[HN Gopher] NightWare helps disrupt nightmares for those with PTSD
___________________________________________________________________
NightWare helps disrupt nightmares for those with PTSD
Author : grogu88
Score : 217 points
Date : 2022-11-08 18:44 UTC (4 hours ago)
(HTM) web link (www.apple.com)
(TXT) w3m dump (www.apple.com)
| emadabdulrahim wrote:
| I'm not a veteran (though I went through 1.5 year of mandatory
| service back in my country) but I constantly have nightmares for
| as long as I could remember. There are nights where I don't want
| to go to sleep because the night before I had a particularly
| disturbing nightmare. Remarkably scary dreams.
|
| I'm healthy, exercise nearly ever day. I avoid eating several
| hours before bedtime.
|
| I was diagnosed with GAD (general anxiety disorder) but I don't
| take any meds. I'm slowly coming to the realization that my
| baseline anxiety level is way higher than of the average person.
| For no apparent reason.
|
| It's frustrating but I'm trying my best to figure out a long term
| solution.
|
| edit: grammar
| heavyset_go wrote:
| Prazosin is the one drug on the market approved for PTSD-
| related nightmares, I've heard that it works well, but it's a
| blood pressure medication, so it might not be well tolerated
| based on conditions or other medications taken.
| nonameiguess wrote:
| For what it's worth, though you're clearly not eligible for
| American VA benefits if you served in a non-American military,
| the legal definition of a "veteran" in the US is anyone who
| performed any active-duty military service at all. You don't
| need to see combat to be considered a veteran. You're obviously
| less likely to end up with PTSD if you don't see combat, though
| you'd be surprised. Training can be rough and a fairly high
| number of people end up being assaulted and/or raped while in
| garrison, and of course several US military installations have
| also been the site of mass-shooting events.
|
| Anyway, if this has happened your entire life, I wonder if
| there is really anything you can do about it. That seems
| distinct from trauma-induced. This seems to describe my sister.
| From as early as I can remember, so at least when she was as
| young as 3, she was waking up in cold sweats pretty regularly
| having dreams the entire family except her was murdered in the
| middle of the night. Myself, I can't remember ever having a
| single nightmare my entire life, and I served in the Army
| during Iraq and Afghanistan and even outside of the military
| had a few near-death encounters. Some people are just a lot
| more predisposed to worry than others. It's not necessarily a
| bad trait, either. I'm reasonably sure the high number of near-
| death experiences for me is because I'm way too prone to
| idiotic risks because I never believe anything bad will happen.
| And always surviving just reinforces that even though I know
| rationally I just got lucky. Humanity exists right now because
| my ancestors were mostly a lot more anxious than I am.
| cbtacy wrote:
| That sounds very frustrating and difficult. I'm really sorry.
| Do you have good professional care? Are you in a safe place?
| givemeethekeys wrote:
| I suffered for a couple of decades: anxiety, random panic. I
| was able to address them by following the following:
|
| 1. Have things to look forward to.
|
| 2. Pay attention to nutrition, health, rest, breathing,
| exercise.
|
| 3. Meditate. Socialize.
|
| 4. Occasionally when anxiety grows, breathe, visualize yourself
| performing a repetitive yet fun activity (like swimming laps,
| chopping vegetables.. whatever takes focus). Your heart rate
| will drop and things will calm down.
|
| Sometimes when your heart is racing, it's possible you just
| have pent up energy and you need to crank out some pushups and
| squats at 3am. Such is life.
| lake_vincent wrote:
| If I may suggest something unorthodox - have you tried
| psychedelic therapy? And I don't mean just _taking_ a
| psychedelic, I mean working with a therapist to go on an
| intentional healing journey.
|
| Might be worth a trip to Oregon :)
| fudgefactorfive wrote:
| I admit, although not medically prescribed or supervised,
| doing mushrooms has been one of the most rewarding
| experiences of my life.
|
| Although I still have persistent nightmares it changed my
| understanding of other people and their perspectives to the
| point my anxiety in a lot of situations has vanished.
|
| I don't think people should go nuts with them but I do think
| it's a good idea for some people with anxiety to find a clean
| pleasant care-free place to try them. Even if it just allows
| them to spend a few hours immersing themselves in completely
| different thought patterns and potentially gain something
| from them.
| dimator wrote:
| I have many friends that use marijuana in the evening, which
| helps them relax and sleep. Edibles are very effective these
| days.
| gedy wrote:
| Pot triggers panic attacks in some people though.
| freedomben wrote:
| Particularly if you take too high a dose. If it happens, I
| recommend reducing the intake.
| TaylorAlexander wrote:
| I quit marijuana, but I did use it daily for years. An
| under appreciated aspect of pot and anxiety is the strain
| consumed. Broadly speaking pot is put in to two categories:
| indica and sativa. More indica leaning strains will produce
| more of a body depressing feeling of relaxation and
| tiredness. Sativas are more associated with alertness, and
| as I used pot while doing other things I only consumed pure
| sativas. However some strains of pure sativa are
| particularly prone to increasing anxiety. When I
| encountered those strains I had to stop consuming them and
| look for something else. Dosage is also very important. I
| consumed only roughly a pea-sized amount of ground flour in
| a sitting. High doses of sativa are much more likely to
| highten anxiety. I think it's common for people to take a
| big rip of pot and suffer negative side effects. Very small
| doses are under appreciated I believe.
|
| That said I quit marijuana early this year. I think overall
| my anxiety has decreased. I believe I may have been masking
| emotional problems, and quitting marijuana made it easier
| for me to process them. However if someone is having
| nightmares, they may consider smoking indica before bed. It
| may always depend on the strain, but I believe indica is
| unlikely to trigger panic attacks.
| jakear wrote:
| As relevant here, it blocks REM sleep and thus dreams. This
| can have downsides.
| eurasiantiger wrote:
| It can also have significant upsides.
| yamazakiwi wrote:
| That is only in high THC strains. Many people use
| cannabinoids before bed as a supplement to encourage REM
| sleep.
| schoen wrote:
| There are lots of therapies available for anxiety disorders --
| medication, CBT, talk therapy, biofeedback. Some of the
| psychedelic therapies that are getting official trials now also
| show promise for anxiety. I hope you'll find something that
| works well for you!
| n0tth3dro1ds wrote:
| >medication, CBT, talk therapy, biofeedback
|
| A list of (expensive) pseudo-science.
| gffrd wrote:
| What other approaches do you propose?
| skyyler wrote:
| CBT is backed by clinical evidence. What makes you think
| it's pseudo-scientific?
| contravariant wrote:
| They're dismissing 'medicine' as pseudo-science, I think
| we can ignore their claims.
| n0tth3dro1ds wrote:
| Clinical means nothing. I can open a chiropractic clinic
| and create "clinical" evidence all day long. It's still
| pseudo-science if the results aren't replicable.
|
| Studies surrounding CBT (and the field of psychology as a
| whole) are not replicable. They are, almost always, based
| on converting qualitative metrics (how you feel) and
| filtering them through a designed survey in order to
| convert these qualitative, subjective abstractions into
| something that resembles something quantitative and
| scientific. The result is a field has with a ~40%
| replicability rate in it's most "prestigious" journals.
| So, yes, the "professionals" have PhDs and use the doctor
| salutation. They're not scientists. They're just
| pretending.
|
| Want to know what you almost never see in the studies
| investigating the effectiveness of these "therapies"?
| Life outcome investigations. "Do patients doing CBT
| actually recover from their depression, as measured by
| educational attainment/employment/regaining employment?"
| Good luck finding a study indicating that any significant
| subset of "depressed" people got over their issues as a
| result of the CBT itself with a HARD LIFE OUTCOME as the
| point of investigation. It's all subjective feelings
| filtered through qualitative 1 thru 10 surveys. Patients
| never improve. They stay on the $200/session revenue
| stream forever and get a lifetime prescription to go with
| it, often for a nebulous "condition" that is basically
| synonymous with descriptions of the normal human
| condition. "I feel anxious" gets you a script. Outside of
| panic attacks, it's a normal feeling. "I have trouble
| focusing" gets you an amphetamine script. It's a normal
| feeling. "I lack motivation and purpose" gets you an
| SSRI, with nary a blood test or a scan of the brain.
| Again, a perfectly normal part of being a human.
