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Dr. Andrew Weil

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Why Dreams Are Vital to Emotional Health

Posted: 03/04/2012 10:27 am

Does insomnia cause depression? Does depression cause insomnia? Chronic insomnia is strongly associated with mood disorders, but which way does the causality run?

I think it's likely that cause-and-effect can go in either direction, but surprisingly, there is little experimental research on the connection between sleep and emotions. What there is mostly tracks the effects of enforced sleep deprivation. A typical experiment restricts the amount of sleep subjects are allowed to get over days or weeks, then measures the resulting cognitive and emotional effects. Such research shows that sleep restriction tends to make people less optimistic and less sociable. One study at the University of Pennsylvania found that subjects limited to four to five hours of sleep per night for one week reported feeling more stressed, angry and sad. Their moods improved dramatically when they resumed normal sleep.

It's difficult to run experiments in the other direction -- that is, to make people stressed, angry and sad for days or weeks and note the effect on their sleeping ability -- but virtually every human being can vouch that emotional upset can severely impact sleep.

While sleep is clearly vital to emotional well-being, what is it, exactly, about sleep that is so necessary? As it turns out, mood disorders are strongly linked to abnormal patterns of dreaming. Rosalind Cartwright, Ph.D., a leading sleep and dream researcher at Chicago's Rush Medical Center and author of The Twenty-four Hour Mind: The Role of Sleep and Dreaming in Our Emotional Lives, has shown that individuals who dream and remember their dreams heal more quickly from depressive moods associated with divorce. Rubin Naiman, Ph.D., a sleep and dream expert on the clinical faculty of the Arizona Center for Integrative Medicine, believes that "dream loss" rather than sleep loss per se, is "the most critical overlooked socio-cultural force" in the development of depression.

This is important information because many medications used to help people sleep also suppress dreaming. These drugs have become some of the most widely used in our society. Many antidepressant drugs suppress dreaming as well.

I think mainstream research tends to discount the value of dreaming because the experience is utterly subjective. Dreaming is a phenomenon of purely individual consciousness, and consequently impossible to thoroughly deconstruct by a community of researchers. But dreaming matters.

If you dislike or even fear dreaming because the emotional content of your dreams tends to be negative, keep in mind that "bad dreams" may serve a vital function. Consider Dr. Naiman's view that dreaming is "a kind of psychological yoga," that contributes to emotional wellness. He says that dreams "in the first part of the night appear to process and diffuse residual negative emotion from the waking day; dreams later in the night then integrate this material into one's sense of self."

The bottom line: There is good reason to believe you must get sufficient sleep, and embrace rather than suppress your dreams, if you want to experience better moods. If you have difficulty sleeping or are not getting enough sleep or sleep of good quality, you need to learn the basics of sleep hygiene, make appropriate changes, and possibly consult a sleep expert. You might also keep a dream journal at your bedside, which will help you develop the habit of recalling your dreams upon waking, which in turn can help you to embrace and value dreaming.

For more on gentle, natural ways to achieve and maintain emotional well-being, visit my website: SpontaneousHappiness.com.

Andrew Weil, M.D., is the founder and director of the Arizona Center for Integrative Medicine and the editorial director of www.DrWeil.com. Become a fan on Facebook, follow Dr. Weil on Twitter, and check out his Daily Health Tips Blog.

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01:32 AM on 03/08/2012
Remembering dreams, I think, is not very important. It's only important to those who make it so. I feel like dreaming is going on no matter what, and if medications are to blame for the blackness, it's probably just suppressing the ability to remember the dreams... which many many people have who just... dont remember. However this is coming from a person who constantly remembers dreams every morning from when I was little. I even remember dreams from when I was small.
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gneep
if it wasn't always the same, it'd be different
05:00 PM on 04/01/2012
I rarely remember.
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Chunkylover54
me are no nice guy
04:45 PM on 03/05/2012
"but surprisingly, there is little experimental research on the connection between sleep and emotions."

