdiv class='detail'\u003e\n\u003cdl\u003e\n\u003cdt\u003eGrade\u003c/dt\u003e\u003cdd title=\"Grade\"\u003eHigher Ed\u003c/dd\u003e\n\u003c/dl\u003e\n\u003c/div\u003e\n\u003cdiv class='detail'\u003e\n\u003cdl\u003e\n\u003cdt\u003eSubjects\u003c/dt\u003e\u003cdd\u003e\u003cspan\u003e\u003ca href=\"/search?keywords=elementary+math+addition\u0026amp;page=18\u0026amp;search_tab_id=1\u0026amp;subject_ids%5B%5D=1319782\"\u003eCareer \u0026amp; Technical Education\u003c/a\u003e\u003c/span\u003e\u003c/dd\u003e\u003cdd class=\"text-muted\"\u003e\u003ci class=\"fa-solid fa-lock mr5\"\u003e\u003c/i\u003e1 more...\u003c/dd\u003e\n\u003c/dl\u003e\n\u003c/div\u003e\n\u003cdiv class='detail'\u003e\n\u003cdl\u003e\n\u003cdt\u003eMedia Type\u003c/dt\u003e\u003cdd\u003e\u003cspan\u003e\u003ca href=\"/search?keywords=elementary+math+addition\u0026amp;page=18\u0026amp;search_tab_id=2\u0026amp;type_ids%5B%5D=4543647\"\u003eInstructional Videos\u003c/a\u003e\u003c/span\u003e\u003c/dd\u003e\n\u003c/dl\u003e\n\u003c/div\u003e\n\u003cdiv class='detail'\u003e\n\u003cdl\u003e\n\u003cdt\u003eSource:\u003c/dt\u003e\n\u003cdiv class='preview-source' data-animation='true' data-boundary='.rp-info' data-container='.rp-resource-details' data-html='false' data-title='I am a psychiatrist in Atlanta with over 20 years experience. 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