| Psychotropic intervention in this field is barbaric and
| pseudoscientific. If there is any justice in this world,
| it will be held in the same esteem as lobotomy in the
| future.
| skyyler wrote:
| This could be interesting reading for you:
| https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3584580/
|
| I'm still not sure what is pseudoscientific about "People
| with psychological problems can learn ways of coping with
| the problems, thereby relieving their symptoms."
|
| That's what CBT is...
| n0tth3dro1ds wrote:
| The assessment of their psychological "problem" (often
| too broad to even be considered a condition) is
| pseudoscientific: a qualitative evaluation.
|
| The assessment of the success of CBT is also
| pseudoscientific: a qualitative evaluation.
|
| The result is a field with 40% replicability of journal
| results.
|
| And you share a meta analysis of these pseudo-scientific
| "studies". Add another layer of abstraction to the
| nonsense.
| skyyler wrote:
| Ahhhhh, all psychology is pseudoscience to you. That
| makes sense now.
|
| That's completely fair, and I don't want to interact with
| that at all.
|
| Have a nice day!
| anna_hope wrote:
| "Want to know what you almost never see in the studies
| investigating the effectiveness of these "therapies"?
| Life outcome investigations. "Do patients doing CBT
| actually recover from their depression, as measured by
| educational attainment/employment/regaining employment?"
|
| That's actually exactly how they measure the efficacy of
| many psychological and psychiatric interventions for
| chronic mental health conditions, to the point of it
| being almost laughable, like if you managed to get a job
| or get better grades, that must mean you are doing
| better, everything else be damned. But I suppose that's
| the most objective metric there is.
|
| "They stay on the $200/session revenue stream forever and
| get a lifetime prescription to go with it"
|
| This is anecdotal, but every psychiatrist I've been to
| has attempted to titrate down the dose or remove a
| medication from my regimen if I've been on it a while,
| and observe if the improvements from those can be
| maintained.
|
| Similarly, most of the therapists I have worked with
| proactively suggested reducing the frequency of sessions
| once they've observed improvement.
|
| "often for a nebulous "condition" that is basically
| synonymous with descriptions of the normal human
| condition. "I feel anxious" gets you a script. Outside of
| panic attacks, it's a normal feeling. "I have trouble
| focusing" gets you an amphetamine script. It's a normal
| feeling. "I lack motivation and purpose" gets you an
| SSRI, with nary a blood test or a scan of the brain.
| Again, a perfectly normal part of being a human."
|
| It's attitudes like these that contributed to me failing
| to seek the proper mental health treatment until later in
| my life, until my very real, very observable, non-
| nebulous conditions reached a life-threatening degree.
|
| Something that is "normal" for some people some of the
| time can be disabling or life-threatening if experienced
| by someone most of the time. Most people experience
| physical pain at some points in their lives, but if you
| are in serious pain nearly every day, you would be right
| to seek treatment -- and no, we don't have perfect tests
| for all kinds of pain either.
|
| The fields of psychiatry and psychology have many
| problems, but being a pseudoscience is not one of them.
| n0tth3dro1ds wrote:
| >being a pseudoscience is not one of them.
|
| Replicability is the measure. You don't get to opinion
| your way out of this.
|
| 40% replicability = not science.
| Rimintil wrote:
| Another therapy is a ganglion nerve block.
| intelVISA wrote:
| I need this for dealing with undocumented Win32 APIs
| mtalantikite wrote:
| I used to have night terrors as a kid and I can relate to that
| feeling of not wanting to go to bed. I'm not sure if they're
| genetic or not -- my father grew up during the Algerian
| revolution, so it's hard to tell if his nightmares are just an
| artifact of being terrorized by French colonists.
|
| I also had a period of getting panic attacks in my early 20s.
| One thing that was/has been super helpful for my anxiety and
| general well being was starting a daily meditation practice.
| The Tibetan teacher Mingyur Rinpoche also had an anxiety
| disorder and had panic attacks as a child, and is a very clear
| teacher, if you're ever looking for someone to explore that
| with. I had had a lot of meditation experience before starting
| it, but I found his `Joy of Living` course to be very good (if
| a little basic at first). [1][2]
|
| [1] https://www.youtube.com/watch?v=m38SwUKZZJw
|
| [2] https://joy.tergar.org/
| rpastuszak wrote:
| > [...] my father grew up during the Algerian revolution, so
| it's hard to tell if his nightmares are just an artifact of
| being terrorized by French colonists.
|
| Epigenetics in the wild:
| https://www.scientificamerican.com/article/how-parents-
| rsquo...
| lisper wrote:
| You are not alone. My earliest memories (like from age 3-4) are
| of very specific nightmares, and they have continued to dog me
| my entire life. (Also in 1991 I surprised a burglar in my home
| who took a pot-shot at me with a .38 on his way out the window,
| and that didn't help.)
|
| FWIW:
|
| 1. I think it's genetic. Anxiety seems to run in my family. We
| are descended from Holocaust survivors. I think it is plausible
| that that one event produced strong evolutionary selection
| pressure in favor of paranoia and anxiety.
|
| 2. It gets better as you get older (at least it has for me).
|
| 3. Anxiety is a self-fulfilling prophecy. If you're afraid of
| being anxious, that makes you more anxious. Meditation helps.
| Quiet and/or white noise too.
|
| Good luck.
| shagie wrote:
| > 1. I think it's genetic. Anxiety seems to run in my family.
| We are descended from Holocaust survivors. I think it is
| plausible that that one event produced strong evolutionary
| selection pressure in favor of paranoia and anxiety.
|
| It's... interesting genetics.
|
| https://www.theguardian.com/science/neurophilosophy/2011/sep.
| ..
|
| > How might the traumatic experiences of a pregnant woman be
| transmitted to her unborn children? Research published over
| the past 10 years or so suggests that this probably occurs by
| epigenetic mechanisms. Epigenetics is the study of heritable
| changes in gene activity that are not due to changes in DNA
| sequence. Epigenetics reveals how genes interact with
| environmental factors, and has been implicated in many normal
| and abnormal brain functions.
|
| > A key study in this emerging field, published in 2004,
| showed that the quality of a rat mother's care significantly
| affects how its offspring behave in adulthood. Michael Meaney
| of McGill University and his colleagues found that rat pups
| that had been repeatedly groomed and licked by their mothers
| during the first week of life were subsequently better at
| coping with stressful and fearful situations than pups who
| received little or no contact.
|
| > They further showed that these effects are mediated by
| epigenetic mechanisms that alter expression of the
| glucocorticoid receptor, which plays a key role in the body's
| response to stress. Analysis of the pups' brains at one week
| old revealed differences in DNA methylation, a process by
| which DNA is chemically modified. Methylation involves the
| addition of small molecules called methyl groups, consisting
| of one carbon and three hydrogen atoms, to specific sites in
| the DNA sequence encoding a gene.
|
| ---
|
| Grandmaternal stress during pregnancy and DNA methylation of
| the third generation: an epigenome-wide association study -
| https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5611722/
|
| > Stress during pregnancy may impact subsequent generations,
| which is demonstrated by an increased susceptibility to
| childhood and adulthood health problems in the children and
| grandchildren. Although the importance of the prenatal
| environment is well reported with regards to future physical
| and emotional outcomes, little is known about the molecular
| mechanisms that mediate the long-term consequences of early
| stress across generations. Recent studies have identified DNA
| methylation as a possible mediator of the impact of prenatal
| stress in the offspring. Whether psychosocial stress during
| pregnancy also affects DNA methylation of the grandchildren
| is still not known. In the present study we examined the
| multigenerational hypothesis, that is, grandmaternal exposure
| to psychosocial stress during pregnancy affecting DNA
| methylation of the grandchildren. We determined the genome-
| wide DNA methylation profile in 121 children (65 females and
| 56 males) and tested for associations with exposure to
| grandmaternal interpersonal violence during pregnancy. We
| observed methylation variations of five CpG sites
| significantly (FDR<0.05) associated with the grandmother's
| report of exposure to violence while pregnant with the
| mothers of the children. The results revealed differential
| methylation of genes previously shown to be involved in
| circulatory system processes (FDR<0.05). This study provides
| support for DNA methylation as a biological mechanism
| involved in the transmission of stress across generations and
| motivates further investigations to examine prenatal-
| dependent DNA methylation as a potential biomarker for health
| problems.
