SLEEP DISTURBANCE AND PSYCHIATRIC DISORDERS

Size: px
Start display at page:

Download "SLEEP DISTURBANCE AND PSYCHIATRIC DISORDERS"

Transcription

1 E-Resource December, 2013 SLEEP DISTURBANCE AND PSYCHIATRIC DISORDERS Between 10-18% of adults in the general population and up to 50% of adults in the primary care setting have difficulty sleeping. Sleep problems are even more prevalent in the psychiatric setting, affecting 50-80% of these patients. Though sleep problems are often viewed as a symptom of psychiatric disorders, studies demonstrate they may raise the risk for, contribute to the development of psychiatric disorders and/ or exacerbate the symptoms of existing behavioral health conditions. This newsletter contains useful information and clinical guidance for detecting and managing insomnia in primary care Insomnia, one of the most common sleep disorders, is the experience of inadequate or poor quality sleep characterized by: Difficulty falling asleep Difficulty maintaining sleep Waking up too early in the morning The occurrence of non-refreshing sleep Insomnia may lead to daytime symptoms including feeling tired, lacking energy, difficulty concentrating, and irritability. There are two types of insomnia: Acute insomnia: periods of sleep difficulty last between one night and a few weeks; may relate to a single event or emotional or physical discomfort. May result in negative mood or performance impairment. Chronic insomnia: sleep difficulty occurs at least three nights per week for a month or more; often occurs with other health problems, including psychiatric, medical and neurological disorders, medication and substance use, and specific sleep disorders (Restless Legs Syndrome, Periodic Limb Movement disorder, Obstructive Sleep Apnea and Circadian rhythm sleep disorders). May lead to fatigue, changes in mood (depression, irritability), impaired daytime functioning and difficulty concentrating. Sleep Disorders in Psychiatric Patients Depression: Sleep problems are common among depressed patients. Most suffer from insomnia, however obstructive sleep apnea is also common. Sleep problems may contribute to an increased risk of developing depression and reduce the effectiveness of depression treatment. Depressed individuals with sleep disturbances are also more likely to think about suicide and die by suicide than depressed patients who are able to sleep normally. Bipolar Disorder: Sleep problems are common among bipolar patients; some report experiencing insomnia while others report hypersomnia (excessive sleep). Insomnia may worsen during manic episodes and may also contribute to the occurrence of these episodes. Anxiety: Sleep problems affect individuals with generalized anxiety disorder, post-traumatic stress disorder, panic disorder, obsessive compulsive disorder and phobias. Insomnia may be a risk factor for developing anxiety and may worsen anxiety symptoms and prevent recovery. Recognition and assessment Obtaining information about patient sleep history is helpful in detecting insomnia. This may be done by directly questioning patients about their sleep history. Further, it may be helpful for patients to keep a 1-2 week sleep diary recording their bedtime, total sleep time, time to sleep onset, number of awakenings, use of sleep medications, time out of bed in the morning, and a subjective rating for quality of sleep and daytime symptoms (page 2). Sleep diaries also provide important baseline information upon treatment initiation. For some patients, a sleep study may be useful to measure how well they sleep and how their body responds to sleep problems. For patients with a suspected primary sleep disorder or insomnia with secondary causes, the Insomnia Screening Questionnaire (pages 3-5) can be used to assist in making a diagnosis. Management and Treatment In cases of acute insomnia, the need for treatment is based on the severity of a patients daytime symptoms, duration of insomnia episodes, and predictability of episodes. Acute insomnia may require treatment if a patient becomes significantly sleepy during the day after losing sleep on one or more nights. Acute insomnia which is left untreated may develop into a more chronic condition. In cases of chronic insomnia, multiple treatment approaches may be necessary. If there is an underlying psychiatric medical or psychiatric condition, this condition should be treated first. In the case that the insomnia is primary and persists beyond treatment of the underlying condition, there are multiple treatment options, including behavioral treatment approaches and pharmacological treatment approaches. Behavioral treatment approaches: Lifestyle changes: avoid caffeine, nicotine and alcohol (especially before bedtime) Regular physical activity: helps people fall asleep faster, spend more time in deep sleep and awaken less during sleep Relaxation therapy: meditation, guided imagery, deep breathing exercises, progressive muscle relaxation Sleep hygiene: promote a regular sleep-and-wake schedule, avoid computer/television 30 minutes before bedtime and in the bedroom and sleep retraining (stay awake longer to promote deep sleep) Cognitive therapy: identify dysfunctional beliefs and attitudes about sleep and replace them with more adaptive thoughts Pharmacological treatment approaches: When nondrug interventions are insufficient in treating sleeping disorders, treatment with medication is an additional option. An algorithm for treatment of chronic insomnia is provided (page 6). Further, a list of pharmaceutical therapy options is provided (page 7). Care should be taken to ensure patients with comorbid psychiatric conditions are treated appropriately; while some medications for insomnia can be used to treat a co-occurring psychiatric conditions, other insomnia medications may exacerbate psychiatric symptoms. About the Virtual Guidance Program JPS Health Network is proud to offer a new behavioral health clinical guidance resource to all primary care providers in our region. The JPS Behavioral Health Virtual Resource service offers: Telephone consultation with a behavioral health clinical team member Referral to community resources benefiting behavioral health patients Online reference library of behavioral health education materials Educational opportunities to increase provider understanding and comfort level in treating behavioral health conditions. Call or visit for more information and to access a free virtual consultation for your patient

2 Adult Insomnia: Assesment to Diagnosis. February Revised February 2007.

3 Adult Insomnia: Assesment to Diagnosis. February Revised February 2007.

4 Adult Insomnia: Assesment to Diagnosis. February Revised February 2007.

5 Schutte-Rodin S; Broch L; Buysse D; Dorsey C; Sateia M. Clinical guideline for the evaluation and management of chronic insomnia in adults. J Clin Sleep Med 2008;4(5):

6

7

Sleep Medicine and Psychiatry. Roobal Sekhon, D.O.

