Health
‘I can’t sleep because of racing thoughts at night — how can I stop them?’: Ask a doctor
Even when following the recommended sleep hygiene habits — like cutting off caffeine mid-day, stashing your devices an hour before bed, and winding down your day with light music or reading — racing thoughts could still interrupt your nightly rest.
If your sleep routine isn’t a dream, you’re not alone — one in three American adults don’t regularly get the recommended amount of uninterrupted slumber, according to the U.S. Centers for Disease Control and Prevention (CDC).
Fox News Digital asked a psychiatrist for common reasons and his top tips to achieve a quiet mind that’s conducive to rest.
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Reasons for racing thoughts
While causes can vary, there are some common triggers for racing thoughts at night, according to Ramaswamy Viswanathan, MD, president of the American Psychiatric Association, who is based in Brooklyn, New York.
One in three American adults don’t regularly get the recommended amount of uninterrupted sleep, according to the CDC. (iStock)
Stress and anxiety are the primary culprits.
“Anxiety about the day ahead can also cause it,” the doctor told Fox News Digital. “Mental health conditions such as anxiety disorders and bipolar disorder also can lead to racing thoughts.”
Those thoughts tend to be more active at night, when there aren’t other activities occupying the mind.
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“At night, when there are fewer distractions, it’s easier to ruminate over the day we just had and worries such as troubles at work, family or financial concerns,” said Viswanathan, who is also professor and interim chair of the Department of Psychiatry and Behavioral Sciences at Downstate Health Sciences University in Brooklyn.
Consuming stimulants such as caffeine or taking certain medications close to bedtime can also interfere with relaxation and excessive mental activity, he noted.
How do racing thoughts impair sleep?
Racing thoughts lead to a heightened state of arousal, which makes it difficult to relax and transition into sleep, the doctor said.
And when you finally do fall asleep, an anxious mind could interrupt that sleep as the night progresses.
Stress and anxiety are the primary culprits of racing thoughts at night, experts say. (iStock)
“Many people also resume worrying when they wake up in the middle of the night, and this interferes with falling back asleep,” Viswanathan noted.
Although it’s normal to have brief periods of awakening during the night, most people fall back to sleep quickly.
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Those who are experiencing stress, anxiety and worry, however, aren’t able to drift back as easily.
“Since there is physiologic arousal with racing thoughts, that arousal does not readily subside when one falls asleep, and this can interfere with deep, restorative sleep,” Viswanathan told Fox News Digital.
This can be compounded as people then start to worry about their inability to fall asleep, which makes it even more difficult to drift off.
Effects of sleep deprivation
Inadequate or poor-quality sleep can have serious negative effects on the mind and body, including decreased brain function and difficulty making decisions, solving problems and regulating emotions, Viswanathan told Fox News Digital.
“It causes headaches, irritability and fatigue, and reduces attention and functional efficiency,” he said. “It also contributes to traffic accidents, work mistakes and relationship impairment.”
Fatigue, headaches and irritability are among the common effects of insufficient or poor-quality sleep, according to experts. (iStock)
Long-term health can also be compromised.
“Sleep deprivation can suppress immune function, make one more susceptible to infections, and cause unhealthy eating and weight gain,” Viswanathan warned.
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It can also increase the risk of developing chronic health problems like heart disease, high blood pressure, diabetes and stroke, and can also also shorten life span, he added.
Strategies to silence racing thoughts
Taking a proactive approach is the best way to tackle chronic sleep troubles, according to Viswanathan.
“Addressing sleep issues early on and seeking professional help when needed is important to prevent immediate and long-term consequences,” he said.
Sleep deprivation can increase the risk of developing chronic health problems like heart disease, high blood pressure, diabetes and stroke, and can also also shorten life span. (iStock)
Below are some actionable steps to help keep nighttime thoughts under control.
1. Establish a bedtime routine
Sticking to a regular nighttime routine with a consistent bedtime and awakening time is “very important,” Viswanathan advised.
“Sleep deprivation can suppress immune function, make one more susceptible to infections, and cause unhealthy eating and weight gain.”
2. Be careful with late drinking and eating
Abstain from caffeinated beverages, alcohol or heavy food too close to bedtime, the doctor recommended.
3. Refrain from device use close to bedtime
Stop using smartphone displays, television screens and computers an hour before bed, Viswanathan suggested.