|
| ---
|
| Intergenerational effects of maternal post-traumatic stress
| disorder on offspring epigenetic patterns and cortisol levels
| - https://www.futuremedicine.com/doi/10.2217/epi-2021-0015
|
| > Aim: To investigate the association between maternal post-
| traumatic stress disorder (PTSD) during pregnancy and
| offspring DNA methylation and cortisol levels. Materials &
| methods: Blood genome-wide DNA methylation and cortisol was
| measured in the youngest child of 117 women who experienced
| sexual violence/torture during the Kosovo war. Results:
| Seventy-two percent of women had PTSD symptoms during
| pregnancy. Their children had higher cortisol levels and
| differential methylation at candidate genes (NR3C1, HTR3A and
| BNDF). No methylation differences reached epigenome-wide
| corrected significance levels. Conclusion: Identifying the
| biological processes whereby the negative effects of trauma
| are passed across generations and defining groups at high
| risk is a key step to breaking the intergenerational
| transmission of the effects of mental disorders
|
| ---
|
| And specifically about Holocaust survivors - Study finds
| epigenetic changes in children of Holocaust survivors
| https://www.research.va.gov/currents/1016-3.cfm
|
| > The researchers focused on FKBP5, a stress gene linked to
| PTSD, depression, and mood and anxiety disorders. The results
| suggest that Holocaust exposure had an effect on FKBP5
| methylation--a mechanism that controls the gene's expression
| --that was observed in parents exposed to the horrors of the
| concentration camps, as well as their offspring, many of whom
| showed signs of depression and anxiety.
|
| > ...
|
| > She says the researchers pursued this study because
| offspring of Holocaust survivors "said to us in clinic, 'we
| are casualties of the Holocaust and need treatment.'" Her
| team tested blood samples of 32 Holocaust survivors and 22 of
| their adult children for methylation of intron 7, an area in
| the FKBP5 gene. For a control group, they analyzed Jewish
| parents who lived outside of Europe during World War II--most
| were U.S.- or Canadian-born--and their offspring.
|
| > Interestingly, Holocaust survivors and their children
| showed epigenetic changes at the same site of FKBP5 intron 7
| but in the opposite direction. Survivors had a 10 percent
| higher methylation than the control parents, while the
| Holocaust children had a 7.7 percent lower methylation than
| the control children.
| eurasiantiger wrote:
| If only there was a way to demethylate our DNA!
|
| Of course, more relevant is to keep from methylating new
| DNA, and there we can actually make choices that matter.
| shagie wrote:
| Editing DNA Methylation in the Mammalian Genome -
| https://pubmed.ncbi.nlm.nih.gov/27662091/
|
| And from there, the related cites and papers.
|
| This is something that is active research as other
| diseases are also "turned on" by incorrect methylation.
| DNA methylation in human diseases -
| https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6147084/
| blamazon wrote:
| I can relate to the description. I don't wish to take meds on a
| regular basis, but I was prescribed a small dose of clonazepam
| to take occasionally to help dispel the worst panic attacks. I
| take perhaps 1-10 doses a month. Really helps for the I can't
| sleep nights. I find that just having that option available to
| me helps calm my baseline in general. Between this and therapy
| I feel much less anxious overall.
| more_corn wrote:
| You sound like the perfect candidate for nightware. You should
| check it out and report back. I'd like to believe the
| marketing, but it sounds too good to be true.
| irthomasthomas wrote:
| Try sleeping on your side only, or try a snore alarm or
| breathing aids like nasal strips or decongestant. I find my
| nightmares and sleep paralysis are linked to snoring. When you
| snore you are not getting enough oxygen and your heart rate
| increases to compensate. Then for some weird reason your brain
| invents dream scenarios to match your racing heart.
| SXX wrote:
| I'm not actual doctor and there can be better ways to threat
| your problem, but here are two things that helped me greatly
| with quality of sleep.
|
| First of all buy yourself high-quality CO2 meter for ~$100 and
| make sure that CO2 not going over 1000 PPM while you sleeping.
| Every single time I sleep in closed room with bad ventilation
| where CO2 getting over 1200-1500 PPM I will wake up in terror.
| You can't imagine how many people I knew had terrible quality
| of sleep due to bad ventilaton and never realise it.
|
| Second thing if nothing else works. Try strictly-scientific
| lucid dreaming practices: record as much of dreams is possible
| in a diary for several months, do deep breathing before sleep,
| etc. Looking at your hands every now and then is required and
| slightly weird, but it totally worth it. Once you get lucid in
| a dream once and preserve memory of it will become much easier
| to deal with nightmares.
|
| Lucid dreaming cost nothing even though some REM sleep tracker
| like one in Apple Watch is useful. Though beware of bullshit.
| phyzix5761 wrote:
| Meditation definitely helps. A combination of Metta,
| Anapanasati, and Vipassana mediation really helped me.
| aantix wrote:
| Have you ever had a hair tissue mineral analysis done?
| cm2012 wrote:
| My wife had horrible, hours long life-disrupting nightmares
| every day. Prazosin, a medicine your doctor can prescribe,
| solved them within a week, they are much less common and much
| less intense now. Highly recommend to try.
| eurasiantiger wrote:
| Highly not recommended for men! Prazosin decreases
| luteinizing hormone (LH), follicle-stimulating hormone (FSH)
| and ultimately testosterone levels.
| blacksmith_tb wrote:
| Sleep deprivation also lowers testosterone levels[1], and
| Prazosin is commonly prescribed to men with benign prostate
| enlargement, so pick your battles?
|
| 1: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4445839/
| anonymouswacker wrote:
| Have you tried seeing a psychoanalyst, or otherwise delving
| into the meaning of dreams/nightmares? "What you resist
| persists."
| howmayiannoyyou wrote:
| Could be very helpful for those of us who suffer from Central
| Sleep Apneas if the data is there to support that use. Would be
| nice to have the watch wake me if I'm having a CSA episode.
| factsarelolz wrote:
| Great. Vets will lose their VA rating for PTSD and just have an
| app pushed on them. Fucking perfect.
| yamazakiwi wrote:
| What do you mean they will lose their VA rating?
| ohiovr wrote:
| People should talk about their nightmares to their peers more
| often. There are wise symbols in dreams. We must not make so many
| serious mistakes and we must confront evil.
| tgv wrote:
| There is no meaning in dreams. For many people, it (seems to)
| repeat memories, and not in a consistent or logical manner. It
| doesn't tell anything about the future, and doesn't include
| wise lessons about the past. It's an almost random side effect
| of the brain.
|
| > We must not make so many serious mistakes and we must
| confront evil.
|
| True, but healthy sleep is needed to make sound judgement, and
| I find this application pretty impressive.
| hulitu wrote:
| > There is no meaning in dreams. For many people, it (seems
| to) repeat memories, and not in a consistent or logical
| manner. It doesn't tell anything about the future, and
| doesn't include wise lessons about the past. It's an almost
| random side effect of the brain.
|
| Joseph Smith and Jesus would like to have a word with you. /s
| crazygringo wrote:
| A large number of pyschologists would disagree with you.
|
| You're right in that there's repetition, inconsistency, and
| it certainly doesn't predict the future, and there's nothing
| especially wise.
|
| But if you regularly log your dream content, they do tend to
| consistently indicate areas of anxiety and conflict that your
| conscious self is often unaware of. Together with techniques
| like free association, free journaling, and so on, they
| provide important clues for therapists to uncover patterns of
| what underlying source issues are that can then be addressed
| therapeutically in order to bring about healing.
|
| So to say there is "no" meaning in dreams is just as untrue
| as to say they can tell the future.
| ok_dad wrote:
| > There is no meaning in dreams. For many people, it (seems
| to) repeat memories, and not in a consistent or logical
| manner. It doesn't tell anything about the future, and
| doesn't include wise lessons about the past. It's an almost
| random side effect of the brain.
|
| We don't know what the heck dreams are for yet, or really
| where they come from, and you are likely correct that they
| are random signals that occur while your body cleans out your
| brain at night, or something like that, but you still
| shouldn't just state that as fact.
|
| Something many people don't understand about drugs, religious
| experiences, dream interpretation, or anything like that, is
| that it doesn't matter if anything "real" or "magic" is
| actually happening, it only matters that it perturbs your
| mind-scape for a bit to make you look at your life and your
| problems from a different direction, even if it turns out to
| be a strange take or totally useless. Often, it helps you to
| see opportunities or create new stories or ideas that are
| somewhat useful. Mysticism isn't for everyone, but it is a
| useful tool for some people.