That sounds kinda like what they were doing at harvard in the 50's 60s with pyscadelic drugs.. Links between those drugs and how they could affect emotions and dreams and mental well being.... Too bad someone Sold the men who were doing the research down the river and ruined their lives... I wonder who would have done such a thing?
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Tom Pumroy
practical dreamer-artist Man Ray
04:25 PM on 03/05/2012
I would like to add something I read by Yogananda in his commentary on the Gita; he said that in our nightly excursions of sleep apart from dreams we actually contact the divine source Itself in a kind of unconscious but necessary period of slumbering mediation. I thought that this is a really interesting concept; that whether we believe in the spiritual origin of reality or not we are bathed nightly with a closeness to God that is required for life in the material world, like being hooked up to the Divine battery charger that prepares us for a new day.
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YogiDarwin
What would Saul Alinsky do?
03:58 PM on 03/05/2012
About a year ago I suffered a case of depression. Before I realized I was depressed and sought treatment, my dreams had taken a very strange turn. This is hard to describe but the word that comes closest is "ugly." There was an "ugly" quality to my dreams (but they were not nightmares). I now think my dreams were trying to tell me that I was unconsciously developing an "ugly" attitude toward living (hopeless, helpless, etc.), an attitude that a week or two later manifested itself in a "I-don't-want-to-get-out-of-bed" depressive episode. Psychotherapy was quite effective in getting me out of this awful state. These days I remain on the lookout for an recurrence of such dreams to help me immediately examine my conscious attitudes - and take the requisite actions - before another depressive episode occurs.
12:08 AM on 03/06/2012
Yes, YogiDarwin, you've hit on something here. Attitude is the key word and the determining factor in everything, but especially our attitude to each other. You don't have to be in a dream to feel that "ugly." Our attitudes toward each other have gone way beyond ugly. You see it everywhere, from political content that is beyond hostile (e.g., "...go to hell"), from employees being trampled to death for the latest technology, from school shootings, from moms or dads killing their children, and amazingly, even good Samaritans who get fined or arrested just for trying to lend a hand.

How and when is it going to end? Does it have to reach the point where we kill each other off, just the be rid of the annoyance of each other's existence? Well, maybe. Things certainly seem to be headed that way.

However, there's a phrase: It's darkest before dawn. The dark part is our increasingly self-centered attitude toward ourselves, manifesting in near total lack of care and concern for others. The dawn part is the emergence of a new attitude that, by necessity, considers others. The former ultimately leads to annihilation, the latter to universal peace and well-being. Annihilation we can imagine, but can we imagine universal peace and well-being? Perhaps the better question is: Do we have a choice?
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Marlyn
If I'm wrong, let me know.
02:04 PM on 03/05/2012
As a child I had a recurring nightmare so that I was afraid to dream. So I said to myself, I'm not going to dream anymore, and I didn't, until I was 19 when I decided it might be safe to dream again.

Today I love my dreams. They are the best part of my life.
01:36 AM on 03/08/2012
That's what happened to me too when I started getting sleep paralysis. I kept myself from ever having it again by just saying stop over and over and then falling asleep into blankness. I never have sleep paralysis now and it's been over 6 years.
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JoeyDee2
I know what just passed here
11:46 AM on 03/05/2012
I once attended a presentation by a medical doctor open to the public on insomnia. He said, word for word, “If you are thinking of problems which are keeping you awake at night, you must not think of those problems.” You can’t make this stuff up.

Dreams? Mine are pretty wild and often disturbing. For many Americans, bad dreams and nightmares aren’t as bad as waking reality in our nation these days. I call it a “low-grade” nightmare, one you can’t wake up from.

Depression? I think medication works best when depression originates with brain chemistry disorders. Not so effective, if at all, when the depression is situational. Anti-depressants don’t make reality go away. You need different kinds of drugs for that.
01:42 AM on 03/08/2012
YES!! About antidepressants: I have been depressed. And I decided to change my life for the better. THAT'S what ended it. Nothing else I could have done would have helped. Every once and a while it comes back, and that's when I know it's time for some good healthy change.
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09:31 AM on 03/05/2012
I really appreciate the work Dr. Weil does , this is just one more layer of useful information .
Juvenon is one of the only things that has made me feel better , wish I could afford his other supplements !
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larry cifuentes
09:31 AM on 03/05/2012
When any human has realized the divine reality of the source of life, all his/her life is ecstatic and thus sleeping becomes like that of a little child.
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EdRea
Trees are our native friends.
08:43 AM on 03/05/2012
' This is important information because many medications used to help people sleep also suppress dreaming. '

Do the medications suppress dreaming -- or just the memory of the dreams?
Perhaps the dreams are still there, just not as easily remembered in waking consciousness.
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fumes
Midnight Toker
09:11 AM on 03/05/2012
do you know..

