Psychotherapy: 88b - Sleep Disorders

• 
  Replace iron in patients with serum ferritin <75 mcg/L

• Dopamine agonists or prebablin/gabapentin

Unpleasant or undesirabel behavioral or expiremental phenomena that occurs predominantly or exclusively during the sleep...

Synucleinopathy

Remember REM Behavior Disorder = acting out dreams; diminished aton...

CPAP

• Obstructive
  

  • Breathing stops but effort persists

<...

Excessive daytime sleepiness

• Inadequate sleep at night

• How do you differentiate NREM and REM parasomnias?

  • NREM
    

    • Arousal from NREM sleep

    • What medications can be used to treat insomnia?

      • GABAA agonists
        

        • -zazoles

        • View all 12 terms

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  Psychotherapy: 88b - Sleep Disorders

  Term	Definition
  Which neurotransmitter is likely to be low in people with Narcolepsy with Cataplexy? (Narcolepsy Type 1)	Orexin (aka hypocretin)
  What is the most effective treatment for insomnia?	Cognitive Behavioral Therapy Effective in 75% of cases Stimulus control, sleep restriction, relaxation techniques
  What causes narcolepsy?	Destruction of orexin-producing cells Remmeber, orexin stabilizes the “awake” state
  How do you differentiate between narcolepsy and idiopathic hypersomnia?	Both have excessive daytime sleepiness If narcolepsy, may also have: Sleep paralysis Vivid dreams Cataplexy
  How is restless leg syndrome treated?	Replace iron in patients with serum ferritin <75 mcg/L Dopamine agonists or prebablin/gabapentin
  What is a parasomnia?	Unpleasant or undesirabel behavioral or expiremental phenomena that occurs predominantly or exclusively during the sleep period Can be NREM or REM sleep parasomnias
  REM Behavior Disorder is often an early symptom of which kind of neurodegenerative disease?	Synucleinopathy Remember REM Behavior Disorder = acting out dreams; diminished atonia during REM sleep
  What is the most effective treatment for obstructive sleep apnea?	CPAP
  How do you differentiate between obstructive sleep apnea and central sleep apnea?	Obstructive Breathing stops but effort persists Central No effort made to breathe
  What is hypersomnia? What are some of the common causes?	Excessive daytime sleepiness Inadequate sleep at night Poor quality of sleep May be due to OSA, restless leg syndrome, other Effect of medication or substance If the above are ruled out, may be a primary disorder of daytime sleepiness Narcolepsy idiopathic hypersomnia
  How do you differentiate NREM and REM parasomnias?	NREM Arousal from NREM sleep Sleeper can perform complex tasks, but they are not aware Ex: sleep walking REM behavior disorder (RBD) Dream enactment behavior 90+ min after the onset of sleep Diminished atonia in rem sleep May accidentally injure themselves or bed partner May be an early symptom of synucleinopathy
  What medications can be used to treat insomnia?	GABAA agonists -zazoles Benzos (but not great for sleep) Orexin antagonists Melatonin