All about sleep

Nov 22, 2025 1:06 am

Hi ,

Thank you for your kind responses to my email last week about "How preventable is dementia?"

How is your sleep?

As you know, sleep is a very important pillar of brain health.

When I talk to patients about sleep, I usually see three broad patterns.


The first group is people who simply do not prioritize sleep. Life feels busy, evenings stretch later, and sleep becomes the place we “borrow” time from. They may not have a sleep disorder, but their brain and body are running on a constant sleep debt.


The second group, and a very large one, is women in perimenopause and after menopause who live with chronic insomnia. They are people who have difficulty falling or staying asleep, and it affects their functioning the next day. They are tired of being told to “just relax” or “go to bed earlier”. These sleep hygiene techniques won't help them. They need Cognitive Behavioural Therapy for Insomnia.


The third group is people with sleep disorders, such as obstructive sleep apnoea, restless legs, or circadian rhythm problems. These do not improve with simple tips. They need specialized help.


Below is a series of podcast episodes that walk through these different sleep challenges in a structured way.


Here are the episodes:



You can also find all of them on one page here:


If you recognize yourself in any of these three groups, I hope you will listen to the episodes that feel most relevant to you. My goal is to help you understand what might be going on, and to offer practical, science-based strategies that you can discuss with your health care provider.


If you have a friend or family member who struggles with sleep, please feel free to share the link with them.


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Best regards,

Shabnam




Dr. Shabnam Das Kar, MD

Functional Medicine Doctor

Tiny Habits Coach

Email: info@drkarmd.com


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