what a thought is made of?
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EdRea
Trees are our native friends.
10:18 AM on 03/05/2012
Dreams -- of which we are having multiple ones all the time.
It's only after all the noise settles down and our brains are operating at a more introspective level, that we are aware of them. But yes, it is the images and dream scenarios going on in the subconsciousness of our minds that help us to form our waking (and sleeping) conscious thoughts.
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JohnFromCensornati
Wake up! It's 1984.
10:33 AM on 03/05/2012
I have the same question. What does "suppress" mean here? No dreams or no memory of dreams? I have not recalled a dream in a very, very long time.
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karen lyons kalmenson
i poem/paint, sometimes, i ain't
08:34 AM on 03/05/2012
i am depressed
i cannot sleep
i cannot sleep
depression, deep
so if i stumble
into dream or two
an escape from
that which
makes me blue
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07:59 AM on 03/05/2012
The opposite of what Weil has said has also been studied, that people who dream too much are depressed or have anxiety, because the dreams that involve some sort of story line are usually stressful dreams. A theory about dreams is they are stressful but are used as a tryout zone for managing problems that may come up in a person's life, a safe place to work out how to escape from a large animal, how to gain courage in the face of unbeatable odds. Studies have shown those people who have this type of dream very frequently througout the night, tend to suffer emotional disorders as well.

There is another type of dream, a dream that does not involve a story line, but just snippets, usually of an activity that someone is working on in the real world and its usually a repetitive dream,and once again, that dream also has value since people can practice challenges by this visualization-like dreams. I have solved engineering problems in such dreams, solved math problems and improved my skiing ability in such snippet dreams.
07:43 AM on 03/05/2012
For thousands of years, we awoke with the sun with the rest of the natural world. However, we continue to go away from nature and try to condition ourselves to live outside the 'normal' time parameters for our internal clocks that our ancestors did. This notion in combination with new social norms - (commuting several hours of the day, sedentary work environment for most) continue to do harm to the human condition. We have boxed ourselves into a dark and bleak corner - until the human condition becomes priority in our lives we will continue to be doomed by our own perceived technical achievements, that are supposed to 'improve' our lives.
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Tom Pumroy
practical dreamer-artist Man Ray
04:05 PM on 03/05/2012
Very good point uholdingon2, our technology has brought with it a departure from the natural world that has proven to be particularly devastating to our ability to interact with reality both in terms of the personal and the larger world around us. Being totally surrounded by the works of our own hands is serving to make us more artificial and this is most in evidence in the cities where nature has been squeezed out or sanitized so that we forget some very basic elements of what it is to be human.

Being estranged from nature we also find ourselves estranged from natures Creator and this brings with it an arrogance that shows itself in nationalism and a stubborn pride in our achievements that will lead to our ultimate downfall. We are so smart and special in our own estimation that we will undoubtably race to the edge of the cliff and having no insight or vision to prevent it take the dive like so many lemmings before us.

The wisdom that might prevent this from happening is scorned and despised by the world in its haste to make a profit. Treating each other and the earth that gives us sustenance with respect and kindness is foreign to our master plan it just doesn't pay the way greed and oppression do. We have clearly chosen which side we are on and we will have to eventually pay the piper and reap what we have sown.
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white mende man
Ask me if I care about your prejudice
06:36 AM on 03/05/2012
I have a bad case of insomnia I get 1 or 2 hours of real deep sleep at night, the rest of the night I let my thoughts flow and try not to torment myself any longer about going to sleep, or I post on HP. Sleeping aids just make me more restless and makes my mind race so I do not take them. No it does not cause me any depression and I feel alert and awake.
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Terri Skau
Se... sotto una splendida luna piena...
11:20 AM on 03/05/2012
I feel ya. Have been doing the same thing for a very very long time..You really don't want to know. I too do the same thing as you. I do believe that my sleeping disorder has contributed to my heart issues that I'm now facing. ;-)
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ikswoliw
01:44 PM on 03/05/2012
I've heard that computer and TV screens inhibit sleep.
05:51 AM on 03/05/2012
I often dream that I can fly, or leap incredible distances, or jump and remain in the air for minutes, or suspend gravity and hover.
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08:01 AM on 03/05/2012
Me too. One time I dreamt that I turned a surfboard upside down, laid on it and held onto the "rudder" and I shot into the air like a bullet, flew around the South Pacific doing mach 3. Other times I think I have found some new found power to suspend gravity, or pull myself up in the air with a flapping motion, but I have to concentrate to hover or else I start falling.
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Tomtom2
SomeOligarchs need a good old fashion Vulcan Pinch
11:50 AM on 03/07/2012
Interesting. I've had those jumping and defying gravity dreams. What a great feeling. The big let down is when I awake. Oh I so want to defy gravity in real life.
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Sasa Milosevic
Impression without expression is depression
05:33 AM on 03/05/2012
Dreaming is a specific state of the soul. Our body is relaxing while our mind and spirit travel out of physical body. I think that someting specific is happening after the death.
05:51 AM on 03/05/2012
Nice imagery, but somehow I doubt that's what's happening. Neuroscience is opening up knowledge that provides rational explanations for our experiences.