Sleep Medicine and Psychiatry. Roobal Sekhon, D.O. Sleep Medicine and Psychiatry Roobal Sekhon, D.O. Common Diagnoses Mood Disorders: Depression Bipolar Disorder Anxiety Disorders PTSD and other traumatic disorders Schizophrenia Depression and Sleep: Overview

More information

DEPRESSION Depression Assessment PHQ-9 Screening tool Depression treatment Treatment flow chart Medications Patient Resource

DEPRESSION Depression Assessment PHQ-9 Screening tool Depression treatment Treatment flow chart Medications Patient Resource E-Resource March, 2015 DEPRESSION Depression Assessment PHQ-9 Screening tool Depression treatment Treatment flow chart Medications Patient Resource Depression affects approximately 20% of the general population

More information

BIPOLAR DISORDER IN PRIMARY CARE

BIPOLAR DISORDER IN PRIMARY CARE E-Resource January, 2014 BIPOLAR DISORDER IN PRIMARY CARE Mood Disorder Questionnaire Common Comorbidities Evaluation of Patients with BPD Management of BPD in Primary Care Patient resource Patients with

More information

Tara Leigh Taylor, MD, FCCP Intensivist, Wyoming Medical Center

Tara Leigh Taylor, MD, FCCP Intensivist, Wyoming Medical Center Tara Leigh Taylor, MD, FCCP Intensivist, Wyoming Medical Center Objectives Define the magnitude of the problem Define diagnostic criteria of insomnia Understand the risk factors and consequences of insomnia

More information

Insomnia affects 1 in 3 adults every year in the U.S. and Canada.

Insomnia affects 1 in 3 adults every year in the U.S. and Canada. Insomnia What is insomnia? Having insomnia means you often have trouble falling or staying asleep or going back to sleep if you awaken. Insomnia can be either a short-term or a long-term problem. Insomnia

More information

SLEEP AND PARKINSON S DISEASE

SLEEP AND PARKINSON S DISEASE A Practical Guide on SLEEP AND PARKINSON S DISEASE MICHAELJFOX.ORG Introduction Many people with Parkinson s disease (PD) have trouble falling asleep or staying asleep at night. Some sleep problems are

More information

Sleep Difficulties. Insomnia. By Thomas Freedom, MD and Johan Samanta, MD

Sleep Difficulties. Insomnia. By Thomas Freedom, MD and Johan Samanta, MD Sleep Difficulties By Thomas Freedom, MD and Johan Samanta, MD For most people, night is a time of rest and renewal; however, for many people with Parkinson s disease nighttime is a struggle to get the

More information

How to Recognize Depression and Its Related Mood and Emotional Disorders

How to Recognize Depression and Its Related Mood and Emotional Disorders How to Recognize Depression and Its Related Mood and Emotional Disorders Dr. David H. Brendel Depression s Devastating Toll on the Individual Reduces or eliminates pleasure and jo Compromises and destroys

More information

Primary Care Management of Sleep Complaints in Adults

Primary Care Management of Sleep Complaints in Adults Scope Primary Care Management of Sleep Complaints in Adults (Revised 2004) This guideline is for the primary care management of non-respiratory sleep disorders in adults and follows the DSM-IV-TR classification

More information

A Healthy Life RETT SYNDROME AND SLEEP. Exercise. Sleep. Diet 1. WHY SLEEP? 4. ARE SLEEP PROBLEMS A COMMON PARENT COMPLAINT?

A Healthy Life RETT SYNDROME AND SLEEP. Exercise. Sleep. Diet 1. WHY SLEEP? 4. ARE SLEEP PROBLEMS A COMMON PARENT COMPLAINT? Diet Sleep Exercise RETT SYNDROME AND SLEEP DR. DANIEL GLAZE, MEDICAL DIRECTOR THE BLUE BIRD CIRCLE RETT CENTER A good night s sleep promotes learning, improved mood, general good health, and a better

More information

`çããçå=jéåí~ä= aáëçêçéêëw=^åñáéíó=~åç= aééêéëëáçå. aêk=`=f=lâçåü~ jéçáå~ä=aáêéåíçê lñäé~ë=kep=cçìåç~íáçå=qêìëí=

`çããçå=jéåí~ä= aáëçêçéêëw=^åñáéíó=~åç= aééêéëëáçå. aêk=`=f=lâçåü~ jéçáå~ä=aáêéåíçê lñäé~ë=kep=cçìåç~íáçå=qêìëí= `çããçå=jéåí~ä= aáëçêçéêëw=^åñáéíó=~åç= aééêéëëáçå aêk=`=f=lâçåü~ jéçáå~ä=aáêéåíçê lñäé~ë=kep=cçìåç~íáçå=qêìëí= Overview: Common Mental What are they? Disorders Why are they important? How do they affect

More information

309.28 F43.22 Adjustment disorder with mixed anxiety and depressed mood Adjustment disorder with disturbance of conduct

309.28 F43.22 Adjustment disorder with mixed anxiety and depressed mood Adjustment disorder with disturbance of conduct Description ICD-9-CM Code ICD-10-CM Code Adjustment reaction with adjustment disorder with depressed mood 309.0 F43.21 Adjustment disorder with depressed mood Adjustment disorder with anxiety 309.24 F43.22

More information

See also www.thiswayup.org.au/clinic for an online treatment course.

See also www.thiswayup.org.au/clinic for an online treatment course. Depression What is depression? Depression is one of the common human emotional states. It is common to experience feelings of sadness and tiredness in response to life events, such as losses or disappointments.

