Sleep-Wake Disorders - Circadian Rhythm Disorders

Question 1

Teenage male with sleep disorder, excess daytime fatigue, usually in morning?

Answer 1

Circadian rhythm sleep disorder

Question 2

At what time should a teen use light therapy for delayed sleep phase syndrome?

Answer 2

Morning

Question 3

Vignette: Otherwise normal adolescent presents with irritability, poor grades, fatigue after earlier school start time this year. A: Deficiency most likely associated with disorder? B: Diagnosis related to changes?

Answer 3

A. Melatonin. B. Delayed sleep phase syndrome

Question 4

Which disorder can be addressed by bright light therapy in the morning?

Answer 4

Delayed sleep phase syndrome

Question 5

Teen patient often stays up until midnight doing work, doesn’t feel rested in the morning and sleeps until midday on weekends, what’s the diagnosis?

Answer 5

Delayed sleep phase syndrome

Question 6

15 y/o can’t sleep until 2 AM but sleeps 11 hours on weekends. Tx for primary sleep disorder?

Answer 6

BLUE light therapy QAM, half hour

Question 7

What tx has efficacy when combined with CBT for delayed sleep phase disorder?

Answer 7

Morning bright light therapy