How to Help Your Clients Get Better Sleep
|
|
- Nathan Lamb
- 5 years ago
- Views:
Transcription
1 How to Help Your Clients Get Better Sleep Bonus Video 1 10-Point Checklist for Getting Better Sleep with Rubin Naiman, PhD
2 How to Help Your Clients Get Better Sleep 2 10-Point Checklist for Getting Better Sleep with Rubin Naiman, PhD Dr. Naiman: We re going to talk about the top 10 questions you should ask to diagnose sleep issues. I want to begin by saying that it s really critical for every therapist to incorporate a concern about sleep issues into their practices, and that we should routinely ask about an individual s sleep, in the same way that we would ask about their mood, their feelings, their depression, relationship issues, stress and things like that. I like to begin with open-ended questions, an open-ended conversation around sleep and then seek specific clarifications as needed. So, the first question is: How s your sleep? With this question we re looking for a general sense of the individual s experience about their sleep as well as some specifics. We should routinely ask about an individual s sleep. We want to get a sense of how much time they re sleeping what we call total sleep time or TST in sleep medicine. We want to get a sense of how much time they re sleeping what we call total sleep time or TST. There s a normal range that could probably run anywhere from about six hours up to about nine hours, and even ten hours for some individuals. Around this question, we re also interested in issues about the quality of their sleep: Are they having trouble falling asleep? Are they having trouble staying asleep? Are they having trouble obtaining rejuvenating sleep? We re really looking for indicators of sleep onset insomnia, sleep maintenance insomnia, or poor-quality sleep. The second question, very much related to this, is a question about How is your energy throughout the day? We re looking here for something technically referred to as EDS, which stands for excessive daytime sleepiness. It s very common for people who don t sleep well to find that they re not sleepy during the day. It s very common for people who don t sleep well to be sleepy during the We re looking for indicators of sleep onset insomnia, sleep maintenance insomnia, or poor-quality sleep. day, but it s also common as we ll talk about in the moment to find that they re not sleepy during the day, and then we look for some daytime impact of their trouble sleeping at night.
3 How to Help Your Clients Get Better Sleep 3 With EDS, the focus is on excessive daytime sleepiness because it s actually normal for people to have some sleepiness during the day. We re all biologically programmed to nap, so getting sleepy after lunch, around two or three o clock is perfectly normal. It s perfectly normal, and actually necessary, for people to nap in the afternoon. But we re looking for sleepiness that oscillates pretty intensely through the day: somebody feeling sleepy after breakfast, before lunch, certainly in the afternoon, maybe falling asleep in the late afternoon or in the evening when watching television after dinner. One of the major causes of sleeplessness at night is not insufficient sleepiness, but excessive wakefulness. So, there are a couple of additional points related to the question, How s your energy throughout the day? One is the issue of napping. It s perfectly normal, and actually necessary, for people to nap in the afternoon. The only time we don t recommend napping is if somebody is having insomnia we don t want to reduce their sleep load through naps. A second point here is we want to ask also if people are sleepy during the day if they feel sudden periods of weakness or lax experiences in their muscles. What we re looking for here is an indication of something called cataplexy. Excessive daytime sleepiness, in addition to being a symptom of insomnia, is also a symptom of narcolepsy. This is not as common a disorder, but it s a sleep disorder that is widely missed, often misdiagnosed as depression. We re looking for indications of obstructive sleep apnea. If somebody is also expressing these reactions of sudden weakness in some or all of their muscles and sometimes a feeling like they re going to fall over, it s something worth tagging and worth addressing by recommending a sleep study. We want to know whether their bedroom is dark through the night, quiet, and cool. I should also add here that probably, more often than not, people with trouble sleeping at night with insomnia actually are not excessively sleepy during the day they turn out to be hyperaroused. In fact, one of the major causes of sleeplessness at night is not insufficient sleepiness, but excessive wakefulness. during the day. This hyperarousal, this excessive wakefulness, keeps them from sleeping well at night, but it also masks their sleepiness The lack of sleepiness during the day is not necessarily an indicator that they don t have a sleep disorder.