More information

Nursing Interventions for Sleep Disorders Following TBI

Nursing Interventions for Sleep Disorders Following TBI Nursing Interventions for Sleep Disorders Following TBI Kadesha Clark, RN BSN When you sleep, your body rests and restores its energy levels. A good night's sleep is often the best way to help you cope

More information

General Information about Sleep Studies and What to Expect

General Information about Sleep Studies and What to Expect General Information about Sleep Studies and What to Expect Why do I need a sleep study? Your doctor has ordered a sleep study because your doctor is concerned you may have a sleep disorder that is impacting

More information

Depression ENGELSK. Depresjon

Depression ENGELSK. Depresjon Depression ENGELSK Depresjon Depression What is depression? Everyone will feel sadness, loneliness, or grief at one time or another, for example at the death of a loved one. This is a natural part of life,

More information

Sleep. Drug and Alcohol Services South Australia. Progressive stages of the sleep cycle. Understanding the normal sleep pattern

Sleep. Drug and Alcohol Services South Australia. Progressive stages of the sleep cycle. Understanding the normal sleep pattern Drug and Alcohol Services South Australia INSOMNIA MANAGEMENT KIT Sleep: Facts and hygiene The Insomnia Management Kit is intended to be used in conjunction with your GP. To access further instructions

More information

Cognitive Behavioral Therapy for Insomnia (CBT-I)

Cognitive Behavioral Therapy for Insomnia (CBT-I) Cognitive Behavioral Therapy for Insomnia (CBT-I) Virginia Runko, PhD, CBSM Behavioral Sleep Medicine Specialist Licensed Psychologist The Ross Center for Anxiety and Related Disorders, Washington DC Workshop

More information

OVERVIEW OF COGNITIVE BEHAVIORAL THERAPY. 1 Overview of Cognitive Behavioral Therapy

OVERVIEW OF COGNITIVE BEHAVIORAL THERAPY. 1 Overview of Cognitive Behavioral Therapy OVERVIEW OF COGNITIVE BEHAVIORAL THERAPY 1 Overview of Cognitive Behavioral Therapy TABLE OF CONTENTS Introduction 3 What is Cognitive-Behavioral Therapy? 4 CBT is an Effective Therapy 7 Addictions Treated

More information

Sleepless After TBI. MEDICAL News. Page 1

Sleepless After TBI. MEDICAL News. Page 1 Sleepless After TBI Why is it important to treat sleep disorders in TBI? Over 5 million people in the United States are currently living with a disability associated with brain injury. Although the major

More information

Don t just dream of higher-quality sleep. How health care should be

Don t just dream of higher-quality sleep. How health care should be Don t just dream of higher-quality sleep. How health care should be Many of our patients with sleep disorders don t realize there s another way of life, a better way, until they are treated. Robert Israel,

More information

Asthma, anxiety & depression

Asthma, anxiety & depression Anxiety and are common in people with asthma. The good news is that there are effective treatments both for asthma and for anxiety and. With careful management, the symptoms of anxiety and can be treated

More information

POST-TRAUMATIC STRESS DISORDER PTSD Diagnostic Criteria PTSD Detection and Diagnosis PC-PTSD Screen PCL-C Screen PTSD Treatment Treatment Algorithm

POST-TRAUMATIC STRESS DISORDER PTSD Diagnostic Criteria PTSD Detection and Diagnosis PC-PTSD Screen PCL-C Screen PTSD Treatment Treatment Algorithm E-Resource March, 2014 POST-TRAUMATIC STRESS DISORDER PTSD Diagnostic Criteria PTSD Detection and Diagnosis PC-PTSD Screen PCL-C Screen PTSD Treatment Treatment Algorithm Post-traumatic Stress Disorder

More information

SLEEP DISORDER ADULT QUESTIONNAIRE

SLEEP DISORDER ADULT QUESTIONNAIRE SLEEP DISORDER ADULT QUESTIONNAIRE Name: Date: Date of Birth (month/day/year): / / Gender: ο Male ο Female Marital Status: ο Never Married ο Married ο Divorced ο Widowed Home Address: City: Zip: Daytime

More information

Eating Disorder Treatment Protocol

Eating Disorder Treatment Protocol Eating Disorder Treatment Protocol All Team Members: Patient Self-Management Education & Support Eating Disorders are incredibly debilitating and are associated with significant medical and psychosocial

More information

teenagers drowsy driving Staying safe behind the wheel a wellness booklet from the American Academy of Sleep Medicine

teenagers drowsy driving Staying safe behind the wheel a wellness booklet from the American Academy of Sleep Medicine teenagers drowsy driving Staying safe behind the wheel a wellness booklet from the American Academy of Sleep Medicine Dear Reader Sleep isn t just time out from daily life. It is an active state important

More information

Taking Care: Child and Youth Mental Health ANXIETY WHAT IS IT?

Taking Care: Child and Youth Mental Health ANXIETY WHAT IS IT? Taking Care: Child and Youth Mental Health ANXIETY WHAT IS IT? Open Learning Agency 2004 WHAT IS IT? Anxiety is a normal human feeling characterized by worry, nervousness and fear. Not only does anxiety

More information

Mental health issues in the elderly. January 28th 2008 Presented by Éric R. Thériault etheriau@lakeheadu.ca

Mental health issues in the elderly. January 28th 2008 Presented by Éric R. Thériault etheriau@lakeheadu.ca Mental health issues in the elderly January 28th 2008 Presented by Éric R. Thériault etheriau@lakeheadu.ca Cognitive Disorders Outline Dementia (294.xx) Dementia of the Alzheimer's Type (early and late

More information

IMPORTANCE OF SLEEP. Essential to your physical health and emotional wellbeing. Helps improve concentration and memory formation

IMPORTANCE OF SLEEP. Essential to your physical health and emotional wellbeing. Helps improve concentration and memory formation IMPORTANCE OF SLEEP Essential to your physical health and emotional wellbeing Helps improve concentration and memory formation Allows your body to repair any cell damage that occurred during the day Refreshes

More information

Bipolar Disorder. When people with bipolar disorder feel very happy and "up," they are also much more active than usual. This is called mania.

