在精神病学睡眠障碍的药物ppt课件.pptVIP

Sleep Disorders MedicineIn Psychiatry;Introduction; DSM-IV-TR;Great clinical textbook:  (Mayo Clinic, 2004) ;Sleep waveform schematic;Sleep Stage % by Age;Stg%;EEG Type;The “10 – 20” system of EEG electrode placement (C3 / C4 in yellow – where sleep is scored). ;Wake = Sleep Transition;R K 1968;Stage 4 Sleep;Onset of REM;Sleep Histogram;24-hr Sleepiness Profile;Multiple Sleep Latency Test (MSLT);MSLT;Narcolepsy: MSLT, SOREMs;mid-saggital section. Netter / CIBA;Neurotransmitters in Sleep;REM Control Nuclei;;REM Control;Orexin-Hypocretin projections;Narcolepsy -- Cataplexy;Narcolepsy: night sleep;Narcolepsy “Tetrad” (4 symptoms);Narcolepsy: age of onset;Narcolepsy Biology;Narcolepsy Treatments:;Narcolepsy versus Schizophrenia;Worm in lateral hypothalamus causing narcolepsy.(neurocysticercosis)J. Clin. Sleep Med. 1(1) 2005, p. 41.;Obstructive Sleep Apnea;Normal ;Sleep Apnea;OSA Clinical Symptoms;Clinical Applicability – Apnea ;Restless Legs Syndrome / Periodic Limb Movement Disorder(RLS-PLMD);Periodic Limb Movement Disorder;RLS – PLMD: neurochemistry;RLS – PLMD: Sx and Tx;Polysomnographic Abnormalities In Psychiatric Patients;Sleep Abnormalities in Psychiatry;Psychiatric Sleep Measurements;REM Latency (RL RLMA);MDD: sleep features;MDD (cont.);Bipolar Disorder vs. MDD;Bipolar Disorder vs. MDD;Bipolar Disorder with Narcolepsy;Alcoholism;Management of Insomnia; Stressful personal events – child is sick, financial crisis, fire damages the house, natural disasters. Impending stressors – exams, marriage, moving away from home, court appearance. Acute illness: medical, surgical, especially if painful.;. . . acute insomnia #2;. . . acute insomnia #3;Chronic Insomnia:;. . . Chronic insomnia #2;. . . Chronic insomnia #3;. . . Chronic insomnia #4;Assessment of Insomnia;Treatment Plan for Insomnia;;When to refer to sleep clinic;Questions ?