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SLEEP DISORDERS. Sleep Assessment. Polysomnographic (PSG) Evaluation (looks for abnormalities in stages) Sleep Latency Test 10-15 minutes Average < 7 minutes Problem. Overview of sleep disorders. Two Major Categories. Dyssomnias Difficulties Getting Enough Sleep Parasomnias

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SLEEP DISORDERS

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Sleep disorders

SLEEP

DISORDERS


Sleep assessment

Sleep Assessment

  • Polysomnographic (PSG) Evaluation (looks for abnormalities in stages)

  • Sleep Latency Test

    • 10-15 minutes Average

    • < 7 minutes Problem


Overview of sleep disorders

Overview of sleep disorders

  • Two Major Categories

  • Dyssomnias

    • Difficulties Getting Enough Sleep

  • Parasomnias

    • Abnormal Behavior During Sleep


Insomnia

Insomnia

  • Primary Insomnia

  • Common (50% lifetime incidence)

  • Causes?

    • Stress

    • Poor sleep hygiene

    • Sleep medications


Narcolepsy

Narcolepsy

  • The “Sleep Attack”

    • Triggered by Strong Emotion

    • Go Right Into REM

    • Sleep Paralysis (cataplexy)

    • Hypnagogic Hallucinations


Apnea

Apnea

  • Sleep Apnea

    • Breathing is Constrained or Ceases

    • Snoring and Night Sweats

    • Person Often Unaware of Problem


Circadian d o

Circadian D/O

  • Circadian Rhythm Sleep Disorders

  • The Biological Clock

  • Suprachiasmatic Nucleus

  • Melatonin May Help Set the Clock

  • Jet Lag & Shift Work Types


Treatments

Treatments

  • Medical Treatments

    • Prescription and Over-the-Counter (e.g., Ambien, Rozerem)

    • Hypersomnia & Narcolepsy

    • Stimulants (e.g., Ritalin)

    • Breathing-Related Disorders

    • Medications and Devices


Sleep disorders

The Treatment

of Dyssomnias

  • Cognitive-Behavioral Treatments

    • Improving Sleep Hygiene

      • Addressing Beliefs About Sleep

      • Modifying Timing of Sleep

      • Stress and Relaxation Training

      • Exercise

      • Bed=sleep


Parasomnias

Parasomnias


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