Bipolar Disorder. When people with bipolar disorder feel very happy and up, they are also much more active than usual. This is called mania. Bipolar Disorder Introduction Bipolar disorder is a serious mental disorder. People who have bipolar disorder feel very happy and energized some days, and very sad and depressed on other days. Abnormal

More information

INSOMNIA ASSESSMENT. Clinical Practice Guideline Adult Insomnia: Assessment to Diagnosis EXCLUSIONS DEFINITIONS. 2007 Update

INSOMNIA ASSESSMENT. Clinical Practice Guideline Adult Insomnia: Assessment to Diagnosis EXCLUSIONS DEFINITIONS. 2007 Update Clinical Practice Guideline Adult Insomnia: Assessment to Diagnosis 2007 Update This guideline was developed by a Clinical Practice Guidelines Working Group to assist physicians in the assessment of insomnia

More information

Medical Information to Support the Decisions of TUECs INTRINSIC SLEEP DISORDERS

Medical Information to Support the Decisions of TUECs INTRINSIC SLEEP DISORDERS Introduction Excessive daytime sleepiness (EDS) is a common complaint. Causes of EDS are numerous and include: o Intrinsic sleep disorders (e.g. narcolepsy, obstructive sleep apnoea/hypopnea syndrome (OSAHS)

More information

Brief Review of Common Mental Illnesses and Treatment

Brief Review of Common Mental Illnesses and Treatment Brief Review of Common Mental Illnesses and Treatment Presentations to the Joint Subcommittee to Study Mental Health Services in the 21st Century September 9, 2014 Jack Barber, M.D. Medical Director Virginia

More information

Challenges to Detection and Management of PTSD in Primary Care

Challenges to Detection and Management of PTSD in Primary Care Challenges to Detection and Management of PTSD in Primary Care Karen H. Seal, MD, MPH University of California, San Francisco San Francisco VA Medical Center General Internal Medicine Section PTSD is Prevalent

More information

Dosage (total number of sessions) Delivered to

Dosage (total number of sessions) Delivered to Population Authors & year Design Intervention (I) and Comparison (C) Mean age (SD) 1 Gender (%) Delivered to Dosage (total number of sessions) Primary Outcome domain (Measure(s)) Secondary Outcome domain

More information

Coping with Shift Work & Fatigue. A good practice guide for drivers

Coping with Shift Work & Fatigue. A good practice guide for drivers Coping with Shift Work & Fatigue A good practice guide for drivers Working shifts can lead to fatigue. This may make you more likely to be involved in incidents and accidents. Managing your sleep at home

More information

Diabetes - - people with diabetes often wake up with night sweats, frequent need to urinate, diarrhea or symptoms of hypoglycemia.

Diabetes - - people with diabetes often wake up with night sweats, frequent need to urinate, diarrhea or symptoms of hypoglycemia. Medical Illnesses that May Disturb Sleep More than 70% of people with medical illnesses suffer from sleep problems. Their trouble sleeping may stem from the disease itself or from the medicines used to

More information

Depression Screening in Primary Care

Depression Screening in Primary Care Depression Screening in Primary Care Toni Johnson, MD Kristen Palcisco, BA, MSN, APRN MetroHealth System Our Vision Make Greater Cleveland a healthier place to live and a better place to do business. 2

More information

Insomnia. Student Counselling Service 20 Laurie Grove T 020 7919 7472 mcs01cs@gold.ac.uk

Insomnia. Student Counselling Service 20 Laurie Grove T 020 7919 7472 mcs01cs@gold.ac.uk Insomnia Student Counselling Service 20 Laurie Grove T 020 7919 7472 mcs01cs@gold.ac.uk Goldsmiths, University of London New Cross London SE14 6NW T 020 7919 7774 F 020 7919 7773 www.goldsmiths.ac.uk Insomnia

More information

Raising Sleep Apnea Awareness:

Raising Sleep Apnea Awareness: Raising Sleep Apnea Awareness: Among People with Diabetes in North Carolina, 2012 People with diabetes have more sleep problems than people without diabetes in the same age, sex, and race/ethnicity group.

More information

Co-Occurring Disorders: A Basic Overview

Co-Occurring Disorders: A Basic Overview Co-Occurring Disorders: A Basic Overview What is meant by Co-Occurring Disorders (COD)? Co-Occurring Disorders (COD) refers to two diagnosable problems that are inter-related and occur simultaneously in

More information

Psychosocial Risk Factors. Women s Mental Health. Prevalence of Mood Disorders by Gender. Depression in Women: Contributing Factors

Psychosocial Risk Factors. Women s Mental Health. Prevalence of Mood Disorders by Gender. Depression in Women: Contributing Factors Women s Mental Health Linda S. Mullen, MD Director, Women s Mental Health Assistant Professor of Clinical Psychiatry in OB/GYN Columbia University & NewYork Presbyterian Hospital Departments of Psychiatry

More information

Memorial Hospital Sleep Center. Rock Springs, Wyoming 82901. Sleep lab Phone: 307-352- 8229 (Mon - Wed 5:00 pm 7:00 am)

