How to Evaluate and Treat SLEEP PROBLEMS and INSOMNIA? - A Quick Guide | Psychiatrist Explains скачать в хорошем качестве

How to Evaluate and Treat SLEEP PROBLEMS and INSOMNIA? - A Quick Guide | Psychiatrist Explains

In this video, Dr Sanil Rege, Consultant Psychiatrist, explains the evaluation of sleep difficulties using a practical algorithm. #sleep #sleepdisorder #insomnia #obstructivesleepapnea #restlesslegs #remsleep Insomnia is defined as an ongoing subjective dissatisfaction with the duration or quality of sleep. Sleep difficulties do not always equate to insomnia. In order for insomnia to be diagnosed - other causes should be ruled out. 0:00 - Introduction 0:25 - Definition of insomnia 1:24 - Nature of insomnia 2:12 - Sleep habits 3:00 - Stimuli affecting sleep 3:39 - Sleep restriction 4:19 - Types of Insomnia 4:39 - Principles in the management of Insomnia - Pharmacological and Non-Pharmacological 7:26 - Specific Types of medications for Insomnia According to the DSM-V, the following are the key criteria for insomnia: Predominant complaints of dissatisfaction with sleep quantity or quality associated with difficulty initiating sleep, difficulty maintaining sleep and early morning awakening with an inability to return to sleep. The sleep difficulty occurs at least three nights per week, and the difficulty is present for at least three months. Sleep difficulties may be due to : 1. Stress 2. Travel 3. Poor sleep hygiene 4. Medications or use of substances 5. Psychiatric disorders - ADHD, PTSD, depression, agitation etc 5. Sleep disorders - Obstructive sleep apnoea, Restless Legs Syndrome (RLS), REM sleep behaviour disorder 5. Narcolepsy Thus it is important to evaluate the causes and the associated factors in order to devise an appropriate treatment plan. Treatment consists of treating the causes e.g. OSA - CPAP RLS - treating iron deficiency, MG supplement, Dopamine agonists PTSD nightmares - clonidine or prazosin Psychophysiological insomnia - Sleep hygiene, sleep restriction, stimulus control CBT-insomnia Medications Benzodiazepines Z drugs - Zopiclone, zolpidem Orexin antagonists - Lemborexant or suvorexant Treating psychiatric disorders Reading material - https://psychscenehub.com/psychinsigh... 🎓RESOURCES BY PSYCH SCENE: 🌐The Academy by Psych Scene: PSYCHIATRY EDUCATION REDEFINED https://academy.psychscene.com/ Revolutionary psychiatry learning – Coming soon! 🌐Psych Scene Hub: PSYCHIATRY TEXTBOOK OF THE FUTURE https://psychscenehub.com/ The Hub is devoted to making you a better mental health professional. Our team of academic and clinical experts bring you powerful summaries, videos and interviews in psychiatry and neurosciences. 🌐Psych Interview Online: REAL WORLD SKILLS FOR REAL WORLD SUCCESS https://www.psychinterview.com/ The Psych Interview online courses offer high-quality training to help you improve your psychiatric interview skills through self-study. They are suitable for Psychiatrists, Psychiatry trainees, Mental health practitioners, Nurses and General Practitioners. 🌐Psych Scene Online: THE ONLINE COURSES TO HELP YOU SUCCEED https://ranzcpexams.psychscene.com/ Learn at your own pace with the RANZCP Written Exam prep online courses, psychotherapy online courses and CEQ podcasts brought to you by the Psychiatry Training Experts. 🌐Psych Scene: THE PSYCHIATRY TRAINING EXPERTS https://psychscene.com/ Psych Scene offers specialised training and professional development for Psychiatry Trainees, Psychiatrists, General Practitioners and Mental Health Practitioners. Here you can find our upcoming live courses. -- 📱SOCIALS Subscribe for weekly videos on Psychiatry and Neuroscience:    / @psychiatrysimplified   Instagram:   / psychiatry.excellence   Facebook:   / psychscenehub   – 👋 LET’S CONNECT! Follow Sanil Rege on LinkedIn:   / sanilregepsychiatrist   For business inquiries, speaking gigs or partnership opportunities, please email me at [email protected]