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4 - How Do You Remedy a Sleep Disorder?

Source: Crunchyroll
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(Please feel free to edit the speaker names if incomplete or inaccurate. Names are handled on a best-effort basis depending on the info on the source file. Dialogue is left as is.)
SIGN    Comical Psychosomatic Medicine!
SIGN    Episode 4
    "How Do You Remedy
    a Sleep Disorder?"
[00:11] Asuna
    I'm Nurse Asuna of Yuu Mental Clinic.
[00:14] Ryou
    I'm the psy—
[00:14] Asuna
    This is Dr. Ryou, who does nothing but
[00:16] ---
    count the stains on the ceiling
    from morning 'til night.
SIGN    Hello?
[00:18] Ryou
    Please stop. Some people
    might really believe that.
[00:22] Asuna
    By the way, Doctor, my grandpa hasn't
    been able to get to sleep recently.
[00:26] Asuna
    Could you give him some advice?
[00:28] Ryou
    Uh, sure, I can do that.
[00:31] Asuna
    Isn't that great, Grandpa?
[00:34] Ryou
    He's totally asleep!
[00:36] Ryou
    And why would you go to all this
    trouble to pretend you can't sleep?!
[00:39] Ryou
    So, um...
[00:40] Ryou
    I heard you haven't been able to
    get to sleep when you want to...
[00:44] Grandpa
    You don't get to sleep
    with me when you want to?
[00:47] Ryou
    You misheard me! And why are you blushing?!
[00:50] Grandpa
    That's right. I haven't
    been able to sleep...
[00:53] Grandpa
    with young girls.
[00:55] Ryou
    Who cares about that?!
[00:56] Asuna
    Doctor, this is a good opportunity,
[00:57] Asuna
    so could you teach us
    about insomnia this time?
[01:00] Ryou
    Then, before we get to insomnia,
    let's talk about sleep.
SIGN    Sleep
[01:03] Ryou
    There are two types of sleep:
    REM sleep and non-REM sleep.
SIGN    REM Sleep
SIGN    Non-REM Sleep
SIGN    Harem Sleep
[01:11] Asuna
    And that's ha-REM sleep, right?
[01:13] Ryou
    There's no such thing!
SIGN    REM Sleep
[01:14] Ryou
    REM sleep is the state
    when your brain is awake,
SIGN    Brain is awake,
    but body is asleep.
[01:17] ---
    but your body is asleep.
[01:19] Ryou
    This stage is when you have dreams.
[01:21] Ryou
    Many people experience
    sleep paralysis, as well.
[01:24] Guy
    I'm conscious, but I can't move...
[01:26] Ryou
    It's believed that this also
    occurs during REM sleep.
[01:30] Asuna
    Grandpa can't move!
[01:31] Ryou
    Being unable to move because you're tied up
[01:33] ---
    is not the same as sleep paralysis!
[01:35] Granpda
    This isn't REM sleep. It's M sleep.
SIGN    M Sleep
[01:38] Ryou
    What is this guy sleeptalking about?
[01:40] Ryou
    Non-REM sleep is the opposite.
[01:42] Ryou
    It's when your body is awake,
    but your brain is asleep.
SIGN    Eeek!
[01:46] Asuna
    Like that?
[01:47] Ryou
    Is his brain really asleep?!
[01:50] Ryou
    There are four stages of non-REM sleep.
SIGN    Non-REM Sleep
SIGN    Stage 1 Shallow
    
