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  • Neurological Health – Sleep Support

    Neurological Health – Sleep Support product 1
    Neurological Health – Sleep Support product 2
    Neurological Health – Sleep Support product 3
    4 more items in Neurological Health – Sleep Support

    Sleep is essential for good health, yet it is reported that up to 30% of people experience difficulties with falling or staying asleep. ( 24 ) One study found the number of people suffering from various sleep disorders has also been on the rise. From the year 2013 to 2016, increases were seen in the prevalence of narcolepsy by 14%, idiopathic hypersomnia by 32%, periodic limb movement disorder by 30%, and rapid eye movement sleep behavior disorder by 64%. ( 2 ) Sleep disorders can occur as a secondary disease from other disorders or they can be considered the primary disease affecting a patient. A meta-analysis found that patients with anxiety, eating disorders, pervasive developmental, borderline, and antisocial disorders, and schizophrenia all experienced some sort of alteration to sleep. None of the conditions studied had similar polysomnographic profiles, suggesting each condition may have different underlying mechanisms. ( 6 ) Depending on the factors associated with disturbed sleep, a variety of therapies may be used. Interventions such as sedatives or anxiolytic pharmaceuticals are available; however, the American Academy of Sleep Medicine endorses the use of melatonin, light therapy, and behavioral interventions as the primary treatments. ( 4 ) The protocol presented below represents research findings to aid in achieving and maintaining good sleep. Choose either Insomnitol or Neuro Night essentials as main sleep aid. May add in Chamomille or SleepCALM as herbal sleep support if you want. CopaCalm can be utilized during the day for periods of anxiety if needed. References Abbasi, B., Kimiagar, M., Sadeghniiat, K., Shirazi, M. M., Hedayati, M., & Rashidkhani, B. (2012). The effect of magnesium supplementation on primary insomnia in elderly: A double-blind placebo-controlled clinical trial. Journal of Research in Medical Sciences: The Official Journal of Isfahan University of Medical Sciences , 17 (12), 1161–1169. https://pubmed.ncbi.nlm.nih.gov/23853635/ (C) Acquavella, J., Mehra, R., Bron, M., -H. Suomi, J. M., & Hess, G. P. (2020). Prevalence of narcolepsy and other sleep disorders and frequency of diagnostic tests from 2013–2016 in insured patients actively seeking care. Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine . https://jcsm.aasm.org/doi/abs/10.5664/jcsm.8482 (D) Adib-Hajbaghery, M., & Mousavi, S. N. (2017). The effects of chamomile extract on sleep quality among elderly people: A clinical trial. Complementary Therapies in Medicine , 35 , 109–114. https://pubmed.ncbi.nlm.nih.gov/29154054/ (C) Auger, R. R., Burgess, H. J., Emens, J. S., Deriy, L. V., Thomas, S. M., & Sharkey, K. M. (2015). Clinical Practice Guideline for the Treatment of Intrinsic Circadian Rhythm Sleep-Wake Disorders: Advanced Sleep-Wake Phase Disorder (ASWPD), Delayed Sleep-Wake Phase Disorder (DSWPD), Non-24-Hour Sleep-Wake Rhythm Disorder (N24SWD), and Irregular Sleep-Wake Rhythm Disorder (ISWRD). An Update for 2015: An American Academy of Sleep Medicine Clinical Practice Guideline. Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine , 11 (10), 1199–1236. https://pubmed.ncbi.nlm.nih.gov/26414986/ (A) Auld, F., Maschauer, E. L., Morrison, I., Skene, D. J., & Riha, R. L. (2017). Evidence for the efficacy of melatonin in the treatment of primary adult sleep disorders. Sleep Medicine Reviews , 34 , 10–22. https://pubmed.ncbi.nlm.nih.gov/28648359/ (A) Baglioni, C., Nanovska, S., Regen, W., Spiegelhalder, K., Feige, B., Nissen, C., Reynolds, C. F., & Riemann, D. (2016). Sleep and mental disorders: A meta-analysis of polysomnographic research. Psychological Bulletin , 142 (9), 969–990. https://pubmed.ncbi.nlm.nih.gov/27416139/ (A) Bent, S., Padula, A., Moore, D., Patterson, M., & Mehling, W. (2006). Valerian for sleep: a systematic review and meta-analysis. The American Journal of Medicine , 119 (12), 1005–1012. https://pubmed.ncbi.nlm.nih.gov/17145239/ (A) Chang, S.-M., & Chen, C.