Memorial Hospital Sleep Center. Rock Springs, Wyoming 82901. Sleep lab Phone: 307-352- 8229 (Mon - Wed 5:00 pm 7:00 am) Memorial Hospital Sleep Center Rock Springs, Wyoming 82901 Sleep lab Phone: 307-352- 8229 (Mon - Wed 5:00 pm 7:00 am) Office Phone: 307-352- 8390 (Mon Fri 8:00 am 4:00 pm ) Patient Name: Sex Age Date Occupation:

More information

ENTITLEMENT ELIGIBILITY GUIDELINE

ENTITLEMENT ELIGIBILITY GUIDELINE ENTITLEMENT ELIGIBILITY GUIDELINE BIPOLAR DISORDERS MPC 00608 ICD-9 296.0, 296.1, 296.4, 296.5, 296.6, 296.7, 296.8, 301.13 ICD-10 F30, F31, F34.0 DEFINITION BIPOLAR DISORDERS Bipolar Disorders include:

More information

CHAPTER 5 MENTAL, BEHAVIOR AND NEURODEVELOPMENT DISORDERS (F01-F99) March 2014. 2014 MVP Health Care, Inc.

CHAPTER 5 MENTAL, BEHAVIOR AND NEURODEVELOPMENT DISORDERS (F01-F99) March 2014. 2014 MVP Health Care, Inc. CHAPTER 5 MENTAL, BEHAVIOR AND NEURODEVELOPMENT DISORDERS (F01-F99) March 2014 2014 MVP Health Care, Inc. CHAPTER 5 CHAPTER SPECIFIC CATEGORY CODE BLOCKS F01-F09 Mental disorders due to known physiological

More information

Headache Types. Behavioral Treatments of. Tension Headache. Migraine Headache. Mixed Headaches. TMJ Disorder. Tension Migraine.

Headache Types. Behavioral Treatments of. Tension Headache. Migraine Headache. Mixed Headaches. TMJ Disorder. Tension Migraine. Headache Types Behavioral Treatments of Migraine Headaches Jonathan D. Cole, Ph.D. Clinical and Health Psychologist Bluegrass Health Psychology Lexington, KY Tension Migraine Mixed Cluster TMJ Tension

More information

Dr Sarah Blunden s Adolescent Sleep Facts Sheet

Dr Sarah Blunden s Adolescent Sleep Facts Sheet Dr Sarah Blunden s Adolescent Sleep Facts Sheet I am Sleep Researcher and a Psychologist. As a Sleep Researcher, I investigate the effects of poor sleep on young children and adolescents. I also diagnose

More information

[KQ 804] FEBRUARY 2007 Sub. Code: 9105

[KQ 804] FEBRUARY 2007 Sub. Code: 9105 [KQ 804] FEBRUARY 2007 Sub. Code: 9105 (Revised Regulations) Theory : Two hours and forty minutes Q.P. Code: 419105 Maximum : 100 marks Theory : 80 marks M.C.Q. : Twenty minutes M.C.Q. : 20 marks 1. A

More information

PCORE Depression Post Survey

PCORE Depression Post Survey PCORE Depression Post Survey 1. Please enter your UNI. 467 answered question 467 skipped question 0 2. Please fill in the name of institution you are working at for your Clerkship. 467 answered question

More information

Identifying and Treating Dual-Diagnosed Substance Use and Mental Health Disorders. Presented by: Carrie Terrill, LCDC

Identifying and Treating Dual-Diagnosed Substance Use and Mental Health Disorders. Presented by: Carrie Terrill, LCDC Identifying and Treating Dual-Diagnosed Substance Use and Mental Health Disorders Presented by: Carrie Terrill, LCDC Overview What is Dual Diagnosis? How Common is Dual Diagnosis? What are Substance Use

More information

News on sleep apnea for the commercial trucking industry. Support system leads to CPAP success

News on sleep apnea for the commercial trucking industry. Support system leads to CPAP success PPD Protecting Professional Drivers SM Driver edition Summer 2011 Volume 4, Issue 3 News on sleep apnea for the commercial trucking industry Visit PPD s new driver blog for OSA support Support system leads

More information

SOMERSET DUAL DIAGNOSIS PROTOCOL OCTOBER 2011

SOMERSET DUAL DIAGNOSIS PROTOCOL OCTOBER 2011 SOMERSET DUAL DIAGNOSIS PROTOCOL OCTOBER 2011 This document is intended to be used with the Somerset Dual Diagnosis Operational Working guide. This document provides principles governing joint working

More information

INSOMNIA SELF-CARE GUIDE

INSOMNIA SELF-CARE GUIDE INSOMNIA SELF-CARE GUIDE University of California, Berkeley 2222 Bancroft Way Berkeley, CA 94720 Appointments 510/642-2000 Online Appointment www.uhs.berkeley.edu All of us have trouble sleeping from time

More information

SUMMARY OF RECOMMENDATIONS

SUMMARY OF RECOMMENDATIONS SUMMARY OF RECOMMENDATIONS FOR THE LONG- TERM TREATMENT OF RLS/WED from AN IRLSSG TASK FORCE Members of the Task Force Diego Garcia- Borreguero, MD, Madrid, Spain* Richard Allen, PhD, Baltimore, MD, USA*

More information

Disordered sleep at night has long been

Disordered sleep at night has long been Neurology 59 Excessive daytime sleepiness in PD Excessive Daytime Sleepiness (EDS) in Parkinson s disease (PD) is an important issue that warrants serious attention because it can have adverse effects

More information

A Sierra Tucson Publication. An Introduction to Mood Disorders & Treatment Options

A Sierra Tucson Publication. An Introduction to Mood Disorders & Treatment Options A Sierra Tucson Publication An Introduction to Mood Disorders & Treatment Options 0 Introduction The term mood disorder refers to a category that includes the following mental health issues: Anxiety Disorders

