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SLEEP DISORDERS

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

xandra-everett
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SLEEP DISORDERS

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  1. SLEEP DISORDERS

  2. Sleep Assessment • Polysomnographic (PSG) Evaluation (looks for abnormalities in stages) • Sleep Latency Test • 10-15 minutes Average • < 7 minutes Problem

  3. Overview of sleep disorders • Two Major Categories • Dyssomnias • Difficulties Getting Enough Sleep • Parasomnias • Abnormal Behavior During Sleep

  4. Insomnia • Primary Insomnia • Common (50% lifetime incidence) • Causes? • Stress • Poor sleep hygiene • Sleep medications

  5. Narcolepsy • The “Sleep Attack” • Triggered by Strong Emotion • Go Right Into REM • Sleep Paralysis (cataplexy) • Hypnagogic Hallucinations

  6. Apnea • Sleep Apnea • Breathing is Constrained or Ceases • Snoring and Night Sweats • Person Often Unaware of Problem

  7. Circadian D/O • Circadian Rhythm Sleep Disorders • The Biological Clock • Suprachiasmatic Nucleus • Melatonin May Help Set the Clock • Jet Lag & Shift Work Types

  8. Treatments • Medical Treatments • Prescription and Over-the-Counter (e.g., Ambien, Rozerem) • Hypersomnia & Narcolepsy • Stimulants (e.g., Ritalin) • Breathing-Related Disorders • Medications and Devices

  9. 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

  10. Parasomnias

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