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Get answers to your important health-related questions with the help of BID-Plymouth experts.

Our free Ask the Expert Q&A sessions connect you with BID-Plymouth experts including physicians, physician assistants and nurse practitioners who can answer questions on a wide variety of health-related topics.

This feature is provided for informational purposes only. The answers you receive from BID-Plymouth experts are not intended to be a substitute for individual medical advice in diagnosing or treating a health problem. Please note that experts do not provide diagnosis, prescriptions or referrals via email. Please consult with your physician about your specific health care concerns.

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Fatigue and Your Emotional Health

What effects could lack of sleep have on my mood? Sleep is one of the most important aspects of overall health. Numerous studies have proven that if you are not getting good quality sleep it can greatly affect your mental and physical health. When it comes to fatigue affecting your mood and emotional health, turn to Beth Israel Deaconess Hospital-Plymouth. Ask your questions here! Our primary care physician, Dr. Paula Kue, is an expert and can help to provide you with the answers you are searching for.

KuePaula.jpg Expert: Paula Kue, MD at Beth Israel Deaconess HealthCare-Plymouth. Dr. Kue received her medical degree from Albany Medical College and completed both her internship and residency at University of Massachusetts Medical Center. She is board-certified in internal medicine. Her clinical interests include, chronic disease management, fatigue and mood disorders and preventative care.

Looking for more information?

Join us for an evening dedicated to women’s health, featuring Kelly Corrigan, New York Times bestselling author of The Middle Place. Dr. Kue and an expert panel of Beth Israel Deaconess Hospital-Plymouth physicians will also provide recommendations for better living.

Dr. Kue is one of several experts who will participate in Beth Israel Deaconess Hospital-Plymouth’s Women’s Health Symposium: Lessons to Live by for a Better You. Dr. Kue will discuss emotional health during the symposium.

The Women’s Health Symposium will take place on Thursday, October 23 at Indian Pond Country Club in Kingston from 6:00 to 8:00 pm. The event is free and dinner will be provided. To register call: (508) 732-8315.

Ask your questions below!

Dr. Kue - Ask the Expert Questions

I feel as if I'm never fully able to turn my brain "off" at night. It's difficult to fall asleep so I don't think I'm getting enough and am foggy and irritable the next day. What can I do to make falling asleep at night easier?

Having difficulty falling asleep is very common. Often our minds are filled with worries from the present day and anticipation of the next. To subdue these concerns, many people try sleep aids. Unfortunately, these medications don’t lead to solid, refreshing sleep and can become a crutch. A better way to cope with trouble falling asleep is to keep a regular bedtime and unwinding routine. Minimize distractions at night, limit stimuli like TV and the news. Avoid caffeine after noon. Keep a bedside journal to jot down the things occupying your active mind. If you are unable to fall asleep, get out of bed but keep your activities and lighting subdued. Return to bed when you feel more tired.

Is it true that lack of sleep can cause depression?

Lack of sleep can certainly lead to labile emotions but whether it causes depression is a bit like debating the chicken and egg. A person suffering from anxiety and depression usually has sleep difficulties and until the underlying mood disorder is treated, sleep will likely continue to be interrupted and unrefreshing.

I sometimes feel tired and stressed around 3 pm in the afternoon. Can this be related to lack of quality sleep and/or the demands of work? I usually get about 7-8 hours of sleep per night. However, I do wake-up from time to time during those hours.

Late day fatigue is very common. It may be a consequence of work demands if it is more noticeable on the job or when stress is high. If it occurs on days off too, then 7 hours may not be enough sleep and you are trying to work on despite a sleep deficit. First and foremost, start taking a break when the fatigue hits and do something physical to improve circulation and reenergize before diving back into work tasks.

How do I know if I have sleep apnea? Is not being able to fall asleep a symptom?

To the contrary, people suffering with sleep apnea fall asleep quite readily because they are unable to achieve restorative sleep. This is diagnosed via a sleep study. Difficulty falling asleep often correlates to anxiety or poor sleep hygiene. If you have difficulty falling asleep multiple nights a week, you should discuss this with your doctor or a sleep specialist to see if there is a treatable cause.

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BID-Plymouth
275 Sandwich Street
Plymouth, MA 02360
(508) 746-2000

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