4 How to Help Your Clients Get Better Sleep 4 The third question, a very important question, is again an open-ended one: Do you snore? Or do you know if you snore? We know that there s been a dramatic increase in couples sleeping apart. Some people will deny snoring because of course they re asleep when they snore. Do you know if you snore? taps into questions about the people sleeping with them or people in their home. About half of the population snores, and this is called primary snoring. But we want to ask also if it s loud and if it s associated with pauses in breathing or choking. What we re looking for here are indications of obstructive sleep apnea, which is a very serious disorder that affects probably between 20 and 30 million American adults, most of it still undiagnosed and untreated. If somebody is snoring, we want to follow that up with the question, again, about EDS: if they re snoring, they re excessively sleepy during the day, and they can t explain it, they might say, Well, I m a good sleeper I m sleeping seven/eight hours a night. There are many medications used as sleeping pills. But if they re also excessively sleepy and they have other indicators like depression, headache, secondary impotence, hypertension, then this raises a red flag about the possibility of sleep apnea we definitely want to refer them to a sleep specialist or back to their physician for polysomnography, which is an overnight sleep study. We re especially interested in the relationship between alcohol and sleep.. By the way, I should add that polysomnography, overnight sleep studies, are not indicated for ordinary insomnia. There are some circumstances where we might suspect leg kicks or things like that, that would require polysomnography, but typically, doing that kind of overnight study doesn t yield any information that s helpful in treating insomnia. Question number four: Is your bedroom conducive to sleep? This is a rather straightforward question. We want to know whether their bedroom is dark through the night, quiet, and cool we like bedrooms to be no warmer than 68 degrees Fahrenheit. We want to know if they re clock-watching at night if they have illuminated digital clocks. We also want to know if they feel safe in their bedroom psychologically safe. Many individuals will develop negative associations with their bedrooms as children. They were sent there as punishment, Many commonly used drugs can have a direct impact on sleep.
5 How to Help Your Clients Get Better Sleep 5 Caffeine has a relatively long half-life that can be impacting not only energy during the day but sleep at night. sometimes sent to bed as punishment, and of course there are situations where people were abused in their bed. We can see these long-term sort of classically conditioned negative associations with the bed that need to be assessed. So, Is your bedroom conducive to sleep? Also, related to that, are questions about their bed partner: Are you getting along with your bed partner? It s hard to sleep well next to somebody that you have tension with. Do you sleep with your bed partner? We are concerned about that we know that there s been a dramatic increase in couples sleeping apart, and this is associated with increased risk for separation and divorce. Question number five: Do you use medication alcohol, marijuana or other kinds of supplements to sleep? We want to know if they re trying to bolster their sleep by taking something to sleep by swallowing something to sleep. This is important for a number of reasons. One is, if they re reporting good sleep, is it truly good sleep or is it really about a knockout from these substances? People who don t sleep well develop a negative association with their bed. There are many medications that are now used as sleeping pills: there are the classic, standard sleeping pills, but there are also tricyclic antidepressants, benzodiazepines and other drugs that are used to promote sleep. We simply want to obtain information here. We re especially interested in the relationship in their lives between alcohol and sleep. We know that more than half of adult alcoholics report starting to drink as adolescents because they were unable to sleep, and that s something we want to look into. In recent decades, there has been a dramatic decrease in psychotherapists showing interest in the dreams of their clients and this needs to be reversed. The question about marijuana or cannabis is an openended one. Our situation today with growing legalization of this substance around the country is raising lots and lots of questions. Most of the research we have about the relationship of marijuana to sleep is dated and we also today have so many hybrid varieties, some of which may promote sleep, some of which may inhibit sleep, so we re just gathering information here really just for our own benefit. Question number six is open-ended again: How is your health? What we re concerned with here are medical conditions that may impact sleep: conditions associated with pain, for example, or stiffness or other forms of discomfort. We re also concerned with the impact of other medications on sleep. More and more Americans are using prescription medications and the probability of doing so increases as the population ages.
