Sleep Disorders

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Sleep Disorders
2013-03-03 18:40:15
Sleep Disorders

Sleep Disorders
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  1. What is Dyssomnias?
    are sleep disorders that involve abnormalities in the amount, timing, or quality of sleep.
  2. Primary Insomia?
    difficulty getting to sleep or staying asleep, or non-restorative sleep that persists for a minimum of 1 month, result in marked distress or impairment in functioning, and is not due to Narcolepsy, Breathing-Related Sleep Disorder, Circadian Rhytm Sleep Disorder, or a Parasomia.
  3. Primary Hypersomnia?
    excessive sleepiness that persists for a minimum of 1 month and results in significant distress or impairment in functioning and is not a byproduct of isnomnia or another sleep disorder. Behavioral Therapy and sleep hygiene techniques are the preferred treatment.  Tricyclics, MAOIs, and psychostimulants are meds that commonly prescribed.
  4. Narcolepsy?
    sudden, irresistible attacks of sleep that are experienced as refreshing and that occur on a daily basis for a minimum of 3 months.  This category includes cataplexy (sudden short-lasting episodes of loss of muscle tone.) Medication include psychostimulants that induce wakefulness, including Modafinil (provigil) ritlin.
  5. Breathing-Related Sleep Disorder?
    disruption in sleep that occurs as a result of a sleep-related breathing disorder (e.g., sleep apnea) and results in daytime sleepiness and insomnia. Weight loss, Stimulants and triyclic antidressants are most commonly prescribed for sleep apnea. CPAP is very effective in reducing or eliminating sleep apnea episodes.
  6. Parasomnias?
    Are sleep disorders that involves the activation of different physiological systems, including the autonomic nervous system, the motor system, or cognitive process, at inappropriate points in the sleep-wake cycle.
  7. Nightmare Disorder?
    recurring awakening typically occurring in the second half of a sleep period with clear memory of frightening dreams and that cause marked distress or impairment in functioning.  The individual quickly becomes aware and alert after awakening.
  8. Sleep Terror Disorder?
    Involves repeated abrupt awakenings that occur during the first third of a sleep episode and that begin with a scream of panic. These episodes are characterized by intense fearfulness and physiological arousal (eg. tachycardoia, sweating). Does not remember a dream, is amnesic of the experience.
  9. Sleep Walking Disorder?
    Is marked by recurring episodes of sleepwalking that often occur in the first third of sleep episodes. The individual is unresponsive to others and is difficult to awaken but takes relatively little time, after awakening, to become oriented. Benzodiazepines may be necessary medications to use when there is risk of injury, and family disruption and excessive day time sleepiness.