| SketchySeaBeast wrote:
| If you find comfort in trying to make sense of chaos go
| hard, but it seems like apophenia to me. The only dreams I
| could consistently remember growing up were when I was
| being chased by Velociraptors or a T-Rex. I got 99
| problems, but a T-Rex ain't one.
| dghlsakjg wrote:
| This is the same as placebo effect. It is still an effect!
|
| If taking a sugar pill improves the actual condition, then
| take the sugar pill.
| simion314 wrote:
| For me the bad nightmares involve someone I love get killed
| by something(electricity, bad people, dawning). This are
| rare and there is no new perspective to look at things.
| From my experience I think this nightmares have an actual
| physical effect like releasing bad hormones in my blood
| because I feel horible the entire day. So I do not need
| dream book to tell me that yeah, i fear and would hate
| losing someone I love. The dreams where I am in danger are
| not even 1% as distrubing, it is like getting chased or
| killed in a video game.
| jurschreuder wrote:
| Terrible how people are used like this by those in power.
| [deleted]
| camdenlock wrote:
| Yeah, it couldn't be possible that a person is capable of
| making and owning decisions for their own life...
| elil17 wrote:
| Seems like it would be possible (perhaps even easy depending on
| how complex their algorithm is) to make an free or open source
| version of this a give it away. It's essentially a zero risk
| intervention so I imagine it would be possible to test it on
| oneself if one had these nightmares.
| Someone1234 wrote:
| Nightware would likely come after you for patent
| infringement[0][1]. In 18-years, if this is effective,
| hopefully it becomes a common feature, and won't even require a
| doctor's prescription.
|
| [0] https://patents.justia.com/patent/10765831
|
| [1] https://patents.justia.com/assignee/nightware-inc
| elil17 wrote:
| I think it would be trivial to replace evade their patents.
| They've phrased all of their claims around using averages
| (over time windows) of different sensor values.
|
| I can describe the following inventions which would not
| infringe upon "Traumatic nightmare detection and
| intervention" (Patent 10765831).
|
| . A method of detecting and intervening in traumatic
| nightmares, the method comprising:
| monitoring a user by collecting data from at least one of an
| accelerometer, a gyroscope, or a heartrate sensor of at least
| one device worn by the user; determining the sum
| of the data values for each of the at least one of the
| accelerometer, gyroscope, or heartrate sensor over a first
| period of time and detecting traumatic nightmares or
| precursors thereof based on a combination of the summed
| values; and causing an intervention based upon
| detection of a traumatic nightmare or precursor thereof;
| wherein detecting traumatic nightmares or precursors thereof
| based on a combination of the summed values comprises summing
| combinations of the summed values over a second period of
| time greater than the first period of time; and
| wherein summed values for each of the at least one of the
| accelerometer, gyroscope, or heartrate sensor are determined
| over a plurality of first periods of time, and the summed
| values corresponding to the plurality of first periods of
| time are summed over the second period of time.
|
| A sum cannot be considered an average because it is not
| representative of the numbers in a list - it is in fact far
| greater than any number in the list.
|
| Yet, for time windows containing a constant number of values,
| this should work just as well as the Nightware algorithm.
| There are plenty of other work-arounds for those patents.
| xavxav wrote:
| I don't a judge will care much about your argument that a
| sum is different from an average for patent infringement
| considerations.
| burkaman wrote:
| Easy to avoid the letter of the patent, but not easy to
| avoid getting sued anyway and having to defend yourself.
| vore wrote:
| Presumably though if you built a version in Europe they
| wouldn't have jurisdiction or grounds to sue?
| jacooper wrote:
| I hope they gibe this to the person the US army electrified in
| Iraq.
| renewiltord wrote:
| > _NightWare is a digital therapeutic system that works in
| conjunction with Apple Watch and iPhone to disrupt nightmares
| related to post-traumatic stress disorder.1 Available by
| prescription only, it's also the first and only digital
| therapeutic developed specifically to treat nightmares that is
| cleared by the FDA.2 NightWare uses information from the Apple
| Watch heart rate sensor, accelerometer, and gyroscope to detect a
| nightmare and then disrupt it through haptic feedback, generating
| gentle pulses on the wrist that gradually increase until the user
| is roused from the nightmare, but not from sleep._
|
| This needs to be protected by prescription so that people don't
| have vibrating wrists? WTF
| blobbers wrote:
| My guess is they want to charge an outrageous amount of money
| for the app, and having it 'prescribed' is part of that.
| They'll charge insurance companies.
| TecoAndJix wrote:
| From their FAQ [1]:
|
| If I have an Apple Watch(r) and iPhone(r), can I bring them to
| my doctor to download NightWare apps?
|
| No. NightWare is not an app. When your doctor writes a
| prescription for NightWare, you will receive an all-inclusive
| kit including everything you need to receive the digital
| therapy, including a preprogrammed Apple Watch(r) and
| preprogrammed iPhone.(r)
|
| I'm going to take a wild guess and say the markup charged to
| insurance companies for these devices are probably insane
|
| [1] https://nightware.com/patient-faq/ edit: added link
| gwill wrote:
| if it isn't an app, then is apple giving them OS level
| permissions or is this a fork of iOS? then would this be
| getting slower update releases than iOS?
|
| i don't see why they couldn't just do this with an app aside
| from trying to make more money selling devices w it already
| installed.
|
| side note: using the term "virbotactile" gives me snake oil
| salesman vibes(no pun intended).
| yamtaddle wrote:
| > if it isn't an app, then is apple giving them OS level
| permissions or is this a fork of iOS?
|
| Gonna guess it's corporate distribution certs (whatever
| they're called, I haven't had to mess with that in years--
| the ones that let you sign & distribute apps outside the
| app store, mostly intended for letting companies distribute
| internal apps that wouldn't be suitable for general use on
| the app store) and you're technically leasing the device.
| Or something along those lines, maybe Apple has a special
| program that's very similar for medical device use. Not a
| custom build of the OS, nor special permissions.
| callahad wrote:
| The footer specifically says this is provided as "a
| dedicated closed-system specially provisioned Apple Watch
| and iPhone. In this configuration, iPhone and Apple Watch
| functionality is limited to running the NightWare app."
| flotzam wrote:
| I wonder if it's possible to extract the totally-not-an-app
| areoform wrote:
| > Available by prescription only, it's also the first and only
| digital therapeutic developed specifically to treat nightmares
| that is cleared by the FDA
|
| Why is this prescription only? I am surprised to see that
| something as unobtrusive and harmless like this should be locked
| behind a prescription.
|
| As they're making specific health claims, these claims should be
| investigated and demonstrated with evidence, but I fail to see
| why something this important and good would be locked behind a
| doctor's visit.
| joelthelion wrote:
| Sounds like it would be reasonably easy for someone else to
| reimplement? Are those sensors available to third-party app
| developers?
| throw33away wrote:
| Simply because an Health Plan is willing to pay 10x - 100x more
| than a consumer is willing to pay.
| Someone1234 wrote:
| If it is prescription they can charge medicare and or the VA,
| if it was just a gadget or licensable piece of technology the
| profit margins are likely lower.
|
| PS - Not justifying, just explaining the business model.
| blowski wrote:
| Exactly. If you can pay $10 for a subscription, they can't
| charge $500 to a healthcare provider.
| brookst wrote:
| Absolutely true, but it also means the ability to pay per-
| user liability insurance rates that a $10 subscription
| would not cover. Being a medical product is not all upside.
| boredemployee wrote:
| for those with PTSD, I tried EMDR therapy and it worked out great
| for me. Expensive but great.
| FollowingTheDao wrote:
| I cannot wait to get my hands on this study to rip it apart:
|
| 65 patients and NO statistically significant changes???? Both the
| sham and treated group did better???? But a "post-hoc" analysis
| said it works great!!!!
|
| What a scam.
|
| https://jcsm.aasm.org/doi/epdf/10.5664/jcsm.10338
|
| Results: Both groups demonstrated statistically significant
| within-person improvement on all measures. While the Active
| system was generally associated with stronger magnitude of
| improvement, none of the comparisons of individual measures
| across conditions reached statistical significance. However, a
| post hoc analysis excluding participants with low frequency usage
| demonstrated significantly better improvement in perceived sleep
| quality with the Active device than Sham.