6 How to Help Your Clients Get Better Sleep 6 Many commonly used drugs can have a direct impact on sleep so we want to evaluate this, maybe do a Web search and look for sleep side effects of their medications. Question number seven: Do you use caffeine or energy drinks or sugary foods or any kind of stimulants to stay awake? These questions and issues around sleep are intimately bound up with lifestyle questions. What we re looking for here are habits that may be masking excessive daytime sleepiness. We asked earlier about their sleepiness, their energy during the day, and what we want to know here is if that energy or if their sleepiness is masked in any way by food or substances. We also know that caffeine, for example, has a relatively long half-life and some of the ingredients in energy drinks also have a long half-life that can be impacting not only their energy during the day but their sleep at night. Question number eight focuses in on what we call sleep phrase disorders and we want to ask: Is your bedtime routinely advanced or delayed or irregular. What we re looking for here is an indication of the quality of their circadian rhythms. We know, for example, that in our world, adolescents tend to have a markedly delayed bedtime: the clock on the wall says it is 10 o clock it is bedtime and the clock inside their head might say it is only 6 o clock. Even if we force them to go to bed, they won t sleep. That s a delayed sleep phase their brain their body doesn t believe sleep onset comes until later, and of course that would also delay sleep offset. If we look at the other end of the aging population people who are aging in their sixties and seventies and eighties, we commonly see an advanced sleep phase, meaning that the clock inside their brain believes it is bedtime long before the clock on the wall says it is bedtime. These are two conditions that can actually be relatively well managed by using by manipulating the applications of light and darkness and also melatonin. Both of these conditions are often associated with complaints of insomnia. Question number nine: we want to ask, Do you find it easier to sleep in places other than your bed. What s behind this question is a search for what we call conditioned insomnia. It s very common that people who don t sleep well end up spending a lot of time in their beds awake tossing, turning and in an agitated state of mind, trying to sleep. What happens then is that they develop a classically conditioned association, a negative association, with their bed. People with long-term insomnia, for example, will commonly think or say that they hate their bedrooms that they hate their beds, and they will have an easier time falling asleep in a chair watching television, or falling asleep on the couch, or sleeping in a hotel or motel away from home. This gives us an indication that there might be some conditioned insomnia going on that needs to be treated, and we do have good treatment protocols for this. Last but not least, question number ten is: How is your dream life?
7 How to Help Your Clients Get Better Sleep 7 This is a question that has implications not only for the quality of their sleep, but also for psychotherapy. It turns out in recent decades, there has been a dramatic decrease in psychotherapists showing interest in the dreams of their clients or their patients, and this is something that needs to be reversed. We re also concerned about dream recall. There are many medications for many forms of insomnia that limit the recollection of dreams or limit the amount of time we re dreaming. A very critical corollary to this question is one about a condition called RBD or REM sleep behavior disorder. This is a medical condition that has been increasing in prevalence in recent years actually since the introduction of Prozac because SSRIs can increase this condition. RBD refers to a situation where people are acting out their dreams. Normally, when we re in REM sleep, we experience an inhibition of our voluntary muscles we simply can t move in REM sleep it s called sleep paralysis. When this breaks down, there s an acting out of the dream, and more often than not, this acting out is violent. This is a condition that should be evaluated by a physician, particularly by a neurologist. It dramatically increases the risk for future occurrence of neurological disorders like Lewy Body Syndrome or Parkinson s Syndrome. Just with this review of 10 basic questions, you probably get a sense that these questions and issues around sleep are intimately bound up with lifestyle questions. And it s easy to see how they have implications not only for the quality of the night/the nights that our clients or patients have, but also for the quality of their days. Again, I want to stress how critical it is that we evaluate sleep as a part of ordinary psychotherapy evaluations.
