Sleep Disorder as it relates to Psychiatry

Question 1

No matter the cause, ________ is often an underlying problem that exacerbates insomnia?

Answer 1

poor sleep hygiene

Question 2

Bipolar Disorder’s effects on sleep

Answer 2

Insomnia is a sign of impending mania

Question 3

Depression’s effects on sleep

Answer 3

Fragmented sleep, decreased total sleep time, earlier onset REM

Question 4

What is the first line of treatment for sleep issues

Answer 4

First line should always be sleep hygiene

Question 5

What is some corrective actions for sleep hygiene

Answer 5

(a) No caffeine/nicotine in evening
(b) Daily exercise regimen (avoid evening workouts)
(c) Avoid alcohol
(d) Limit fluids in evening
(e) Relaxation techniques

Question 6

What treatment is best for acute therapy
-Used when sleep hygiene is ineffective

Answer 6

Antihistamines beneficial and produce no dependency
1) Hydroxyzine
2) Diphenhydramine
-Trazadone
1) Long term use