|
| More:
|
| https://www.fda.gov/news-events/press-announcements/fda-perm...
|
| Throughout the night, Apple Watch sensors monitor body movement
| and heart rate during sleep. These data are sent to the Nightware
| server and, using a proprietary algorithm, the device creates a
| unique sleep profile for the patient. When Nightware detects that
| a patient is experiencing a nightmare based on its analysis of
| heart rate and body movement, the device provides vibrations
| through the Apple Watch while the product is in use.
|
| This device was studied in a 30-day randomized, sham-controlled
| trial of 70 patients. A sham therapy is an inactive treatment or
| procedure that is intended to mimic as closely as possible a
| therapy in a clinical trial. Patients in the sham group wore the
| device, but no vibratory stimulation was provided. Safety was
| assessed using validated measurements of suicidality and
| sleepiness, and there were no changes in either over the course
| of the study in either group. Sleep was assessed with two
| versions of the Pittsburgh Sleep Quality Index scale, the self-
| rated questionnaire for assessing sleep quality, including a
| version of that scale that is intended for patients with PTSD.
| Both the sham and active groups showed improvement on the sleep
| scales, with the active group showing greater improvement than
| sham. The evidence demonstrated the probable benefits outweighed
| the probable risks.
| anthk wrote:
| Tetris, too.
| nonrandomstring wrote:
| The nightmares are part of a (slow and painful) processing of
| PTSD events. Suppressing them may not be helpful and actually
| just kick the can down the road. The benefits of an interrupting
| device would only make sense in an extended longitudinal study
| crossed against a group who fully grieved, undertook guided
| introspection, had their stories heard, and received intimate
| talk-therapy or similar psychological support.
| crazygringo wrote:
| I'm unaware of any evidence for that. To the contrary, people
| with PTSD can suffer chronic nightmares for the rest of their
| lives and show no improvement at all.
|
| Recovering from PTSD involves a lot of therapy of the kind
| you're suggesting. But the idea that diminishing the
| strength/duration of nightmares would somehow interfere either
| with that therapeutic process or the self's own healing
| processes seems entirely unsupported.
|
| Obviously a device like this should be used _in conjunction
| with_ healing therapy. But healing therapy can take a long
| time, and continuing to suffer nightmares during that process
| seems counterproductive.
| nonrandomstring wrote:
| The content of nightmares is the reporting that feeds into
| the processes of reflection and therapeutic correction. No
| dreams, no clue as to what specifically lies at the core of
| an unresolved traumatic experience. Unpleasant as they are,
| they are also useful indicative tools toward recovery.
| crazygringo wrote:
| First, it's one stream of reporting among many. Free
| journaling, free association, recounting, there are so many
| tools therapists use.
|
| And second, you don't need 1,000 nightmares to gather that
| reporting. Ten or twenty will be sufficient.
|
| But the idea that nightmares need to be kept _ongoing_ has
| absolutely no basis.
| nonrandomstring wrote:
| > you don't need 1,000 nightmares to gather that
| reporting. Ten or twenty will be sufficient.
|
| Glad we've established the principles and now we're just
| arguing over the details :)
| crazygringo wrote:
| Well we're not. :)
|
| Your point was that nightmares need to continue in order
| to heal.
|
| My point is that they don't. There is zero benefit to
| that, only harm. The 10-20 nightmares I'm referring to
| can be referenced from the past. They're not about
| benefit from future ones.
|
| And also you don't need the nightmares at all, because
| there are plenty of other sources of material.
|
| You're already misrepresenting the utility of nightmares
| in therapy. Please don't misrepresent me as agreeing with
| you as well.
| nonrandomstring wrote:
| Sorry I thought we had a glimmer of common ground there.
| You seem so very sure of yourself. It doesn't hurt me for
| you to continue with your beliefs if the only issue is
| that we disagree. It's just the end of a promising
| conversation.
| heavenlyblue wrote:
| I have grown up reading books by people of the opinion
| you hold, making strong, very easy to believe claims
| about human mind. None if that is true. All people I know
| who followed these teachings never really struggled in
| life but they have a heck of a ton to say about how
| others should live their life.
|
| Honestly I only think that those who hold opinions like
| yours (without any factual support) are a cancer, but
| besides the point: Can you please provide any peer
| reviewed research to support your opinion?
| brookst wrote:
| Do you have any evidence for this viewpoint? Absent some
| credible evidence, I'm going to file this in the same
| bucket as "God just wants people to suffer, so if you are
| suffering and try to improve your situation, you are
| violating God's will and will burn in hell for eternity."
|
| I'll admit I've only looked at PTSD a little bit, but I
| haven't seen anything indicating that the severity declines
| with more nightmares. Have you?
| endisneigh wrote:
| Is there any proof of this? This is also a strange comment as
| the article says they're doing trials to prove efficacy.
|
| > Currently, NightWare is prescribed to 400 patients in the US,
| 98 percent of whom are active-duty military or veterans. A new
| study in the peer-reviewed Journal of Clinical Sleep Medicine
| shows that participants who used NightWare at least 50 percent
| of the time had significantly better self-reported sleep
| quality compared to participants not using NightWare. "The
| results of our first published clinical trial demonstrate
| NightWare's efficacy, and Apple technology is a critical part
| of that," says Hannah, NightWare's CEO. "NightWare benefits
| from so many of the singular features of the Apple ecosystem --
| the hardware and design of Apple Watch, the quality control
| standards, the ease of software integration and deployment --
| it all comes together to create a system that is changing
| lives."
| akira2501 wrote:
| In particular I find things based on "self-reported" results
| to be highly suspect, particularly when the comparison is
| between a relatively expensive technological therapy and
| simply doing nothing.
|
| There's no blinding and no placebo control and no comparison
| of measurable results over a long period of study.
| nonrandomstring wrote:
| Proof of what?
| smallnix wrote:
| That "nightmares are part of a (slow and painful)
| processing of PTSD events".
| endisneigh wrote:
| > The nightmares are part of a (slow and painful)
| processing of PTSD events. Suppressing them may not be
| helpful and actually just kick the can down the road.
| nonrandomstring wrote:
| Why do you think people have nightmares?
| nonrandomstring wrote:
| endisneigh wrote:
| I'm not a psychologist. I'm sure it differs per person
| depending on many variables.
| nonrandomstring wrote:
| Yes it's very much an individual experience with many
| functions and variables. Here's some (see summary [1]);
|
| Functional threat modelling for templating past events
| onto avoiding future harms, Valli,Revonsuo et al (Centre
| for Cognitive Neuroscience, University of Turku)
|
| "The threat simulation theory of dreaming (TST) () states
| that dream consciousness is essentially an ancient
| biological defence mechanism, evolutionarily selected for
| its capacity to repeatedly simulate threatening events."
|
| Integration and consolidation of past events. Physiology
| and psychology of dreams, Alan S Eiser (Department of
| Neurology, University of Michigan Sleep Disorders Center
| Ann Arbor) "... direct and systematic
| investigation could be made of such topics as the
| occurrence, qualities, recollection, and childhood
| development of dreaming...neurobiological research,
| including lesion and brain imaging studies, have
| established a clearer view of the functional
| neuroanatomy of REM sleep and dreaming."
|
| Processing difficult, complicated, unsettling thoughts.
| Affect integration in dreams and dreaming, Gary Grenell
| (Faculty, Seattle Psychoanalytic Society and Institute,
| USA) "The processes by which dreaming
| aids in the ongoing integration of affects into
| the mind are approached here from complementary
| psychoanalytic and nonpsychoanalytic perspectives. One
| relevant notion is that the dream provides a
| psychological space wherein overwhelming,
| contradictory, or highly complex affects that under
| waking conditions are subject to dissociation, splitting,
| or disavowal may be brought together for
| observation by the dreaming ego."
|
| [1] https://www.psychologytoday.com/us/blog/sleep-
| newzzz/201502/...
| threatofrain wrote:
| Does it matter? The question is looking for empiricism on
| dreams and whether mediating nightmares causes more harm
| down the line.
| more_corn wrote:
| It sounds like you have decided why people have
| nightmares. I'm curious if you have any evidence to
| support your conclusion or if you just made it up.
