Individuals will find it very difficult to get out of bed as they will have no energy. When this pattern continues for too long these individuals will need stimulants such as coffee, energy drinks, or other caffeinated beverages to give them the ability to function throughout the day. It is important to address any sleep issues as early as possible as chronic sleep disturbances will lead to anxiety, stress, depression, and altered cognitive function. What can you do? 1. Eat appropriate diet and don’t skip meals 2. Decrease inflammation 3. Obtain a functional neurological exam to identify function of sympathetics and parasympathetics 4. Comprehensive lab work that includes blood sugar and salivary cortisol levels 5. Decrease stress and anxiety utilizing techniques and therapy such as meditation, neurofeedback, and deep breathing References: Riemann, D., Kloepfer, C., & Berger, M. (2009). Functional and structural brain alterations in insomnia: Implications for pathophysiology. The