Abstain from caffeinated beverages, alcohol or heavy food too close to bedtime, one doctor recommended. (iStock)
“The blue light emitted from these devices interferes with the circadian rhythm,” he said.
Instead, the doctor suggests listening to light music, reading a book, or using relaxation techniques such as progressive muscle relaxation, deep breathing and meditation.
4. Try a warm bath
Taking a warm bath about three hours before turning in may help calm the mind — but Viswanathan cautioned that it shouldn’t be too close to bedtime.
5. Create an environment conducive to sleep
For optimal sleep, the bedroom should be quiet, dark and cool (around 68 degrees Fahrenheit), with comfortable bedding, the doctor recommended.
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Consider using motion-activated night lights to prevent falls in the event that you need to get up in the middle of the night.
6. Schedule a time to worry
If these techniques alone are not sufficient to reduce racing thoughts, Viswanathan suggests scheduling a “worry time,” designating a specific window of time to think about your concerns and identifying a path to possible solutions.
Writing down your worries and anxieties can help prevent sleep-interrupting thoughts. (iStock)
“This reassures you that you will address your worries, but keeps them from spilling over into your bedtime,” the doctor said.
7. Write down your concerns
Consider keeping a notebook next to your bed so you can jot down your worries as they occur and tell yourself you will act on them during the specified worry period the next day, offered Viswanathan.
8. Know when to seek help
If these self-help techniques do not work, it may be wise to seek help from a mental health professional.
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“This is especially important if you are suffering from a mental health disorder,” emphasized Viswanathan.
The professional will perform assessments to identify any sleep disorders and recommend treatment, which may include cognitive-behavior therapy, other psychotherapies or medications.
Health
Dr Oz links obesity to chronic disease surge, says GLP-1s can ‘jumpstart’ better health
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Washington, DC – GLP-1 weight-loss drugs have become a prevalent part of American healthcare, and the current administration is getting behind the movement.
In an exclusive interview with Fox News Digital at the Great American State Fair in the nation’s capital on July 6, CMS Administrator Dr. Mehmet Oz voiced his support for the use of GLP-1 (glucagon-like peptide-1) medications, such as Ozempic, for appropriate uses.
“I’m a fan of GLP-1 drugs when used correctly,” he said. “They do help people who are overweight lose weight quite effectively. They’re not a replacement for diet and exercise, but they might jumpstart the system so it’s easier for you to use healthier tactics.”
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This is especially helpful for those who may have trouble moving due to joint pain or are experiencing internal dysfunction, Oz said.
Certain GLP-1 drugs are covered by Medicare for overweight candidates with certain conditions, such as high blood pressure and diabetes, and Oz projected the benefits will continue to benefit taxpayers.
Dr. Mehmet Oz is pictured in Washington, D.C., at the Great American State Fair, where he spoke about federal health policy. (Angelica Stabile/Fox News Digital)
“We believe these are so effective in reducing conditions like high blood pressure and diabetes that they’ll actually save money for the federal taxpayer, because [they’re] going to make you healthy enough that you don’t have to consume health services,” Oz said.
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“We think about 70% of all the money we spend on healthcare is caused by chronic conditions, and obesity is the No. 1 driver of all that, so it’s a smart decision.”
Oz recently announced the launch of the Medicare GLP-1 Bridge program, which will allow more seniors to access GLP-1 drugs for only $50 a month if they meet qualifying health criteria and receive prior authorization from a doctor.
The doctor expressed support for broadening affordable access to GLP-1 medications for Americans. (iStock)
“There are a lot of overweight people who don’t have high blood pressure, diabetes or other conditions, so they don’t get access to the drug normally,” he said. “We want them to have the ability to use it as well.”
Although these access shifts could boost Americans’ overall health — and in some cases could be lifesaving — Oz noted that there is “no silver bullet” when it comes to these medications.
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“I love the fact that the innovation that’s coming out of pharmaceutical companies is allowing us to save lives and make lives better,” he said. “But the real secret to longevity is eating right, exercising, sleeping, dealing with the stress of your life, finding some purpose in your existence [and] realizing you have agency over the future.”
“These are things that your mom would have told you [and that] you don’t need a doctor to be emphasizing.”
Medicating appropriately, combined with eating right, exercising and staying connected with others, can help make health goals attainable, the doctor said. (iStock)
While GLP-1s may not be a fix-all, combining these medications with foundational health practices “makes a lot of sense,” Oz said.