| MikeTheGreat wrote:
| Hi Eliza!
| nonrandomstring wrote:
| Tell me more about Eliza.
| jorgesborges wrote:
| I think the deeper point being made here is that while
| stopping nightmares does effectively stop nightmares, it
| might not address the trauma producing them -- and by
| suppressing the nightmare you suppress a potential avenue of
| healing.
|
| I understand these treatments are necessary and let people
| live when life might otherwise be intolerable. But there's
| definitely a wider discussion to be had addressing the extent
| to which our mental health apparatus is designed to suppress
| symptoms rather than to become healthier.
| endisneigh wrote:
| Is it really a deeper point that treating symptoms isn't
| the same as a cure?
| nonrandomstring wrote:
| Exactly. Though it's sad, to my mind, that this is dubbed
| "the deeper point".
|
| Is it not extraordinarily obvious that treating the
| symptoms instead of the cause is bad medicine.
|
| If there is a "deeper" point it is to question why shallow,
| expedient, temporary symptomatic treatment is valued above
| long-term root-cause change. I guess that's a question of
| our age.
| lotsofpulp wrote:
| > Is it not extraordinarily obvious that treating the
| symptoms instead of the cause is bad medicine.
|
| What if there is no known way to treat the cause?
| FollowingTheDao wrote:
| There is a treatment, but they don't want to use it yet.
| It is all about Neuronal Nitric Oxide Synthase and
| Glutamate.
|
| https://link.springer.com/article/10.1007/s00213-022-0621
| 2-7
|
| In fact, this may treat most neurological disorders.
| Increasing nNOS as a treatment has been overlooked for
| the last two decades.
|
| https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2413191/
|
| https://www.sciencedirect.com/science/article/abs/pii/S01
| 664...
|
| This is how I cured my Schizoaffective Bipolar Disorder:
| https://onlinelibrary.wiley.com/doi/full/10.1111/gbb.1219
| 3
| more_corn wrote:
| PTSD re-processing of events is probably more traumatic than
| therapeutic. Most trauma treatment is focused on breaking the
| cycle of repetition in order to move pst the traumatic events.
| nonrandomstring wrote:
| Correct. Reprocessing is almost always re-traumatising. That
| is the nature of therapy. It gets worse before it gets
| better. Breaking the cycle requires causal insight. Breaking
| the cycle is not the same as suppressing it. One does not
| move _past_ unprocessed trauma, one moves _through_ it.
| dougmwne wrote:
| Let me offer a different mental model. Instead of a queue
| that needs to be processed to reach a productive
| conclusion, what if we view PTSD like more of a stuck
| process that just sits there taking up a core's resources
| without doing anything valuable?
| nonrandomstring wrote:
| Thats a very interesting analogy that moves the
| discussion beyond "Gods will", "cancerous opinions" and
| endless bleating for "proof" that occupies some other
| outbursts.
|
| I think stuckness is a good metaphor. And yes I see where
| you are going with that - persistent nightmares are
| taxing, waking up feeling physically drained etc. There
| seems a strong case for instrumental suppression, much as
| anti-depressants can help set the necessary conditions
| for long-term therapy.
|
| But I'd take the metaphor further and suggest the
| nightmares are processes that are signalling, but those
| signals are not acted upon. We sometimes need help in
| interpreting and verbalising those signals so that we can
| hear them ourselves. My objection would be to blocking
| those signals as a first recourse (and allowing that to
| become a normalised response to intrusive reliving as
| other self-medication is so often with veterans I've had
| contact with).
| my_city wrote:
| Lets try to fix the horrors of capitalism and imperialism with
| techno-futurism, new toys and more consumption!
|
| I sure love living in a capitalist dystopia, fueled and sustained
| with the blood and sweat of millions of poor people in the Third
| World that I actively participated to invade and bomb. Please
| sell me new toys to alienate myself, thank you Lord Apple.
| jl2718 wrote:
| There was a period of time during the COVID lockdown when I had
| dreams/nightmares about my time in or with the military every
| night: basic training, deployment, etc. I wish I still had them;
| my dreams of normal life today are probably too boring and
| insignificant to remember. Surely there are a lot who suffer from
| PTSD. I'm not sure, but maybe the same ones that took it over the
| top down range, or even in training. We were getting shelled on
| base one night when I was working late by the flight line, and
| took my time getting into the bunker. Was met with a rifle in my
| face, screaming, hyperventilating, single-chevron. Yeah, that
| dude. The 1SGT's experience in the article, that's pretty extreme
| too. For a lot of us though, it was the most significant thing
| we've ever done in the world, whether we agree morally with it or
| not, and the dreadful reality is that we'll never be there again,
| and even if we are, it won't be the same because we are not the
| same, now with forced introspection and greater context, no
| longer passive observers of ourselves in a third-party role. The
| movies are great when they visit me. I admit that I don't have
| nearly as much action or horror in the collection as some, but
| there is also comedy, drama, coming-of-age, etc.
|
| Probably irrelevant/offensive/etc, but, whatever.
|
| Oh yeah, one more stupid thing about dreams. In my last
| deployment, I left Stanford and a startup because I wanted to
| reclaim that feeling of being a warrior, and got assigned to
| special forces. One of my first nights on the SF base, I had one
| of my most vivid dreams ever, a childhood friend of mine whom I
| knew was no good but believed in him anyway, beat a pet cow to
| death right in front of me, screaming and begging and pleading
| for him to stop. This bothered me throughout the deployment. I
| could rationally accept that it was just random neurons firing,
| but something told me that I had to make sense of it in terms of
| why I was there and what I was supposed to get out of it. Maybe
| these things are supposed to torture us. This is the chaos monkey
| of our conscience and normal pattern of expectation and response,
| pointing out the weaknesses.
| yonaguska wrote:
| I used to have very vivid nightmares similar to the one you had
| of your childhood friend. Extremely violent, extremely vivid
| stuff, especially common when I was a child/teenager. I didn't
| have an easy life, but nothing really violently traumatic ,
| just the usual fights with my brothers, and the YMCA pickup
| basketball fights.
|
| I'm just glad I'm not the only one. The violent nightmares
| actually started to resurface in my early 20s, when I was
| actively training Muay Thai, but I was also binge drinking- I
| cut both of those activities- Muay Thai due to headaches,
| drinking alcohol, just because I stopped enjoying it. I suspect
| that there's some aspect of physical head trauma that puts our
| brain into a subconscious fight or flight mode when we dream.
| BiasRegularizer wrote:
| Apple Watch has so many health features, but the main hinderance
| for me is its relatively short battery life - I often forget to
| put it back on after charging it.
|
| Has anyone tried having two apple watches so one can be worn
| while the other charges?
|
| [edit] Charging it at night is kind of missing the point, as I
| would like to track both my daily activities and my sleep
| nanidin wrote:
| I get a notification on my phone when my watch is fully
| charged. This is my reminder to put the watch back on.
| blobbers wrote:
| It now reminds you to charge before bed. My watch tells me
| about 8pm.
|
| Once you get in the habit of charging it then and always
| sleeping with it, easy to form a habit.
| jquery wrote:
| I just got the Apple Watch 8, it's my first Apple Watch. The
| battery life is excellent. Lasts for 3 days from a full charge.
| Throwing it on the charger for a few minutes every day while I
| wash dishes is enough to keep it charged indefinitely.
| alliao wrote:
| charge during shower gets me through whole day no issues... and
| random charging when i'm sitting down working when i noticed it
| went too low ( < 20% )
| thewataccount wrote:
| > Has anyone tried having two apple watches so one can be worn
| while the other charges?
|
| It's terrible that it's come to this IMO. The Apple watch has
| some great features and can't directly compare, but I can't
| help compare it to Pebble watches almost 10 years ago - weeks
| worth of battery life. Even when it "died" it would work for
| days longer as a watch.
|
| I know the Apple watch has different features, constant heart
| rate and accelerometer monitoring, etc - but how are we
| supposed to use it for sleep monitoring (my usecase) if we need
| to charge it at night anyway? I find it's really, really good
| at it and I want to use it so badly.
|
| Surely this is a stupidly huge flaw if the battery life is so
| low that people are considering a second watch just for
| monitoring the second half of their day (sleeping)?
|
| (I still own an apple watch, and I know there's still a large
| community supporting them but I wish they were still
| manufactured)
| alwillis wrote:
| The first thing I did was turn-off the always on display,
| which save a lot of energy.
