A Clinical Casebook Of Sleep Disorders In Women

Sleep disorders are very common among women during their lifespan, presenting in isolation or in combination with other illnesses particularly psychiatric and neurologic disorders. Pregnancy-related sleep disorders pose an interesting dilemma as this is a transient phase; these are associated with potential long-term effects on maternal and fetal health. Menopause and pre-menopausal stages lead to a significant change in sleep architecture, sometimes associated with insomnia with or without sleep related breathing disorder. Sleep architecture in men and women varies due to significant hormonal differences between the genders. However, sleep complaints are disproportionately higher among women. This book presents 20 clinical cases to understand the differences in presentation of symptoms and treatment options for various sleep disorders that are more commonly noted among women. These cases cover a spectrum of sleep related breathing disorders, sleep related movement disorders, hypersomnias, parasomnias, issues of sleep fragmentation leading to insomnia in association with hormonal changes and some unique cases encountered in our clinical practices. This compilation of interesting clinical cases presents trainees and experienced physicians with a useful guide to assist in their clinical practices and will stimulate further research and studies.

According to research, more than 50% of patients seen in psychiatric clinics have sleep problems. Despite this fact, there is a lack of sleep medicine training in psychiatric residency programs especially for disorders like insomnia and sleep-related problems in women and children. Also, there is a lack of education on treating sleep problems in special situations like ICU settings or managing sleep problems via telemedicine. Sleep physicians, on the other hand, are uncomfortable treating patients with the psychiatric disorders, particularly in this demographic. Pediatricians are also not trained to work with children suffering from sleep disturbances or psychiatric disorders. They often struggle to correctly identify a particular disorder and lack confidence to adequately treat and manage these issues. In total, there are only about 250 clinicians trained in both sleep medicine and psychiatry, despite the millions of patients who could benefit from both disciplines. While Springer does have a forthcoming text on sleep and psychiatric disturbances that addresses comorbid sleep disorders in the general population, there is still no resource that examines the intricacies of insomnia in women and children. This text highlights the importance of common medical comorbidities and illuminates the salient points for treatment, diagnosis, and management of these conditions as they relate particularly to these special populations. Written by experts in both sleep medicine and psychiatry, the text takes a cutting-edge, reader-friendly approach to topics that include sleep disturbances in pregnancy, sleep tele-medicine, sleep disturbances related to difficulties in schools, and substance-induced disturbances. Each chapter follows a consistent format, making it an excellent tool for the busy clinician who is not able to sift through scientific literature or didactic texts. Psychiatric Sleep Disorders in Women and Children is an excellent resource for all clinicians who may work with special populations struggling with sleep and psychiatric comorbidities, including psychiatrists, sleep medicine physicians, internists, primary care and family medicine physicians, pediatricians, obstetrics/gynecologists, psychologists and others.

This clinical casebook presents a comprehensive review of common sleep problems in adolescents in a concise, easy-to-read format. Each chapter thoroughly addresses a unique sleep disorder in teenagers through illustrative cases, reviews of relevant literature, and pearls of wisdom for both the practicing sleep specialist and other practitioners involved in the care of adolescents. Early chapters address various sleep disorders in detail: parasomnias, narcolepsy, obstructive sleep apnea, and delayed sleep-wake phase disorder, providing clear treatment considerations. Later chapters address sleep when complicated by issues of major depression, PTSD, epilepsy, and Traumatic Brain Injury. In-depth discussions and differential diagnosis engage the reader, and offer a multitude of research-based and clinically guided recommendations for the evaluation and treatment of sleep disorders in the adolescent. An ideal, practical resource for clinicians at all levels, Sleep Disorders In Adolescents provides a valuable contribution to adolescent care.