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“I don’t want people being fat-shamed … I don’t want you feeling guilty that you’re gaining weight even though everyone else around you seems to have figured it out,” he said. “It’s not that simple — our set points for hunger are different. We have different things going on in our lives.”
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“But if you realize how precious you are — the temple of the soul is so valuable. It’s the greatest gift your parents ever gave you, and you take advantage of every tool out there to make it work … which includes using medications when appropriate. That, to me, is MAHA.”
Health
Deadly Legionnaires’ disease outbreak sparks concern in major US city: Know the symptoms
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Amid warnings of a Legionnaires’ disease outbreak on Manhattan’s Upper East Side, health experts say that early recognition of symptoms can mean the difference between a quick recovery and life-threatening complications, especially for high-risk groups.
New York City health officials are urging anyone who has visited the east side of Central Park or Manhattan’s Upper East Side since late June to watch for symptoms.
As of July 6, the New York City Health Department had confirmed 23 cases and 17 hospitalizations associated with the respiratory infection. No deaths have been reported.
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Officials are investigating contaminated cooling towers as the likely source. They have emphasized that the illness is not spread person-to-person and is not linked to the city’s drinking water.
Health experts say that early recognition of symptoms can mean the difference between a quick recovery and life-threatening complications, especially for high-risk groups. (iStock)
“Legionnaires’ disease is deadly but can be effectively treated if diagnosed early,” said NYC Health Commissioner Dr. Alister Martin in a press release. “New Yorkers at higher risk, including anyone who is 50 and older, those who smoke or people with chronic lung conditions should be especially mindful of their symptoms and seek care as soon as symptoms begin.”
What is Legionnaires’?
Legionnaires’ disease is a type of pneumonia caused by Legionella bacteria.
The bacteria is usually found in lakes, streams and other freshwater environments, but can grow in any area where water sits for a long time, according to the CDC.
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That can include shower heads, sink faucets, hot tubs, water features/fountains, plumbing systems and other water systems.
When people swallow or breathe in droplets of water that contain Legionella, they can potentially become ill.
Although human transmission is possible in rare cases, the disease is not typically transmitted among people, per the Centers for Disease Control and Prevention.
Symptoms of infection
Infections can lead to severe pneumonia in older people and those with compromised immune systems, according to Dr. Andrew Handel, a pediatric infectious diseases expert at Stony Brook Children’s Hospital on Long Island, New York.
Symptoms of Legionnaires’ disease usually show up between two and 14 days after exposure.
New York City health officials are urging anyone who has visited the east side of Central Park or Manhattan’s Upper East Side since late June to watch for symptoms. (iStock)
“Legionella infections cause symptoms that are similar to other forms of pneumonia — fever, coughing, difficulty breathing, shortness of breath and chest pain,” Handel previously told Fox News Digital.
“Legionnaires’ disease is deadly but can be effectively treated if diagnosed early.”
The signs are similar to other types of pneumonia, and include the following:
- Cough
- Fever
- Shortness of breath
- Muscle aches and headaches
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Some patients may also experience nausea, diarrhea and confusion, the CDC noted.
Diagnosis, treatment and prevention
A medical professional can diagnose the infection with laboratory tests and chest X-rays.
The condition is typically treated with antibiotics. In cases of severe infection, hospitalization may be required for breathing support and IV hydration.
Around 10% of people who contract Legionnaires’ disease will die from those complications — and the mortality risk rises to 25% for those who get Legionnaires’ while staying in a healthcare facility, according to the CDC.
The bacteria is usually found in lakes, streams and other freshwater environments, but can grow in any area where water sits for a long time, according to the CDC. (iStock)
“Treatment needs to be early and aggressive,” Dr. Nathan Goodyear, an Arizona-based integrative medicine expert, previously told Fox News Digital. “Legionella infection is an intracellular infection that requires antibiotic treatment.”
Antibiotics that are appropriate for Legionella infection include Levofloxacin and Azithromycin.
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“Therapy can be prescribed orally in healthy individuals… but intravenous antibiotics often prove to be the initial option for treatment secondary to the pathogenicity of the disease,” Goodyear said.
Currently, there are no vaccines for Legionnaires’ disease.
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The best strategy to prevent infection is to reduce the growth and spread of the Legionella bacteria. The CDC recommends that building owners and managers use a water management program to reduce the risk.