|
| I also turned off the background processing of most apps,
| which saves battery. Same thing with location if the app
| doesn't require it to function properly.
| jquery wrote:
| This may be true for older Apple Watches, but it's not true
| for the latest Apple Watch. I get 3 days of battery life on
| regular usage, and a full charge only takes about an hour.
| Throwing it on the charger while I take a shower or wash
| dishes is enough to keep it topped off.
| thedanbob wrote:
| Even older ones are decent. I have a 4 and it's probably
| got about 2 days of battery life. I put it on the charger
| for an hour every morning as part of my routine.
| thewataccount wrote:
| Admittedly mine is a bit older and I haven't kept _super_
| up to date with people's experiences.
|
| Which model do you have? I'm pretty sure the real expensive
| one (ultra?) has pretty good battery life, I'm not sure
| about the others
| nebula8804 wrote:
| Here is an article that compares charging times on the
| newest vs somewhat old apple watches:
| https://www.androidauthority.com/how-long-does-apple-
| watch-t...
|
| Also Apple introduced a "Low Power Mode" on WatchOS 9
| that allows you to potentially get 60 hrs on the Apple
| watch ultra. This link discussed what is disabled in this
| mode. Seems like it would work for your use case or at
| the very least you run low power mode during the day and
| turn it off at night for better sleep monitoring:
| https://www.macrumors.com/how-to/enable-low-power-mode-
| apple...
| singingboyo wrote:
| I usually charge my watch while sleeping and grab it in the
| morning along with my phone, but I'd assume a second watch
| would work? It's an expensive route with the watch, but it's a
| solution in many other spaces. My wireless headset, for
| example, has a replaceable, rechargeable battery.
|
| For best results, you'd want to use a single charger, and to
| always put the alternate on immediately.
|
| That said, the watch can notify when charged, which might be a
| better first step. The settings for that live in the sleep
| settings, of all places, but might be worth a shot?
| a2tech wrote:
| My friends with the newer watches/chargers say that they throw
| it on the charger when they get up to hit the shower in the
| morning and its mostly charged by the time they're ready to
| head out to work.
| brian_herman wrote:
| I've done that have two apple watches I used to have a series 7
| and a se charge. But I've gotten an Ultra and I only have to
| charge it for a couple minutes to get a whole night worth of
| tracking.
| igammarays wrote:
| An example of capitalism gone wrong when you have to get a
| prescription and health insurance just to download a vibrator
| app.
| parker_mountain wrote:
| It's way more complicated than "just downloading an app".
| Considering it's a medical treatment, they currently ship it as
| an appliance (for various reasons).
|
| You are not getting a prescription for an app, you are getting
| an MDM'd device that ONLY runs the Nightmare application.
|
| You would know this if you read the article.
| olig15 wrote:
| Which implies that this thing either has custom hardware for
| the watch, or it's an app that anyone could install in theory
| if they had access. I doubt it's the former.
|
| On the face of it this sounds like a way to extract more
| insurance money.
| carabiner wrote:
| I thought I had daymares, but it turned out waking life is a
| nightmare that never ends until I choose.
| theCrowing wrote:
| If you or someone you know if suicidal, call one of the numbers
| below. If someone is in IMMEDIATE danger, please call your
| local emergency number (e.g. 911 in the US).
|
| United States: Emergency: 911 Suicide Hotline: 988
|
| Algeria: Emergency: 34342 and 43 Suicide Hotline: 0021 3983
| 2000 58
|
| Angola: Emergency: 113
|
| Argentina: Emergency: 911 Suicide Hotline: 135
|
| Armenia: Emergency: 911 and 112 Suicide Hotline: (2) 538194
|
| Australia: Emergency: 000 Suicide Hotline: 131114
|
| Austria: Emergency: 112 Telefonseelsorge 24/7 : 142 Rat auf
| Draht 24/7 : 147 (Youth)
|
| Bahamas: Emergency: 911 Suicide Hotline: (2) 322-2763
|
| Bahrain: Emergency: 999
|
| Bangladesh: Emergency: 999
|
| Barbados: Emergency: 911 Suicide Hotline: Samaritan Barbados
| (246) 4299999
|
| Belgium: Emergency: 112 Suicide Hotline: Stichting
| Zelfmoordlijn 1813
|
| Bolivia: Emergency: 911 Suicide Hotline: 3911270
|
| Bosnia & Herzegovina: Suicide Hotline: 080 05 03 05
|
| Botswana: Emergency: 911 Suicide Hotline: +2673911270
|
| Brazil: Emergency: 188
|
| Bulgaria: Emergency: 112 Suicide Hotline: 0035 9249 17 223
|
| Burkina Faso: Emergency: 17
|
| Canada: Emergency: 911 Suicide Hotline: 1 (833) 456 4566
|
| Chad: Emergency: 2251-1237
|
| China: Emergency: 110 Suicide Hotline: 800-810-1117
|
| Colombia: 24/7 Helpline in Barranquilla: 1(00 57 5) 372 27 27
| 24/7 Hotline Bogota: (57-1) 323 24 25
|
| Congo: Emergency: 117
|
| Croatia: Emergency: 112
|
| Cyprus: Emergency: 112 Suicide Hotline: 8000 7773
|
| Czech Republic: Emergency: 112
|
| Denmark: Emergency: 112 Suicide Hotline: 4570201201
|
| Egypt: Emergency: 122 Suicide Hotline: 131114
|
| El Salvador: Emergency: 911 Suicide Hotline: 126
|
| Equatorial Guinea: Emergency: 114
|
| Estonia: Emergency: 112 Suicide Hotline: 3726558088 ; in
| Russian 3726555688
|
| Ethiopia: Emergency: 911
|
| Finland: Emergency: 112 Suicide Hotline: 010 195 202
|
| France: Emergency: 112 Suicide Hotline: 0145394000
|
| Germany: Emergency: 112 Suicide Hotline: 08001810771
|
| Ghana: Emergency: 999 Suicide Hotline: 2332 444 71279
|
| Greece: Emergency: 1018
|
| Guinea: Emergency: 117
|
| Guinea Bissau: Emergency: 117
|
| Guyana: Emergency: 999 Suicide Hotline: 223-0001
|
| Holland: Suicide Hotline: 09000767
|
| Hong Kong: Emergency: 999 Suicide Hotline: 852 2382 0000
|
| Hungary: Emergency: 112 Suicide Hotline: 116123
|
| India: Emergency: 112 Suicide Hotline: 8888817666
|
| Indonesia: Emergency: 112 Suicide Hotline: 1-800-273-8255
|
| Iran: Emergency: 110 Suicide Hotline: 1480
|
| Ireland: Emergency: 116123 Suicide Hotline: +4408457909090
|
| Israel: Emergency: 100 Suicide Hotline: 1201
|
| Italy: Emergency: 112 Suicide Hotline: 800860022
|
| Jamaica: Suicide Hotline: 1-888-429-KARE (5273)
|
| Japan: Emergency: 110 Suicide Hotline: 810352869090
|
| Jordan: Emergency: 911 Suicide Hotline: 110
|
| Kenya: Emergency: 999 Suicide Hotline: 722178177
|
| Kuwait: Emergency: 112 Suicide Hotline: 94069304
|
| Latvia: Emergency: 113 Suicide Hotline: 371 67222922
|
| Lebanon: Suicide Hotline: 1564
|
| Liberia: Emergency: 911 Suicide Hotline: 6534308
|
| Luxembourg: Emergency: 112 Suicide Hotline: 352 45 45 45
|
| Madagascar : Emergency: 117
|
| Malaysia: Emergency: 999 Suicide Hotline: (06) 2842500
|
| Mali: Emergency: 8000-1115
|
| Malta: Suicide Hotline: 179
|
| Mauritius: Emergency: 112 Suicide Hotline: +230 800 93 93
|
| Mexico: Emergency: 911 Suicide Hotline: 5255102550
|
| Netherlands: Emergency: 112 Suicide Hotline: 900 0113 New
| Zealand: Emergency: 111 Suicide Hotline: 1737
|
| Niger: Emergency: 112
|
| Nigeria: Suicide Hotline: 234 8092106493
|
| Norway: Emergency: 112 Suicide Hotline: +4781533300
|
| Pakistan: Emergency: 115
|
| Philippines: Emergency: 911 Suicide Hotline: 028969191
|
| Poland: Emergency: 112 Suicide Hotline: 5270000
|
| Portugal: Emergency: 112 Suicide Hotline: 21 854 07 40 and 8 96
| 898 21 50
|
| Qatar: Emergency: 999
|
| Romania: Emergency: 112 Suicide Hotline: 0800 801200
|
| Russia: Emergency: 112 Suicide Hotline: 0078202577577
|
| Saint Vincent and the Grenadines: Suicide Hotline: 9784 456
| 1044
|
| Saudi Arabia: Emergency: 112 Serbia: Suicide Hotline: (+381)
| 21-6623-393
|
| Senegal: Emergency: 17
|
| Singapore: Emergency: 999 Suicide Hotline: 1 800 2214444
|
| Spain: Emergency: 112 Suicide Hotline: 914590050
|
| South Africa: Emergency: 10111 Suicide Hotline: 0514445691
| South Korea: Emergency: 112 Suicide Hotline: (02) 7158600 Sri
| Lanka: Suicide Hotline: 011 057 2222662
|
| Sudan: Suicide Hotline: (249) 11-555-253 Sweden: Emergency: 112
| Suicide Hotline: 46317112400
|
| Switzerland: Emergency: 112 Suicide Hotline: 143
|
| Tanzania: Emergency: 112
|
| Thailand: Suicide Hotline: (02) 713-6793
|
| Tonga: Suicide Hotline: 23000
|
| Trinidad and Tobago: Suicide Hotline: (868) 645 2800
|
| Tunisia: Emergency: 197
|
| Turkey: Emergency: 112
|
| Uganda: Emergency: 112 Suicide Hotline: 0800 21 21 21
|
| United Arab Emirates: Suicide Hotline: 800 46342
|
| United Kingdom: Emergency: 112 Suicide Hotline: 0800 689 5652
|
| United States: Emergency: 911 Suicide Hotline: 988 Zambia:
| Emergency: 999 Suicide Hotline: +260960264040
|
| Zimbabwe: Emergency: 999 Suicide Hotline: 080 12 333 333
| carabiner wrote:
| Please don't. Posting the suicide hotline does not make you a
| hero. Also your list is missing numerous countries, including
| Afghanistan, Malawi, Ukraine. Some countries like South Korea
| are confusingly listed on the same line. Very poor UX, this
| list.
