BookKarim Sedky, Racha Nazir, David Bennett, editors.
Summary: This book serves to fill the gap in medical training that neglects the bidirectional relationship between sleep medicine and psychiatry. Written by expert psychiatrists who are also trained in sleep medicine, the text translates between these two fields by covering both the classification of sleep disorders as International Classification of Sleep - third edition (ICSD-3) as it relates to mental health, and also the classification of mental health comorbidities as defined by the Diagnostic and Statistical Manual of Mental Disorders - 5 as they relate to sleep disorders. Chapters also address the neurobiological components of sleep and psychiatric consideration, pharmacological considerations, behavioral therapeutic remedies, and unique challenges in special populations, such as pregnant women, children, and others. Sleep Medicine and Mental Health is an excellent resource for all physicians treating patients with sleep disorders who may also have psychiatric considerations, including psychiatrists, sleep specialists, neurologists, primary care physicians, and all others.
Contents:
Intro
Preface
Introduction
References
Contents
Contributors
Part I: Introduction
1: Introduction to Sleep and Sleep Disorders
Introduction
Functions of Sleep
Normal Sleep and Sleep Architecture
Non-Rapid Eye Movement Stages (NREM)
Rapid Eye Movement Stage (REM)
Process C and Process S
Sleep Changes Over Life Stages
Neurobiology and Neuroanatomy of Sleep
Sleep Disorder Classifications
Effects of Psychotropic Medications on Sleep
Interaction Between Sleep Disorders, Psychiatric Complications, and Medical Problems
Sleep Assessment Measures Conclusion
References
Part II: Insomnia
2: Insomnia
Introduction
Prevalence and Chronicity
Insomnia and Consequences
Models of Insomnia
The Stimulus Control Model
The Three Factor (3-P) Model
The Neurocognitive Model
Diagnosis of Insomnia
Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (DSM-5) [51]
International Classification of Sleep Disorders-Third Edition (ICSD-3) [52]
International Classification of Disorders-Tenth Edition (ICD-10-CM) [53]
Insomnia Subtypes
Adjustment Insomnia (Acute)
Idiopathic Insomnia (Childhood Onset) Paradoxical Insomnia (Sleep State Misperception)
Inadequate Sleep Hygiene
Behavioral Insomnia of Childhood
Psychophysiological Insomnia (Conditioned Insomnia)
Insomnia Due to Mental Disorder
Insomnia Due to Medical Condition
Insomnia Due to Drugs or Substances
Evaluation and Treatment
Conclusion
References
3: Cognitive-Behavioral Therapy for Insomnia (CBT-I)
Introduction
Cognitive-Behavioral Therapy for Insomnia (CBT-I): What Is It?
Sleep Pattern Assessment
Sleep Education
Stimulus Control Therapy
Sleep Restriction Therapy Managing High Arousal and Utilizing Cognitive Restructuring
Creating a Relaxing Environment for Sleep
Cognitive Restructuring
Efficacy of CBT-I
Modality: Does CBT-I Format Affect Improvements in Sleep?
Contraindications to CBT-I
Insomnia, Comorbid Health Conditions, and CBT-I
Physical Health Conditions
Mental Health Conditions
Hypnotic Medication Use and CBT-I
CBT-I by Age Group
Children
Adolescents
Older Adults
CBT-I Limitations
Summary
References
4: Yoga and Mindfulness-Based Cognitive-Behavioral Therapy for Insomnia (Y-MBCTi)
Introduction Approach to Assess Insomnia
Role of Yoga and Mindfulness Interventions in Insomnia
The Components of the Y-MBCTi Model
Goal of Y-MBCTi
Components of Y-MBCTi
Customizations in the Y-MBCTi
Achieving the Meditation Skills Before Implementing the CBT Interventions is the Key to Success in this Therapy
General Instructions on Meditation for Clients Using the Y-MBCTi Model
Instructions for Meditation
The Five-Step SPASM Method for Honing Meditation Skills
General Instructions on Sleep Hygiene for Clients Using the Y-MBCTi Model