    Stage 2
    
    Stage 3
    
    Stage 4 Deep
[01:52] Ryou
    Each is said to be a progressively
    deeper state of sleep.
[01:55] Ryou
    But as we age, sleep becomes more
    shallow and stops at stage 2 or 3.
[02:00] Ryou
    This is why insomnia is more common.
[02:02] Asuna
    I see!
[02:03] Ryou
    Being stressed or worried about something
    also frequently causes insomnia.
SIGN    Stress / Worry
SIGN    Insomnia
[02:08] Asuna
    Speaking of worries,
[02:09] Asuna
    Mr. Y in Yuu Mental Clinic used
    to lose sleep on field trips
SIGN    A. Instinctive Reaction
[02:12] Asuna
    worrying about what he should do
SIGN    I love you, too!
SIGN    HUG
SIGN    B. Gentlemanly Reaction
[02:14] ---
    if a girl were to sneak into his room at night.
SIGN    You should treasure yourself! But okay!
SIGN    HUG
[02:15] Ryou
    Wow. That's the most pointless worry ever.
[02:18] Ryou
    There are two types of insomnia, as well.
SIGN    Insomnia Types
SIGN    Difficulty Falling Asleep
[02:20] Ryou
    One is difficulty falling asleep.
[02:22] Ryou
    This is the type more
    commonly caused by stress.
SIGN    Early Awakening
[02:25] Ryou
    The other is early awakening.
SIGN    Early Awakening
[02:27] Asuna
    Early awakening?!
[02:29] Mom
    Yoshio, breakfast is ready.
[02:31] Yoshio
    This is... my power...
[02:33] Ryou
    Wrong kind of awakening!
[02:34] Ryou
    What just awakened in Yoshio, anyway?!
SIGN    Early Awakening
[02:36] Ryou
    Early awakening means waking
    too early in the morning.
SIGN    Waking Too Early in the Morning
SIGN    Awakening Mid-Way
[02:39] Ryou
    It's also called awakening mid-way.
SIGN    Awakening Mid-Way
[02:42] Asuna
    Awakening mid-way?!
[02:43] Yamada
    This is... my power...
[02:46] Girl
    The mid-career hire, Yamada-san, is...
[02:48] Guy
    But I'm a new grad and I
    haven't had an awakening!
[02:50] Ryou
    Enough with the "awakening" jokes!
[02:52] Yoshio
    Let's do this, Dad!
[02:54] Yamada
    Can you surpass your father, Yoshio?!
[02:58] Yoshio
    Take this!
[02:59] Yamada
    I won't be defeated!
[03:14] Grandpa
    And so, civilization was destroyed...
[03:18] Grandpa
    And my very own harem kingdom was created!
[03:22] Ryou
    That was just your dream?!
SIGN    Sleep Disorders
SIGN    Other Patterns
[03:24] Ryou
    Other sleep disorders include
    day-night sleep rhythm reversal,
SIGN    Day-Night Sleep Rhythm Reversal
SIGN    Day-Night Sleep Rhythm Reversal Overall Shallow Sleep
[03:28] Ryou
    and overall shallow sleep.
[03:31] Ryou
    All difficulties sleeping are broadly
    referred to as sleep disorders.
[03:34] Asuna
    I have a friend who has difficulty
    resisting sleeping with anyone.
[03:38] Asuna
    Is that a sleep disorder?
[03:39] Grandpa
    Can you introduce me to her?
[03:41] Ryou
    Suddenly, he's awake!
[03:42] Ryou
    Regardless, there are many
    types of sleep disorders,
[03:46] Ryou
    but all of them can be
    remedied with medication.
[03:49] Asuna
    What options are there besides medication?
[03:51] Ryou
    There are several, such as turning off lights,
SIGN    Turning Off Lights
SIGN    Sleep Journal
[03:54] Ryou
    keeping a sleep journal,
SIGN    Turning Off Lights Earplugs
[03:56] Ryou
    using earplugs,
SIGN    Sleep Journal Raise Room Temperature
[03:57] Ryou
    and raising the room temperature a bit.
[04:00] Asuna
    I see!
[04:01] Ryou
    Still, the best remedy may be
    to not think about it too much.
[04:04] Ryou
    What's most important is to relax.
[04:06] Asuna
    Relax?
[04:07] Ryou
    Yes. If you just keep thinking,
    "I can't sleep! I have to get to sleep!"
[04:12] Ryou
    you'll just grow more mentally exhausted.
[04:14] Ryou
    Telling yourself that just
    lying down will calm your body
[04:18] ---
    and mind is important to relaxing.
SIGN    Today's Theme:
    "Sleep Disorders"
[04:20] Asuna
    Got it!
[04:22] Asuna
    Don't think about it, be calm,
    and relax, right?
[04:24] Ryou
    Right.
[04:26] Grandpa
    By the way...
[04:27] Grandpa
    I sleep pretty deeply sometimes.
[04:31] Grandpa
    When is my life going to
    have that kind of depth?
[04:35] Ryou
    I can't say much about that...
SIGN    This program is a work of fiction. There is no guarantee that the treatments mentioned herein
    will work. Before having a medical exam, make sure the doctor deals in these treatments first.
SIGN    If you're stuck in a deep place,
    visit the mental clinic!
SIGN