However, if insomnia and nightmares prevent REM sleep from doing the job of reducing cortisol stress hormones and calming emotions from the previous day, the brain’s security officer, the amygdala, is left in a heightened state of arousal. Clinical research shows that depriving someone of REM sleep leaves the amygdala 60% more reactive to emotionally charged events. It is unsurprising, therefore, that Denise Pope reports that insomnia in adolescents increases risk-taking behaviour and impulsivity – this would include the impulse to act on suicidal thoughts. Indeed, insomnia is considered by many sleep studies to be the key risk factor that determines whether a person suffering with post-traumatic stress disorder or major depression will experience suicidal thoughts.
So too much REM sleep is bad for us, as is too little. Public health education should seek not only to emphasise the importance of getting enough sleep, but to explain that the stress from unmet emotional needs can cause depression when we have too much REM sleep, or the impulse to act on suicidal thoughts when we don’t have enough.
Ezra Hewing
Head of Education, Suffolk Mind
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