“New Yorkers at higher risk, including anyone who is 50 and older, those who smoke or people with chronic lung conditions should be especially mindful of their symptoms and seek care as soon as symptoms begin,” city officials stated. (iStock)
To prevent serious illness from Legionnaires’, Goodyear recommends that all smokers kick the habit, and also emphasizes the need to “aggressively support” chronic pulmonary disease.
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“Increasing immune support (vitamin D3, vitamin C, Zinc) is required to counter the immune dysfunction associated with advancing age.”
Obesity is another foundational risk factor for all chronic inflammatory diseases, the doctor added.
Health
Katie Couric couldn’t remember the year or the president during frightening brain episode
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Journalist Katie Couric is sharing a scary medical episode that she experienced on June 27.
In a post on Substack titled “The Day I’ll Never Remember,” she detailed a sudden episode that left her unable to recall the current month, year and president.
“I thought it was 2024. And I believed Joe Biden was president,” she wrote.
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The event occurred while Couric was attending the Aspen Ideas Festival in Colorado, during which she participated in two public panels — one on AI and one on journalism — both of which she cannot remember at all.
“I have no idea what we talked about, or of what occurred when the panels ended,” she said.
Journalist Katie Couric is sharing a scary medical episode that she experienced on June 27. (Getty Images)
John Molner — Couric’s husband, who was in attendance at the festival and the two panels — also shared his account.
After the event, someone told Molner that Katie wasn’t feeling well. When he reached her, an EMT and a doctor were tending to her. “I could tell something was off,” he wrote. “It could have been altitude sickness, but Katie was definitely not all there.”
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At the hospital, when Couric struggled to recall the year, the president and her grandchildren’s names, doctors began checking for a stroke.
An MRI revealed no signs of stroke, which was a relief, but “Katie’s ‘fog’ became a lot more apparent,” Molner wrote.
John Molner, Couric’s husband, who was in attendance at the festival and the two panels, also shared his account. (Getty Images)
“She repeatedly asked me the same questions: ‘What was I doing before we got to the hospital?’ ‘Why am I at the hospital?’”
Couric was ultimately diagnosed with transient global amnesia, a sudden, temporary episode of memory loss that prevents a person from forming new memories and may also erase some recent memories, according to Mayo Clinic.
“The cause seems to be as mysterious as the brain itself.”
It is not caused by a stroke, seizure or head injury, and it usually resolves completely within 24 hours.
“[It’s] just a very weird neural episode that’s pretty uncommon and, at least in most cases, is a ‘one and done’ experience,” Molner said.
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Couric said she finally began feeling “like herself” again around 9 p.m. and went to sleep at 2 a.m.
As TGA leaves a “permanent gap in memory” for the duration of the episode and for hours beforehand, Couric said that from around noon on that day until at least 7 p.m. will remain a “big, black hole.”
As TGA leaves a “permanent gap in memory” for the duration of the episode and for hours beforehand, Couric said that from around noon on that day until at least 7 p.m. will remain a “big, black hole.” (Getty Images)
Data shows that approximately three to eight people per 100,000 will have an episode of transient global amnesia, with people 50 years of age and older at higher risk.
The specific cause of TGA is not known, but some experts believe it stems from a “temporary dysfunction in the brain’s hippocampus — the area responsible for creating new memories,” Couric shared.
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“Doctors believe this is driven by brief interruptions in blood or oxygen flow, or microscopic spasm in the blood vessels.”
Episodes could potentially be triggered by intense physical exertion, emotional distress, extreme temperature changes or migraines, experts say.
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Approximately 15% of patients will have a recurrence 10 years later.
“Why did this happen to me? Was the altitude an issue? Was I dehydrated? Tired? Stressed? The literature doesn’t seem to indicate that these are contributing factors, but the cause seems to be as mysterious as the brain itself,” Couric wrote.
Anyone who experiences sudden memory loss, confusion, difficulty speaking, weakness, numbness, vision changes, severe headache or other stroke-like symptoms should seek immediate medical attention or call 911, doctors advise. (iStock)
“All I know is that those hours will be forever lost. Someone described it as my brain failing to hit the ‘record button.’”
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“While this was a freaky occurrence, it could have been much more serious. So ultimately, I’m relieved — even though several hours of a Saturday in June will always be missing for me.”
Anyone who experiences sudden memory loss, confusion, difficulty speaking, weakness, numbness, vision changes, severe headache or other stroke-like symptoms should seek immediate medical attention or call 911, doctors advise.
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