HEALTHY LIFESTYLE, HEALTHY SLEEP. There are many different sleep disorders, and almost all of them can be improved with lifestyle changes.
HEALTHY LIFESTYLE, HEALTHY SLEEP There are many different sleep disorders, and almost all of them can be improved with lifestyle changes. HEALTHY LIFESTYLE, HEALTHY SLEEP There are many different sleep
More informationHealthy Sleep Tips Along the Way!
Women and Sleep What You Will Learn The Benefits and Importance of Sleep States and Stages of the Sleep Cycle Unique Physiology of Women s Sleep Common Disorders in Women that Affect Sleep Women s Role
More informationA GUIDE TO BETTER SLEEP. Prepared by Dr Grant Willson Director, Sleep and Lifestyle Solutions
A GUIDE TO BETTER SLEEP Prepared by Dr Grant Willson Director, Sleep and Lifestyle Solutions A GUIDE TO BETTER SLEEP Good sleep is one of life s pleasures. Most people can think of a time when they slept
More informationSleep Your Way to Stronger Resilience
Sleep Your Way to Stronger Resilience Dr. Naiman: Hi, I m Rubin Naiman. I m a clinical health psychologist, and the Sleep and Dream Specialist at the University of Arizona Center for Integrative Medicine.
More informationWHY CAN T I SLEEP? Deepti Chandran, MD
WHY CAN T I SLEEP? Deepti Chandran, MD Sleep and Aging How does sleep change as we age? Do we need less sleep as we get older? Can a person expect to experience more sleep problems or have a sleep disorder
More informationSleep and Ageing. Siobhan Banks PhD. Body and Brain at Work, Centre for Sleep Research University of South Australia
Sleep and Ageing Siobhan Banks PhD Body and Brain at Work, Centre for Sleep Research University of South Australia Health and Active Ageing, 22 nd September 2015 Sleep and Aging How does sleep change as
More informationSleep Self-Assessment
We are pleased you are taking the time to become more aware of your sleep patterns and discover strategies for improving your sleep. You deserve to get a good night s sleep we re here to help! The following
More informationArticle printed from
What Are Sleep Disorders? Sleep disorders are conditions that affect how much and how well you sleep. The causes range from poor habits that keep you awake to medical problems that disrupt your sleep cycle.
More informationTen tips for a good night s sleep
Ten tips for a good night s sleep This task set contains: Teacher instructions Reading text Learner response sheet Answer key Marking and feedback to learners When marking the learners' responses please
More informationSLEEP DISORDERS CENTER QUESTIONNAIRE
Carteret Health Care Patient's name DOB Gender: M F Date of Visit _ Referring physicians: Primary care providers: Please complete the following questionnaire by filling in the blanks and placing a check
More information*521634* Sleep History Questionnaire. Name of primary care doctor:
*521634* Today s Date: Sleep History Questionnaire Appointment Date: Please answer the following questions before coming to your appointment. Please arrive 15 minutes early with this packet filled out.
More informationSLEEP DISORDERS. Kenneth C. Sassower, MD Division of Sleep Medicine; Department of Neurology Massachusetts General Hospital for Children
SLEEP DISORDERS Kenneth C. Sassower, MD Division of Sleep Medicine; Department of Neurology Massachusetts General Hospital for Children Distinctive Features of Pediatric Sleep Daytime sleepiness uncommon
More informationSleep Medicine Questionnaire
Please bring this completed questionnaire with you to your sleep medicine appointment. Our sleep medicine staff strives to understand your sleep symptoms, which may be complex in nature. Thank you for
More informationContents. Page. Can t sleep 3. Insomnia 4. Sleep 5. How long should we sleep? 8. Sleep problems 9. Getting a better night s sleep 11
I Cannot Sleep Contents Page Can t sleep 3 Insomnia 4 Sleep 5 How long should we sleep? 8 Sleep problems 9 Getting a better night s sleep 11 Treatment for insomnia 15 For more information 19 2 Can t sleep
More informationSleep and Traumatic Brain Injury (TBI)
Sleep and Traumatic Brain Injury (TBI) A resource for individuals with traumatic brain injury and their supporters This presentation is based on TBI Model Systems research and was developed with support
More informationInsomnia. F r e q u e n t l y A s k e d Q u e s t i o n s
Insomnia Q: What is insomnia? A: Insomnia is a common sleep disorder. If you have insomnia, you may: Lie awake for a long time and have trouble falling asleep Wake up a lot and have trouble returning to
More informationAre you skimping on sleep, or could you have a sleep disorder?