| theCrowing wrote:
| Nothing less expected.
| [deleted]
| eql5 wrote:
| My personal favorite: healing music!! Here a link to the most
| harmonic/healing music you could ever find on this planet:
|
| https://iasos.bandcamp.com/
| alliao wrote:
| bit of jacob collier does it for me as well..
| hulitu wrote:
| > Veterans find relief from nightmares with NightWare and Apple
| Watch
|
| ... nightmares caused by the price of Apple hardware. /s
| smilebot wrote:
| Would be incredible if they integrated with 8sleep.
| breezedream wrote:
| Curious why it seems restricted to veterans, considering
| nightmares (and night terrors) affect many with PTSD across
| causal groups. Maybe it's a regulatory thing right now.
| not-my-account wrote:
| Yea - could someone shed some light on this? What would the FDA
| have to do with an app like this? What risk to the public could
| an app like this pose? "We had to get an
| independent security audit and submit it for FDA clearance"
|
| Security audit is probably a good thing. Maybe they need FDA
| clearance for doctors to prescribe the usage of an app? That
| just seems ridiculous to me, but also right up the FDA's alley.
| tgv wrote:
| What if it would have worsened it? Or had unwanted side
| effects? That you call it an "app" doesn't mean it cannot
| affect your health, to state the obvious. And that's
| regulated territory, and with good reason.
| eropple wrote:
| Why is it ridiculous for a medical device to be reviewed by
| the governmental agency whose remit includes reviewing
| medical devices?
| pc86 wrote:
| Because it's not a medical device, it's a vibrating watch.
| eropple wrote:
| This comment is whatever middlebrow dismissal would be,
| but for basic facts of U.S. law. As per the Food, Drug,
| and Cosmetics act of 1938, we have 21 U.S. Code SS321[1]:
|
| _(1) The term "device" (except when used in paragraph
| (n) of this section and in sections 331(i), 343(f),
| 352(c), and 362(c) of this title) means an instrument,
| apparatus, implement, machine, contrivance, implant, in
| vitro reagent, or other similar or related article,
| including any component, part, or accessory, which is_
|
| _> (A) recognized in the official National Formulary, or
| the United States Pharmacopeia, or any supplement to
| them,_
|
| _> (B) intended for use in the diagnosis of disease or
| other conditions, or in the cure, mitigation, treatment,
| or prevention of disease, in man or other animals, or_
|
| _> (C) intended to affect the structure or any function
| of the body of man or other animals, and which does not
| achieve its primary intended purposes through chemical
| action within or on the body of man or other animals and
| which is not dependent upon being metabolized for the
| achievement of its primary intended purposes. The term
| "device" does not include software functions excluded
| pursuant to section 360j(o) of this title._
|
| The developer of the _device_ themselves clearly
| understands that this "vibrating watch" qualifies as a
| medical device.
|
| [1] - https://www.law.cornell.edu/uscode/text/21/321
| sneak wrote:
| Veterans have lots of social credit, and this is a marketing
| piece from Apple.
|
| Much of their target market will feel goodwill toward the Apple
| brand as a result of Apple developing products that provide
| help for a group the person so targeted holds in high esteem.
|
| Of course it helps everyone with PTSD, but I assume thay the
| demographic Apple is targeting with this bit of marketing is
| more moved by the mention of military veterans than a mention
| of mental illness in general.
|
| The subheading of the article does say that it is for PTSD
| without further qualification.
| burkaman wrote:
| I don't think it's restricted to veterans, the website says
| it's approved for adults 22 or older with a nightmare disorder
| or nightmares caused by PTSD. You need a prescription, but you
| don't need to be a veteran.
| ok_dad wrote:
| I see it's being prescribed, and to a small-ish number of
| people (400), so perhaps it's in a trial phase? FDA has 5
| phases for medical device development (googled below):
| Step 1: Device Discovery and Concept. Step 2:
| Preclinical Research-Prototype. Step 3: Pathway to
| Approval. Step 4: FDA Device Review. Step 5:
| FDA Post-Market Device Safety Monitoring.
|
| They could be on step 3, where they do clinical trials. Maybe
| working with the VA, or perhaps they advertised at VA hospitals
| or veteran's groups. I would imagine that's the easiest group
| to find and recruit into your trial.
| thr0wawayf00 wrote:
| I love a lot of the innovation going on in the healthcare digital
| space wrt apps, but this NightWare service reminds me of
| Sleep.io, which has become a nightmare to try to procure.
|
| I've been trying for months to get on Sleep.io as I suffer from
| chronic insomnia, and it has been one of the most frustrating
| journeys I've endeavored upon. They only provide their app to
| insurance customers that partner with them, there is no option to
| buy a subscription directly. Despite their marketing and outward
| "shoot us a message and we'll help you out" virtue-signaling, you
| quickly realize that you're just sending messages into the void.
| I tried so hard and offered to pay a subscription rate to try the
| service. Didn't even get a response.
|
| It's the absolute worst of all worlds: being prevented from being
| able to use an app that I shouldn't need to talk to a doctor
| about or have the correct insurance for is unbelievably
| frustrating. Stuff like this terrifies me for our future.
| jacooper wrote:
| Just pirate it ?
| ugh123 wrote:
| blast them on twitter/fb/whatever
| blobbers wrote:
| What an amazing innovation using a simple trigger!
| altairprime wrote:
| I've been waking up my partner from PTSD nightmares for the last
| three months whenever they make nightmare noises, which I'm used
| to doing so I don't remember doing it most of the time, and they
| don't remember waking up either.
|
| But when I leave town for a week they start remembering
| nightmares again, and then when I get back I remember prodding
| them out of them for a couple nights, and then both of us stop
| remembering.
|
| I still don't know whether or how _often_ I'm bothering them out
| of nightmares at night, but clearly I _am_ doing so, and it'd be
| nice to have something doing that for them so that they aren't
| dependent on someone else for it. I don't mind at all being
| helpful, but this still sounds like a huge quality of life
| improvement for them!
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