Clinical Manual for Evaluation and Treatment of Sleep Disorders

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American Psychiatric Pub, 2009 - Health & Fitness - 377 pages
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The Clinical Manual for Evaluation and Treatment of Sleep Disorders is the first clinical text devoted solely to the diagnosis and treatment of sleep disorders that is both comprehensive and conveniently portable. The book's 13 chapters offer a concise, step-by-step method of differential diagnosis for some of the most common sleep complaints encountered in today's professional clinical practices. And, unlike most other clinical textbooks, its small size gives it a broad accessibility.

The manual begins with an overview of sleep physiology and pathology, including eight common laboratory procedures and three major diagnostic nomenclatures for sleep disorders. Each of the chapters that follow provides an overview of symptoms, tests, and various behavioral and pharmacologic treatments for a wide range of sleep conditions, including insomnias, breathing disorders, parasomnias, and several common medical disorders that are often associated with sleep complaints. The latter chapters discuss sleep disorders in distinct patient demographics--specifically children, women (during pregnancy, the postpartum period, and menopause) and the increasing population of older adults. The book concludes with a chapter devoted to pharmacologic interventions, detailing the use of and clinical issues associated with 25 different types of drugs.

Additional benefits of the manual include: A Pearls and Pitfalls section of bulleted facts at the beginning of each chapter Figures, tables, and helpful takeaways (such as a differential diagnosis decision tree and patient questionnaires) in many chapters An appendix of 65 frequently used abbreviations related to sleep complaints and disorders Patient handouts that include sleep tips and information on insomnia, abdominal breathing, delayed sleep phase syndrome, melatonin and light treatments, sleep walking, and jet lag

No other clinical text provides such a breadth of information on sleep disorders in such a compact, easy-to-carry volume. Its extensive content makes this book ideal for nursing, psychiatric, social work, and family practice settings, as well as a useful teaching implement in medical classrooms. By classifying sleep disorders according to clinical presentation, patient demographic, and related conditions, the Clinical Manual for Evaluation and Treatment of Sleep Disorders offers clinicians a valuable reference tool in the diagnosis and treatment of sleep disorders.

 

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Contents

Overview of Sleep Disorders Medicine
1
Laboratory Procedures
5
Sleep Disorders Centers
10
Major Diagnostic Nomenclatures for Sleep Disorders
12
References
14
Suggested Web Sites
15
Sleep Physiology and Pathology
17
Sleep Physiology and Its Relationship to Sleep Disorders
18
Traumatic Brain Injury
213
References
214
SleepRelated Breathing Disorders
217
Clinical Presentation
218
Types of SleepRelated Breathing Disorders
219
Differential Diagnosis
225
Consequences of Repetitive Episodes of Apnea
227
Laboratory Findings
228

Sleep Architecture
19
Bodily Physiology During Sleep
29
Neuronal Systems Involved in Regulation of the Daily Cycle of Sleep and Wakefulness
30
Dreams
32
Circadian Physiology and Sleep
34
Sleep Deprivation
38
Functions of Sleep
40
Sleep Genetics
41
References
42
Insomnia Complaints
45
Conceptualizing Insomnia
46
Transient and ShortTerm Insomnias
47
Chronic Insomnias
48
Rare Types of Insomnia
87
References
89
Circadian RhythmBased Sleep Complaints
97
Delayed Sleep Phase Syndrome
102
Advanced Sleep Phase Syndrome
108
FreeRunning Non24Hour SleepWake Syndrome
109
Irregular SleepWake Cycle
112
Shift Work Sleep Disorder
114
Jet Lag
116
References
119
Disorders of Excessive Sleepiness
123
Evaluation of Excessive Daytime Sleepiness
124
Narcolepsy
130
Other Causes of Excessive Daytime Sleepiness
141
References
145
Parasomnias
147
Primary Parasomnias
148
Secondary Parasomnias
165
SleepRelated Violence
167
Medical Disorders and Sleep
171
Symptoms of Medical Disorders Disruptive to Sleep
172
Specific Medical Conditions Associated With Sleep Disorders
173
Treatment of Sleep Disorders Related to Medical Conditions
181
References
183
Psychiatric Disorders and Sleep
187
Sleepiness or Fatigue?
190
Seasonality
191
Mood Disorders
192
Anxiety Disorders
202
Alcoholism
209
Eating Disorders
211
AttentionDeficitHyperactivity Disorder
212
Treatment
232
References
237
Sleep Problems in Children
241
BreastFeeding Cosleeping and Sudden Infant Death Syndrome
243
Pediatric Sleep Apnea
251
Pediatric Sleep Disturbance
253
Confusional Arousals Sleepwalking and Sleep Terrors
259
Rhythmic Movement Disorder
263
Enuresis
264
AttentionDeficitHyperactivity Disorder
265
Sleep Problems During Adolescence
266
References
267
Sleep Problems in Women
271
Women and Sleep
272
Sleep During Pregnancy
274
Postpartum Sleep and Depression
279
BreastFeeding Bed Sharing and Sudden Infant Death Syndrome
280
Menopause
281
References
286
Sleep Problems in Older Adults
289
Sleep in Older Adults
290
Normal Aging and Sleep Control Mechanisms
291
Basic Sleep Pathologies and Comorbidities
292
Adverse Sleep Habits and Environments
294
Differential Diagnosis
295
Treatment Issues
296
References
298
Drugs Medications and Sleep Prescription Drugs Nonprescription Drugs and Drugs of Abuse
301
Glossary of Abbreviations
321
Comparison of ICSD DSMIVTR and ICD9CM Classifications of Sleep Disorders
325
International Classification of Sleep Disorders 2nd Edition
327
DSMIVTR classification of sleep disorders
331
ICD9CM classification of sleep disorders
332
Patient Handouts
339
Sleep Tips
340
Stimulus Control and Sleep Restriction
342
Abdominal Breathing
344
Night Owls
345
Melatonin Treatment
346
Light Treatment
348
Sleepwalking Sleep Terrors and Confusional Arousals
350
Jet Lag
352
Index
353
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About the author (2009)

Martin Reite, M.D., is Clinical Professor in the Department of PsychiaŽtry and Medical Director of the Neuromagnetic Imaging Laboratory at the University of Colorado, DenŽver. He is also a Diplomate of the American Board of Sleep Medicine and the American Board of Psychiatry and Neurology.

John Ruddy, M.D., is a consultant with The Center for Sleep and Wake Disorders in Chevy Chase, Maryland, and a Diplomate of the American Board of Sleep Medicine and American Board of Internal Medicine.

Michael Weissberg, M.D., Executive Vice-Chair of the Department of Psychiatry at the University of Colorado, Denver, and Diplomate of the American Board of Sleep Medicine and American Board of Psychiatry and Neurology.

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