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

Sleep Latency Test 10-15 minutes Average < 7 minutes Problem

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

Sleep Latency Test 10-15 minutes Average < 7 minutes Problem

Sleep Assessment

Dyssomnias Difficulties Getting Enough Sleep

Parasomnias Abnormal Behavior During Sleep

Dyssomnias Difficulties Getting Enough Sleep

Parasomnias Abnormal Behavior During Sleep

Two Major CategoriesTwo Major Categories

Overview of sleep disorders

Primary InsomniaPrimary Insomnia Common (50% lifetime incidence)

Causes? Stress Poor sleep hygiene Sleep medications

Common (50% lifetime incidence)

Causes? Stress Poor sleep hygiene Sleep medications

Insomnia

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

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

Narcolepsy

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

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

Apnea

Circadian Rhythm Sleep DisordersCircadian Rhythm Sleep Disorders The Biological Clock– Suprachiasmatic Nucleus– Melatonin May Help Set the Clock Jet Lag & Shift Work Types

The Biological Clock– Suprachiasmatic Nucleus– Melatonin May Help Set the Clock Jet Lag & Shift Work Types

Circadian D/O

Medical Treatments Prescription and Over-the-Counter

(e.g., Ambien, Rozerem) Hypersomnia & Narcolepsy– Stimulants (e.g., Ritalin) Breathing-Related Disorders– Medications and Devices

Medical Treatments Prescription and Over-the-Counter

(e.g., Ambien, Rozerem) Hypersomnia & Narcolepsy– Stimulants (e.g., Ritalin) Breathing-Related Disorders– Medications and Devices

Treatments

Cognitive-Behavioral Treatments Improving Sleep Hygiene

Addressing Beliefs About Sleep Modifying Timing of Sleep Stress and Relaxation Training Exercise Bed=sleep

Cognitive-Behavioral Treatments Improving Sleep Hygiene

Addressing Beliefs About Sleep Modifying Timing of Sleep Stress and Relaxation Training Exercise Bed=sleep

Parasomnias Nightmare Nightmare

disorderdisorder

Repeated awakenings with detailed recall of Repeated awakenings with detailed recall of extended and extremely frightening dreams, usually extended and extremely frightening dreams, usually involving threats to survival, security, or self-involving threats to survival, security, or self-esteem. On awakening, person is alert and oriented.esteem. On awakening, person is alert and oriented.

Sleep terror Sleep terror disorderdisorder

Repeated abrupt awakenings beginning with a Repeated abrupt awakenings beginning with a panicky scream; intense fear and signs of autonomic panicky scream; intense fear and signs of autonomic arousal; amnesia for the episode and relative arousal; amnesia for the episode and relative unresponsiveness to comfort.unresponsiveness to comfort.

Sleepwalking Sleepwalking disorderdisorder

RBDRBD

Repeated episodes of rising from bed during sleep Repeated episodes of rising from bed during sleep and walking about; wakened only with much and walking about; wakened only with much difficulty; amnesia for the episode; no impairment of difficulty; amnesia for the episode; no impairment of mental activity or behavior. (Discuss Case Study mental activity or behavior. (Discuss Case Study from textfrom text

Rem-Behavior Disorder (video)Rem-Behavior Disorder (video)