Preparation for Child Psych PRITE and Boards
Revision as of 19:40, 8 June 2012 by Eugene Grudnikoff MD (Talk | contribs)
Sleep Disorders
Sleep disorders nosology is rather complex, but it is important to be aware of major categories.
- Insomnia
- primary insomnia
- insomnia due to mental condition, medical condition or substances
- behavioral insomnia of childhood
- Sleep-related Breathing Disorders
- central sleep apnea
- obstructive sleep apnea
- sleep-related hypoventilation/hypoxemic syndrome
- Hypersomnia of Central Origin
- narcolepsy
- Kleine–Levin syndrome
- menstrual-related hypersomnia
- Circadian Rhythm Sleep Disorders
- jet lag, shift work disorders
- Parasomnias
- Disorders of arousal from NREM: sleepwalking, sleep terrors
- REM: REM sleep behavior disorder, recurrent isolated sleep paralysis, nightmares
- other: enuresis, sleep-related eating disorder
- Sleep-related Movement Disoders
- restless leg syndrome
- bruxism
- periodic limb movement disorder
Sleep and Depression
Depression causes a number of sleep disturbances: increased sleep latency, increased nocturnal and early-morning awakenings, shortened latency to REM sleep, increased REM density, decreased slow-wave sleep in first NREM cycle.
REM sleep deprivation alleviates depression; also most antidepressants suppress REM sleep (exceptions: bupropion, nefazodone (Serzone)) (K&S, p.2154)