222 episodes
- What happens when the interviewer knows nearly everything you have said publicly and has zero fear of challenging or offending you? In this unusual episode of Sleep Unplugged, I turn over all control of the podcast to AI and let it ask the questions and dictate the program. The result is a surprisingly candid conversation about certainty, contradiction, expertise, and what an algorithm might see when it examines a career devoted to sleep. In this episode I (or we?) will:
Turn the microphone around and let artificial intelligence interview the interviewer
Examine the tension between scientific authority and intellectual humility
Discuss why sleep medicine sometimes rewards certainty when the evidence demands nuance
Revisit ideas and opinions I have expressed publicly—and allow the AI to challenge them
Consider what patients, athletes, and listeners actually need from a sleep expert
Ask whether an algorithm can recognize contradictions, vulnerabilities, and blind spots
Original intro music Vigilanteology by Abhinav Singh (copyright 2026)
Original outro music Vigilanteology (reprise) by Abhinav Singh (copyright 2026)
Produced by: Maeve Winter
Music by: Dr. Abhinav Singh (@sleep_vigilante), all rights reserved
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Twitter: @drchriswinter
IG: @drchriwinter
Threads: @drchriswinter
Bluesky: @drchriswinter
The Sleep Solution and The Rested Child
Thanks for listening and sleep well! #220 - The Lindsay Clancy Tragedy: Insomnia, Overmedication, and the Psychiatric Safety Net
09/07/2026 | 48 mins.A Massachusetts courtroom just produced something that almost never survives into public record: a near-complete paper trail of one woman's psychiatric care in the three months before catastrophe. Her diary, her phone notes, and the testimony of every provider who tried to help her sleep all lead to a central question: what actually happens when insomnia and psychiatric illness feed each other, and how thin is the system supposed to catch it before it breaks? In this episode we will:
Walk through the documented timeline od initial depression, an SSRI, a reported 48 hours without sleep, and a rapid cascade through a benzodiazepine, an antihistamine, and eventually an antipsychotic, across three different providers in three months
Break down SSRI-induced activation syndrome and why it can look clinically identical to an antidepressant unmasking bipolar disorder
Bring in the hard data on sleep loss as a trigger, not just a symptom, including a study of 870 women with bipolar disorder showing one lost night of sleep around delivery raised postpartum psychosis odds roughly fivefold
Draw the same throughline through Michael Jackson, Heath Ledger, and Brittany Murphy, three deaths where a real, unresolved insomnia complaint met multiple prescribers without a shared picture
Evaluate national data putting mental-health ED visits at over 35,000 a day, and a 2013 survey showing a third of psychiatry residencies don't even offer an elective in sleep medicine
Original intro music Vigilanteology by Abhinav Singh (copyright 2026)
Original outro music Vigilanteology (reprise) by Abhinav Singh (copyright 2026)
Produced by: Maeve Winter
Music by: Dr. Abhinav Singh (@sleep_vigilante), all rights reserved
More
Twitter: @drchriswinter
IG: @drchriwinter
Threads: @drchriswinter
Bluesky: @drchriswinter
The Sleep Solution and The Rested Child
Thanks for listening and sleep well!- Dr. Alison Kole is taking on sleepmaxxing, ChatGPT, and the sleep-industrial complex in her Top 10 Sleep Threat list. In this episode we will:
Explore why patients sometimes arrive at the sleep clinic with their story and diagnosis already written
Look at the fear of sleep studies, sleep apnea diagnoses, and outdated ideas about CPAP
Ask why CBT-I remains underused despite being the gold-standard first-line treatment for chronic insomnia
Consider why better sleep requires thinking beyond the bedroom to exercise, nutrition, mental health, and the entire 24-hour day
To find out more about this week's podcast sponsor Fitnexa and their SomniPods 3, please use the following link https://go.fitnexa.com/egVvZ9 and use the code DRCHRIS10 for $10 dollars off your order.