This book provides a thorough, multidisciplinary review of the latest research and clinical approaches in the field of sleep disorders. It illustrates the variance of complications, symptoms, and issues sleep disorders cause during different stages of a woman’s life. This updated, comprehensive edition begins with an overview of sleep disorders in women, followed by a section dedicated to examining sleep disorders in women during adolescence. Subsequent chapters then focus on treating pregnant women with sleep disorders, which include conditions such as restless legs syndrome, that arise during the gestational period as well as those like narcolepsy, whose management offers unique challenges during pregnancy and lactation. The book concludes with information on the specific issues caused by sleep disorders faced by women during and after menopause. Sleep Disorders in Women, 3rd Edition serves as an important addition to the literature and is an invaluable resource for neurologists, sleep medicine specialists, OB/GYNs, internal medicine physicians, family practitioners, psychiatrists, nurse practitioners, and physician assistants.

This valuable resource is devoted specifically to sleep disorders in women and explores the following topics: sleep and the menstrual cycle; circadian rhythms and shiftworking women; the impact of premenstrual syndrome (LLPDD) and dysmeonorrhoea on sleep; polycyctic ovary syndrome (PCOS) and obstructive sleep apnea; sleep disturbed by pain from endometriosis, fibromylagia, and irritable bowel syndrome (IBS); breast cancer and fatigue; sleep disruption during pregnancy; pregnancy and sleep-disordered breathing; socio-cultural considerations and sleep practices in the pediatric population; practical therapeutic options for women with insomnia; menopausal sleep disturbances; the circuitous route to diagnosing sleep disorders in women; and healthcare utilization and benefits of improved awareness for sleep disorders.

This book is a clinically relevant and educational resource for sleep specialists, practitioners, and sleep or pulmonary trainees in the management of complicated sleep disordered breathing. It tackles complicated sleep breathing disorders by discussing their epidemiology, pathophysiology, clinical significance, physical findings, and their diagnosis and management. Organized into 21 chapters, opening chapters cover a variety of sleep apnea manifestations including hypercapnic obstructive sleep apnea, complex breathing disorders and strokes. Subsequent chapters discuss detailed approaches to PAP titrations based on best evidence, current guidelines, or expert opinion. Treatment options, complications, comorbidities, and sleep apnea in specific demographics such as pregnant women are also addressed. Complex Sleep Breathing Disorders: A Clinical Casebook of Challenging Patients is a necessary resource for all sleep trainees and pulmonary fellows, as well as a resource for sleep specialists including sleep technicians.​

This issue of Sleep Medicine Clinics focuses on Sleep Disorders in Women's Health, with topics including: Menstrual cycle effects on sleep; Impact of shiftwork on sleep, circadian rhythyms, and health in women; Sleep in pregnancy; RLS in pregnancy; Sleep-disordered breathing in pregnancy; Postpartum sleep and circadian rhythms; Chronic pain and autoimmune disorders in women; Management of sleep disturbance in women with cancer; Impact of stress and trauma on sleep; Sleep disorders in female veterans; Sleep and sleep disorders in the menopausal transition; and Impact of sleep disturbance on health and cognition in elderly women.

A pioneer in the field of sleep medicine shows women how to solve their sleep problems. Do you toss and turn at night? Do you wake up repeatedly at all hours? Do you fall asleep in the daytime when you don't want to? These could be symptoms of a sleep disorder that may make you irritable and exhausted and could endanger your health. Sleep disorders among women are common, but until recently they were largely misunderstood or misdiagnosed by the medical establishment. With Can't Sleep, Can't Say Awake, Meir Kryger, M.D., a leader in sleep disorder research and treatment, breaks through the mystery to show you why your sleep is unsatisfying or unpredictable, what the causes might be, and -- best of all -- what you can do to fix them. You'll discover: What healthy sleep is and how much you should be getting every night Sleep problems unique to women, including those related to menstruation, pregnancy, and menopause How family, psychological conditions, and the 24/7 world can cause sleep problems How to combat specific disorders such as sleep apnea and insomnia that may be causing your symptoms Guidance to the help and resources available in Canada you need to get treatment The journey to a good night's sleep begins with the right information. With the help of Dr. Kryger, you can begin that journey and achieve the nightly rest you need for a healthier and happier life.