More information

Sleep Medicine. Maintenance of Certification Examination Blueprint. Purpose of the exam

Sleep Medicine. Maintenance of Certification Examination Blueprint. Purpose of the exam Sleep Medicine Maintenance of Certification Examination Blueprint Purpose of the exam The exam is designed to evaluate the knowledge, diagnostic reasoning, and clinical judgment skills expected of the

More information

(R) In-Clinic Test Results

(R) In-Clinic Test Results Sound Pillow (R) Sleep System In-Clinic Test Results Sound Pillow Sleep System Test Partners National Institute for Holistic Addiction Studies (N.I.F.H.A.S.) G&G Holistic Addiction Treatment Center Destination

More information

Management of Sleep Disturbances Following Concussion/Mild Traumatic Brain Injury:

Management of Sleep Disturbances Following Concussion/Mild Traumatic Brain Injury: Management of Sleep Disturbances Following Concussion/Mild Traumatic Brain Injury: Guidance for Primary Care Management in Deployed and Non-Deployed Settings Learning Objectives Understand the occurrence

More information

Schizoaffective disorder

Schizoaffective disorder Schizoaffective disorder Dr.Varunee Mekareeya,M.D.,FRCPsychT Schizoaffective disorder is a psychiatric disorder that affects about 0.5 to 0.8 percent of the population. It is characterized by disordered

More information

Assessment of depression in adults in primary care

Assessment of depression in adults in primary care Assessment of depression in adults in primary care Adapted from: Identification of Common Mental Disorders and Management of Depression in Primary care. New Zealand Guidelines Group 1 The questions and

More information

Benzodiazepine & Z drugs withdrawal protocol

Benzodiazepine & Z drugs withdrawal protocol Benzodiazepine & Z drugs withdrawal protocol Rationale The NSF for Older People has highlighted the issues of dependence, sedation and fall in the elderly when taking these types of medications. It has

More information

SLEEP DIFFICULTIES AND PARKINSON S DISEASE Julie H. Carter, R.N., M.S., A.N.P.

SLEEP DIFFICULTIES AND PARKINSON S DISEASE Julie H. Carter, R.N., M.S., A.N.P. SLEEP DIFFICULTIES AND PARKINSON S DISEASE Julie H. Carter, R.N., M.S., A.N.P. Problems with sleep are common in Parkinson s disease. They can sometimes interfere with quality of life. It is helpful to

More information

MOLINA HEALTHCARE OF CALIFORNIA

MOLINA HEALTHCARE OF CALIFORNIA MOLINA HEALTHCARE OF CALIFORNIA MAJOR DEPRESSION IN ADULTS IN PRIMARY CARE HEALTH CARE GUIDELINE (ICSI) Health Care Guideline Twelfth Edition May 2009. The guideline was reviewed and adopted by the Molina

More information

Feeling Moody? Major Depressive. Disorder. Is it just a bad mood or is it a disorder? Mood Disorders. www.seclairer.com S Eclairer 724-468-3999

Feeling Moody? Major Depressive. Disorder. Is it just a bad mood or is it a disorder? Mood Disorders. www.seclairer.com S Eclairer 724-468-3999 Feeling Moody? Is it just a bad mood or is it a disorder? Major Depressive Disorder Prevalence: 7%; 18-29 years old; Female>Male DDx: Manic episodes with irritable mood or mixed episodes, mood disorder

More information

Anxiety, Panic and Other Disorders

Anxiety, Panic and Other Disorders Methodist Assistance Program Anxiety, Panic and Other Disorders Anxiety, panic and other disorders such as agoraphobia, social phobia, compulsive disorder and posttraumatic stress disorder are all very

More information

information for service providers Schizophrenia & Substance Use

information for service providers Schizophrenia & Substance Use information for service providers Schizophrenia & Substance Use Schizophrenia and Substance Use Index 2 2 3 5 6 7 8 9 How prevalent are substance use disorders among people with schizophrenia? How prevalent

More information

sleep handbook Keep this by your bedside to help you get straight to sleep.

sleep handbook Keep this by your bedside to help you get straight to sleep. sleep handbook Keep this by your bedside to help you get straight to sleep. BEDSIDE BUDDY Chiropractic how can it help me get straight to sleep? Chiropractic is based on the scientific fact that the human

More information

Mental Health in the Workplace. Kate Hubl- Occupational Therapist

Mental Health in the Workplace. Kate Hubl- Occupational Therapist Mental Health in the Workplace Kate Hubl- Occupational Therapist So what does the workplace have to do with mental health and mental health issues? Its not abnormal, weird, strange or weak to experience

More information

BRIEF NOTES ON THE MENTAL HEALTH OF CHILDREN AND ADOLESCENTS

BRIEF NOTES ON THE MENTAL HEALTH OF CHILDREN AND ADOLESCENTS BRIEF NOTES ON THE MENTAL HEALTH OF CHILDREN AND ADOLESCENTS The future of our country depends on the mental health and strength of our young people. However, many children have mental health problems

More information

building. 2. Enter Turn the on 5305 and begin Building testing and take the elevator/stairs to the third floor, turn right and go into

building. 2. Enter Turn the on 5305 and begin Building testing and take the elevator/stairs to the third floor, turn right and go into SLEEP DISORDERS CENTER St. Joseph Mercy Ann Arbor 5305 Elliott Drive, Ypsilanti, MI 48197 734-712-2276 / Fax 734-712-2967 Sleep Study Information Home Sleep Apnea Testing Dear,, Your are Sleep scheduled

More information

Depression & Multiple Sclerosis

Depression & Multiple Sclerosis Depression & Multiple Sclerosis Managing specific issues Aaron, diagnosed in 1995. The words depressed and depression are used so casually in everyday conversation that their meaning has become murky.