Original intro music Vigilanteology by Abhinav Singh (copyright 2026)
Original outro music Vigilanteology (reprise) by Abhinav Singh (copyright 2026)
Produced by: Maeve Winter
Music by: Dr. Abhinav Singh (@sleep_vigilante), all rights reserved
More
Twitter: @drchriswinter
IG: @drchriwinter
Threads: @drchriswinter
Bluesky: @drchriswinter
The Sleep Solution and The Rested Child
Thanks for listening and sleep well! - Nobody blinks when a doctor says you'll be on blood pressure medication for the rest of your life. Say the same sentence about an antidepressant, or Zepbound, and responses are quite different. This episode digs into deprescribing, the fast-growing clinical movement around when and how to stop medications, and asks why some "forever drugs" get a cultural pass while others get moralized. In this episode we will:
Separate the real clinical debate around antidepressant tapering from the online discourse
Take on the GLP-1 stigma directly, with two 2024 JAMA Internal Medicine studies that found no elevated depression or suicidality risk, and ask why "you may need this forever" reads as scandal here but shrug everywhere else
Sit with the RLS story, where the science just ran the opposite direction: 2025 AASM guidelines downgraded dopamine agonists after mounting evidence of augmentation, a drug-induced worsening of symptoms, making deprescribing here the conservative, evidence-driven move, not the fringe one
Ask why hypersomnia drugs generate almost zero cultural friction at all, and what that quiet exception reveals about the other three
Land on what actually predicts whether a "forever medication" gets treated as a fact of chronic disease or a personal failing — and why RLS should make you distrust any tidy answer to that question, including this episode's
To find out more about this week's podcast sponsor Fitnexa and their SomniPods 3, please use the following link https://go.fitnexa.com/egVvZ9 and use the code DRCHRIS10 for $10 dollars off your order.
Original intro music Vigilanteology by Abhinav Singh (copyright 2026)
Original outro music Vigilanteology (reprise) by Abhinav Singh (copyright 2026)
Produced by: Maeve Winter
Music by: Dr. Abhinav Singh (@sleep_vigilante), all rights reserved
More
Twitter: @drchriswinter
IG: @drchriwinter
Threads: @drchriswinter
Bluesky: @drchriswinter
The Sleep Solution and The Rested Child
Thanks for listening and sleep well! - Our current gig economy did not just create new jobs, it expanded a whole new category of night worker, from rideshare drivers to online freelancers to overnight fulfillment teams. Today (or tonight rather), our bodies are struggling to make the switch. In this episode we dig into what that circadian resistance actually costs your heart and metabolism long-term, and the handful of interventions that can actually shift it. In this episode we will:
Break down why 22 of 30 permanent night nurses still had daytime-oriented melatonin rhythms and why that's not a willpower problem, it's a light-exposure problem
Get into the real stakes: a 2025 meta-analysis linking night shift work to 13% higher cardiovascular disease incidence and 27% higher CVD mortality
Take on the meal-timing question head-on and look at new data suggesting fasting at night preserves glucose tolerance better than eating, without pretending the evidence justifies one universal rule
Review how light and schedule consistency can help improve these situations
To find out more about this week's podcast sponsor SideSleeperZ, please use the following link: https://sidesleeperz.com/
Original intro music Vigilanteology by Abhinav Singh (copyright 2026)
Original outro music Vigilanteology (reprise) by Abhinav Singh (copyright 2026)
Produced by: Maeve Winter
Music by: Dr. Abhinav Singh (@sleep_vigilante), all rights reserved
More
Twitter: @drchriswinter
IG: @drchriwinter
Threads: @drchriswinter
Bluesky: @drchriswinter
The Sleep Solution and The Rested Child
Thanks for listening and sleep well!
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About Sleep Unplugged with Dr. Chris Winter
No holds barred, unscripted discussion on a wide range of sleep topics - from sleep disorders to current research and controversies in the field. No topic is off limits! Dr. Chris Winter is a clinician, a board certified neurologist and double boarded sleep specialist with 30 years of clinical experience. He is the author of The Sleep Solution and The Rested Child, and is a popular consultant and speaker, working for many professional sports teams. He is well known for his unique perspective and ability to demystify sleep, all of which he brings to Sleep Unplugged.
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