I won't argue he oversimplified, but I agree with the morale of the story. My bigger issue is the tone of the blog. This is clearly not written to engage in a scientific discussion of debatable points (which is what they are). It's interesting he uses the term "scaremongering" 4/
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Replying to @Sleep_Strong @sleepscientist
hi! I'm the author of that essay. I'm down to engage in a scientific discussion of debatable points. Let me know if I got anything wrong in my essay, I will correct it.
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Replying to @alexeyguzey @sleepscientist
I'll start with sleep deprivation does cause death as made evident by animal models (obviously can't test this experimentally in humans) Everson, C. A., Bergmann, B. M., & Rechtschaffen, A. (1989). Sleep deprivation in the rat: III. Total sleep deprivation. Sleep, 12(1), 13-21.
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If I get a chance I'll try to take a look back through and highlight other things, but as a sleep researcher and clinical psychologist, I would say TSD is last resort, not a first line treatment. We don't know how it works, so we don't know what it does long term. Obviously, some
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sleep researchers and clinicians might disagree with me on that one, hence the debate.
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Replying to @Sleep_Strong @sleepscientist
genuinely curious if you have you ever prescribed sleep deprivation and whether it worked / what were the side effects
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Replying to @alexeyguzey @sleepscientist
Nope, the only instance in which I'd potentially consider it is with someone acutely suicidal, but suicidality is actually a pretty acute state and I'd suggest a night of sleep first. I do think it's a great area for further exploration (read an article where TSD + light therapy
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Replying to @Sleep_Strong @sleepscientist
hmmm, why if the negative side effects are mostly minor and rare?
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i feel like i gotta be missing something that specialists do know and i don't
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It's the quality of evidence. See Cochrane's mention sleep deprivation when discussing light therapy.https://www.cochrane.org/CD004050/DEPRESSN_light-treatment-for-non-seasonal-depression …
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Clinicians are very conservative when it comes to treatment plans they have a duty of care. When assessing evidence there's a hierarchy to quality, and the evidence for sleep deprivation is very weak when compared to current best practices, need a RCT at the very least.pic.twitter.com/lW8DTfuxpH
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hmmm. I'm still confused. There are a ton of different types of psychotherapy practiced by people, e.g. internal family systems therapy that seems to have become fashionable recently. it's used as a method to treat depression, however my impression is that its strength of...
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Replying to @alexeyguzey @minimumnz and
...evidence is of about similar quality. I do understand why people don't prescribe serious medications without a lot of trials, but sleep deprivation seems to be super safe. Unless your patient is a bipolar (in which case SD can trigger mania)...
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