More information

Bipolar Disorder: Advances in Psychotherapy

Bipolar Disorder: Advances in Psychotherapy Bipolar Disorder: Advances in Psychotherapy Questions from chapter 1 1) Which is characterized by one or more major depressive episodes with at least one hypomanic episode in which the patient s functioning

More information

Psychiatric Comorbidity in Methamphetamine-Dependent Patients

Psychiatric Comorbidity in Methamphetamine-Dependent Patients Psychiatric Comorbidity in Methamphetamine-Dependent Patients Suzette Glasner-Edwards, Ph.D. UCLA Integrated Substance Abuse Programs August11 th, 2010 Overview Comorbidity in substance users Risk factors

More information

Presently, there are no means of preventing bipolar disorder. However, there are ways of preventing future episodes: 1

Presently, there are no means of preventing bipolar disorder. However, there are ways of preventing future episodes: 1 What is bipolar disorder? There are two main types of bipolar illness: bipolar I and bipolar II. In bipolar I, the symptoms include at least one lifetime episode of mania a period of unusually elevated

More information

Mental Health Awareness. Haley Berry and Nic Roberts Nottinghamshire Mind Network

Mental Health Awareness. Haley Berry and Nic Roberts Nottinghamshire Mind Network Mental Health Awareness 2015 Haley Berry and Nic Roberts Nottinghamshire Mind Network The aim of this training:! to provide you with a basic understanding of mental health and mental illness. What do you

More information

Postpartum Depression and Post-Traumatic Stress Disorder

Postpartum Depression and Post-Traumatic Stress Disorder Postpartum Depression and Post-Traumatic Stress Disorder Emotional Recovery: Postpartum Depression and Post-Traumatic Stress Disorder By: Lisa Houchins Published: July 23, 2013 Emotions vary widely after

More information

9/11Treatment Referral Program How to Get Care

9/11Treatment Referral Program How to Get Care 9/11Treatment Referral Program How to Get Care Health 9/11 Treatment Referral Program The 9/11 Treatment Referral Program was created to help enrollees and others find care for WTC-related health problems.

More information

Quick Read Series. Information for people with seizure disorders

Quick Read Series. Information for people with seizure disorders Quick Read Series Information for people with seizure disorders 2003 Epilepsy Foundation of America, Inc. This pamphlet is designed to provide general information about epilepsy to the public. It does

More information

Welcome New Employees. Clinical Aspects of Mental Health, Developmental Disabilities, Addictive Diseases & Co-Occurring Disorders

Welcome New Employees. Clinical Aspects of Mental Health, Developmental Disabilities, Addictive Diseases & Co-Occurring Disorders Welcome New Employees Clinical Aspects of Mental Health, Developmental Disabilities, Addictive Diseases & Co-Occurring Disorders After this presentation, you will be able to: Understand the term Serious

More information

2) Recurrent emotional abuse. 3) Contact sexual abuse. 4) An alcohol and/or drug abuser in the household. 5) An incarcerated household member

2) Recurrent emotional abuse. 3) Contact sexual abuse. 4) An alcohol and/or drug abuser in the household. 5) An incarcerated household member Co Occurring Disorders and the on Children: Effectively Working with Families Affected by Substance Abuse and Mental Illness Definition (Co-Occurring also called Dual Dx) A professional diagnosis of addictive/substance

More information

FACT SHEET 4. Bipolar Disorder. What Is Bipolar Disorder?

FACT SHEET 4. Bipolar Disorder. What Is Bipolar Disorder? FACT SHEET 4 What Is? Bipolar disorder, also known as manic depression, affects about 1 percent of the general population. Bipolar disorder is a psychiatric disorder that causes extreme mood swings that

More information

Depression Assessment & Treatment

Depression Assessment & Treatment Depressive Symptoms? Administer depression screening tool: PSC Depression Assessment & Treatment Yes Positive screen Safety Screen (see Appendix): Administer every visit Neglect/Abuse? Thoughts of hurting

More information

Clinical Guideline for the Evaluation and Management of Chronic Insomnia in Adults

Clinical Guideline for the Evaluation and Management of Chronic Insomnia in Adults Special Article Clinical Guideline for the Evaluation and Management of Chronic Insomnia in Adults Sharon Schutte-Rodin, M.D. 1 ; Lauren Broch, Ph.D. 2 ; Daniel Buysse, M.D. 3 ; Cynthia Dorsey, Ph.D. 4

More information

SLEEP QUESTIONNAIRE AND WAKEFULNESS

SLEEP QUESTIONNAIRE AND WAKEFULNESS SLEEP QUESTIONNAIRE AND WAKEFULNESS (SQAW) PATIENT: DOCTOR: DATE COMPLETED: Must Be Completed by Appointment Date 7423-029-W-BKLT 11-1-09 For questions to be answered on a scale of 1 to 5, please circle

More information

Self-help guide to recovery for Chronic Fatigue Syndrome and Fibromyalgia

Self-help guide to recovery for Chronic Fatigue Syndrome and Fibromyalgia Self-help guide to recovery for Chronic Fatigue Syndrome and Fibromyalgia This brief guide is written in an attempt to explain the process of recovery in chronic fatigue syndrome (CFS) and fibromyalgia.

More information

STEP-BD. Methods. STEP-BD Baseline Findings. Lessons from STEP-BD for the Treatment of Bipolar Disorder

STEP-BD. Methods. STEP-BD Baseline Findings. Lessons from STEP-BD for the Treatment of Bipolar Disorder Lessons from for the Treatment of Bipolar Disorder Andrew A. Nierenberg, MD Massachusetts General Hospital Harvard Medical School Systematic Treatment Enhancement Program for Bipolar Disorder www.stepbd.org

More information

Who We Serve Adults with severe and persistent mental illnesses such as schizophrenia, bipolar disorder and major depression.