-H. (2016). Effects of an intervention with drinking chamomile tea on sleep quality and depression in sleep disturbed postnatal women: a randomized controlled trial. Journal of Advanced Nursing , 72 (2), 306–315. https://pubmed.ncbi.nlm.nih.gov/26483209/ (C) Chen, W. Y., Giobbie-Hurder, A., Gantman, K., Savoie, J., Scheib, R., Parker, L. M., & Schernhammer, E. S. (2014). A randomized, placebo-controlled trial of melatonin on breast cancer survivors: impact on sleep, mood, and hot flashes. Breast Cancer Research and Treatment , 145 (2), 381–388. https://pubmed.ncbi.nlm.nih.gov/24718775/ (B) Donath, F., Quispe, S., Diefenbach, K., Maurer, A., Fietze, I., & Roots, I. (2000). Critical evaluation of the effect of valerian extract on sleep structure and sleep quality. Pharmacopsychiatry , 33 (2), 47–53. https://pubmed.ncbi.nlm.nih.gov/10761819/ (C) Hieu, T. H., Dibas, M., Surya Dila, K. A., Sherif, N. A., Hashmi, M. U., Mahmoud, M., Trang, N. T. T., Abdullah, L., Nghia, T. L. B., Y, M. N., Hirayama, K., & Huy, N. T. (2019). Therapeutic efficacy and safety of chamomile for state anxiety, generalized anxiety disorder, insomnia, and sleep quality: A systematic review and meta-analysis of randomized trials and quasi-randomized trials. Phytotherapy Research: PTR , 33 (6), 1604–1615. https://pubmed.ncbi.nlm.nih.gov/31006899/ (A) Lemoine, P., Nir, T., Laudon, M., & Zisapel, N. (2007). Prolonged-release melatonin improves sleep quality and morning alertness in insomnia patients aged 55 years and older and has no withdrawal effects. Journal of Sleep Research , 16 (4), 372–380. https://pubmed.ncbi.nlm.nih.gov/18036082/ (B) Lewith, G. T., Godfrey, A. D., & Prescott, P. (2005). A single-blinded, randomized pilot study evaluating the aroma of Lavandula augustifolia as a treatment for mild insomnia. Journal of Alternative and Complementary Medicine , 11 (4), 631–637. https://pubmed.ncbi.nlm.nih.gov/16131287/ (C) Li, T., Jiang, S., Han, M., Yang, Z., Lv, J., Deng, C., Reiter, R. J., & Yang, Y. (2019). Exogenous melatonin as a treatment for secondary sleep disorders: A systematic review and meta-analysis. Frontiers in Neuroendocrinology , 52 , 22–28. https://pubmed.ncbi.nlm.nih.gov/29908879/ (A) Lillehei, A. S., & Halcon, L. L. (2014). A systematic review of the effect of inhaled essential oils on sleep. Journal of Alternative and Complementary Medicine , 20 (6), 441–451. https://pubmed.ncbi.nlm.nih.gov/24720812/ (A) Lillehei, A. S., Halcón, L. L., Savik, K., & Reis, R. (2015). Effect of Inhaled Lavender and Sleep Hygiene on Self-Reported Sleep Issues: A Randomized Controlled Trial. Journal of Alternative and Complementary Medicine , 21 (7), 430–438. https://pubmed.ncbi.nlm.nih.gov/26133206/ (C) Lytle, J., Mwatha, C., & Davis, K. K. (2014). Effect of lavender aromatherapy on vital signs and perceived quality of sleep in the intermediate care unit: a pilot study. American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses , 23 (1), 24–29. https://pubmed.ncbi.nlm.nih.gov/24382614/ (C) Nielsen, F. H., Johnson, L. K., & Zeng, H. (2010). Magnesium supplementation improves indicators of low magnesium status and inflammatory stress in adults older than 51 years with poor quality sleep. Magnesium Research: Official Organ of the International Society for the Development of Research on Magnesium , 23 (4), 158–168. https://pubmed.ncbi.nlm.nih.gov/21199787/ (C) Poyares, D. R., Guilleminault, C., Ohayon, M. M., & Tufik, S. (2002). Can valerian improve the sleep of insomniacs after benzodiazepine withdrawal? Progress in Neuro-Psychopharmacology & Biological Psychiatry , 26 (3), 539–545. https://pubmed.ncbi.nlm.nih.gov/11999905/ (C) Scheer, F. A. J. L., Morris, C. J., Garcia, J. I., Smales, C., Kelly, E. E., Marks, J., Malhotra, A., & Shea, S. A. (2012). Repeated melatonin supplementation improves sleep in hypertensive patients treated with beta-blockers: a randomized controlled trial. Sleep , 35 (10), 1395–1402. https://pubmed.ncbi.nlm.nih.gov/23024438/ (C) Seifritz, E., Schläfke, S., & Holsboer-Trachsler, E. (2019). Beneficial effects of Silexan on sleep are mediated by its anxiolytic effect. Journal of Psychiatric Research , 115 , 69–74. https://pubmed.ncbi.nlm.nih.gov/31121394/ (B) Sletten, T. L., Magee, M., Murray, J. M., Gordon, C. J., Lovato, N., Kennaway, D. J., Gwini, S. M., Bartlett, D. J., Lockley, S. W., Lack, L. C., Grunstein, R. R., Rajaratnam, S. M. W., & Delayed Sleep on Melatonin (DelSoM) Study Group. (2018). Efficacy of melatonin with behavioural sleep-wake scheduling for delayed sleep-wake phase disorder: A double-blind, randomised clinical trial. PLoS Medicine , 15 (6), e1002587. https://pubmed.ncbi.nlm.nih.gov/29912983/ (B) Taavoni, S., Ekbatani, N., Kashaniyan, M., & Haghani, H. (2011). Effect of valerian on sleep quality in postmenopausal women: a randomized placebo-controlled clinical trial. Menopause , 18 (9), 951–955. https://pubmed.ncbi.nlm.nih.gov/21775910/ (B) Yazdi, Z., Sadeghniiat-Haghighi, K., Loukzadeh, Z., Elmizadeh, K., & Abbasi, M. (2014). Prevalence of Sleep Disorders and Their Impacts on Occupational Performance: A Comparison between Shift Workers and Nonshift Workers. Sleep Disorders , 2014 , 870320. https://pubmed.ncbi.nlm.nih.gov/24977041/ (D)