Who We Serve Adults with severe and persistent mental illnesses such as schizophrenia, bipolar disorder and major depression. We Serve Adults with severe and persistent mental illnesses such as schizophrenia, bipolar disorder and major depression. We Do Provide a comprehensive individually tailored group treatment program in

More information

Management of Concussion/Mild Traumatic Brain Injury - Evidence Based Practice

Management of Concussion/Mild Traumatic Brain Injury - Evidence Based Practice Management of Concussion/Mild Traumatic Brain Injury - Evidence Based Practice Introduction 1) The Centers for Disease Control and Prevention has estimated that each year, approximately Americans survive

More information

Psychological Impact of Disasters Clinical and General Approaches

Psychological Impact of Disasters Clinical and General Approaches Psychological Impact of Disasters Clinical and General Approaches Dr.V.D.Swaminathan Professor of Psychology & Director in charge University Students Advisory Bureau, University of Madras Disaster means

More information

Understanding. Depression. The Road to Feeling Better Helping Yourself. Your Treatment Options A Note for Family Members

Understanding. Depression. The Road to Feeling Better Helping Yourself. Your Treatment Options A Note for Family Members TM Understanding Depression The Road to Feeling Better Helping Yourself Your Treatment Options A Note for Family Members Understanding Depression Depression is a biological illness. It affects more than

More information

How to sleep better at night - sleep hygiene. Information for anyone having trouble sleeping

How to sleep better at night - sleep hygiene. Information for anyone having trouble sleeping How to sleep better at night - sleep hygiene Information for anyone having trouble sleeping www.leicspart.nhs.uk mail: feedback@leicspart.nhs.uk Aim for a good night s sleep A good night s sleep should

More information

Effective Treatment of Sleep Problems for Children with ASD

Effective Treatment of Sleep Problems for Children with ASD Effective Treatment of Sleep Problems for Children with ASD Dennis R Dixon, Ph.D. Center for Autism & Related Disorders, Inc. Normal Sleep What is Sleep? Sleep is a brain process Yet effected by environmental

More information

Post Traumatic Stress Disorder (PTSD) Karen Elmore MD Robert K. Schneider MD Revised 5-11-2001 by Robert K. Schneider MD

Post Traumatic Stress Disorder (PTSD) Karen Elmore MD Robert K. Schneider MD Revised 5-11-2001 by Robert K. Schneider MD Post Traumatic Stress Disorder (PTSD) Karen Elmore MD Robert K. Schneider MD Revised 5-11-2001 by Robert K. Schneider MD Definition and Criteria PTSD is unlike any other anxiety disorder. It requires that

More information

SLEEP, RECOVERY, AND HUMAN PERFORMANCE A Comprehensive Strategy for Long-Term Athlete Development

SLEEP, RECOVERY, AND HUMAN PERFORMANCE A Comprehensive Strategy for Long-Term Athlete Development SLEEP, RECOVERY, AND HUMAN PERFORMANCE A Comprehensive Strategy for Long-Term Athlete Development Post-exercise recovery and regeneration (PERR) is as important as the training regimen to the complex adaptive

More information

Psychosis Psychosis-substance use Bipolar Affective Disorder Programmes EASY JCEP EPISO Prodrome

Psychosis Psychosis-substance use Bipolar Affective Disorder Programmes EASY JCEP EPISO Prodrome Dr. May Lam Assistant Professor, Department of Psychiatry, The University of Hong Kong Psychosis Psychosis-substance use Bipolar Affective Disorder Programmes EASY JCEP EPISO Prodrome a mental state in

More information

Depression and Anxiety in Parkinson s disease

Depression and Anxiety in Parkinson s disease Depression and Anxiety in Parkinson s disease Greg Pontone, MD Director, Movement Disorders Psychiatry Clinical Programs at Johns Hopkins Morris K. Udall Parkinson's Disease Research Center Johns Hopkins

More information

LEVEL III.5 SA: SHORT TERM RESIDENTIAL - Adult (DUAL DIAGNOSIS CAPABLE)

LEVEL III.5 SA: SHORT TERM RESIDENTIAL - Adult (DUAL DIAGNOSIS CAPABLE) LEVEL III.5 SA: SHT TERM RESIDENTIAL - Adult (DUAL DIAGNOSIS CAPABLE) Definition The following is based on the Adult Criteria of the Patient Placement Criteria for the Treatment of Substance-Related Disorders

More information

Psychiatric Issues and Defense Base Act Claims. Dr. Michael Hilton

Psychiatric Issues and Defense Base Act Claims. Dr. Michael Hilton Psychiatric Issues and Defense Base Act Claims Dr. Michael Hilton Criteria for DSM-IVRPosttraumatic Stress Disorder with changes now in effect with DSM5 a. The person has been exposed to a traumatic event

More information

COUNTY OF LOS ANGELES - DEPARTMENT OF MENTAL HEALTH OFFICE OF THE MEDICAL DIRECTOR. 3.4 PARAMETERS FOR THE USE OF ANXIOLYTIC MEDICATIONS October 2014

COUNTY OF LOS ANGELES - DEPARTMENT OF MENTAL HEALTH OFFICE OF THE MEDICAL DIRECTOR. 3.4 PARAMETERS FOR THE USE OF ANXIOLYTIC MEDICATIONS October 2014 COUNTY OF LOS ANGELES - DEPARTMENT OF MENTAL HEALTH OFFICE OF THE MEDICAL DIRECTOR 3.4 PARAMETERS FOR THE USE OF ANXIOLYTIC MEDICATIONS October 2014 I. GENERAL CONSIDERATIONS A. Definition: Anxiolytic

More information