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Melinda Howe CRNA, FNP-C

Melinda Howe, MNA, CRNA, FNP-C, APRN Founder & Owner | Ascend Wellness MBS Melinda Howe is a Certified Registered Nurse Anesthetist, Family Nurse Practitioner, and founder of Ascend Wellness MBS in Minot, North Dakota. Her career has been shaped by a belief that healthcare should be personal, collaborative, evidence-informed, and willing to look beyond the obvious when patients are struggling to find answers. Melinda began her nursing career in critical care, working as an ICU and critical-care flight nurse before pursuing advanced practice education in anesthesia. She completed her nurse anesthesia training through Mayo Clinic and later returned to school to earn her post-master’s Family Nurse Practitioner certification through the University of Cincinnati and Functional Medicine Training via The Institute for Functional Medicine, the gold standard approach to Funcitonal Medicine. Her background in anesthesia, critical care, and pain management gives Melinda a strong foundation in complex physiology, pharmacology, and acute and chronic illness. As her practice evolved, however, she became increasingly interested in understanding the underlying factors that influence how people feel and function—not simply treating individual symptoms. That interest led her toward integrative and functional medicine. Her additional training includes ketamine therapy, IV nutritional therapies, medical peer review, hormone and metabolic health, and emerging approaches to mental health, pain, and wellness. At Ascend Wellness MBS, Melinda's clinical interests include integrative care, hormone and thyroid health, metabolic health and body composition, complex and chronic conditions, pain management, autonomic dysfunction, mental health, ketamine therapy, TMS, peptide therapy, and PANS/PANDAS. Her Approach to Care: Melinda believes that good medicine begins with listening. Many of the patients who find their way to Ascend have spent months or years feeling unwell, moving between appointments, or being told that their testing is "normal" despite knowing that something isn't right. Melinda's approach is to slow the process down, listen to the entire story, look for patterns, and ask the next question. She combines conventional medicine with integrative and functional approaches when appropriate, using laboratory evaluation, medical history, lifestyle, nutrition, medications, hormones, metabolic health, mental health, and other factors to develop an individualized plan. Her philosophy isn't about choosing between conventional and alternative medicine. It is about using the best tools available, understanding the evidence behind them, and determining what makes sense for the individual patient sitting in front of her. She also believes patients should be active participants in their healthcare. Education and shared decision-making are central to her practice. Patients deserve to understand what is happening in their bodies, why a treatment is being recommended, what alternatives exist, and what the next step will be. Most importantly, Melinda wants patients to feel heard. Healthcare can be complicated, but the relationship between a patient and provider shouldn't have to be. Her goal is to create an environment where people can ask questions, explore options, and work alongside their healthcare team without judgment. That philosophy ultimately became the foundation for Ascend Wellness MBS: a place where traditional medicine and innovative approaches can exist together, where providers have the freedom to think beyond a protocol, and where the question isn't simply "What diagnosis does this patient have?" It's also: "Why aren't they feeling well—and what can we do to help them feel and function better?"

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Focus areas

  • Gastrointestinal Health

  • Men's Health

  • Musculoskeletal Health

  • Women's Health

States of practice

  • North Dakota

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