Are you skimping on sleep, or could you have a sleep disorder? Look around you: the guy nodding off on the bus, the co-worker snoozing during a dull presentation, the people with heavy eyelids lined up
More informationTOP 10 LIST OF SLEEP QUESTIONS. Kenneth C. Sassower, MD Sleep Disorders Unit Massachusetts General Hospital for Children
TOP 10 LIST OF SLEEP QUESTIONS Kenneth C. Sassower, MD Sleep Disorders Unit Massachusetts General Hospital for Children QUESTION #1: ARE SLEEP ISSUES IN CHILDREN THE SAME AS IN ADULTS? Distinctive Features
More informationA good night s sleep
A good night s sleep Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm A good night
More informationSleep History Questionnaire B/P / Pulse: Neck Circum Wgt: Pulse Ox
2700 Campus Drive, Ste 100 2412 E 117 th Street Plymouth, MN 55441 Burnsville, MN 55337 P 763.519.0634 F 763.519.0636 P 952.431.5011 F 952.431.5013 www.whitneysleepcenter.com Sleep History Questionnaire
More informationSleep. Information booklet. RDaSH. Adult Mental Health Services
Sleep Information booklet RDaSH Adult Mental Health Services Sleep problems are often referred to as insomnia. They are very common, particularly in women, children and people over 65, so it is quite normal
More informationModule 22: Fact or Falsehood?
Module 22: Fact or Falsehood? Concept: Before teaching a module or unit, students may have preconceptions about the material. Preconceptions may be false, which can hinder students from learning the material
More informationSweet Dreams: The Relationship between Sleep Health and Your Weight
Sweet Dreams: The Relationship between Sleep Health and Your Weight Jason C. Ong, PhD Associate Professor Department of Neurology Center for Circadian and Sleep Medicine Northwestern University Feinberg
More informationGeneral Information. Name Age Date of Birth. Address Apt. # City State Zip. Home Phone Work Phone. Social Security Number Marital Status
Accredited Member Center of The American Academy of Sleep Medicine 400 Riverside Drive, Suite 1500, Bourbonnais, IL 60914 Phone (815) 933-2874 Fax (815) 939-9413 www.riversidemc.net/sleep General Information
More informationFacts about Sleep. Circadian rhythms are important in determining human sleep patterns/ sleep-waking cycle
Sleep Sleep is described as a state of unconsciousness or partial consciousness from which a person can be roused by stimulation Period of rest and recovery People spend about a third of their lives sleeping
More informationSleep Studies Sleep studies are tests that measure how well you sleep and how your body responds to sleep problems. These tests can help your doctor find out whether you have a sleep disorder and how severe
More informationPatient Information. Name: Date of Birth: Address: Number & Street City State Zip Code. Home Number: ( ) Cell Number: ( )
Patient Information Name: Date of Birth: Age: Address: Number & Street City State Zip Code Home Number: ( ) Cell Number: ( ) Social Security Number: Marital Status: Religion: Race: Height: Weight: Sex:
More informationA Good Night s Sleep Participant s Guide
FCD 08-002 September 2007 A Good Night s Sleep Participant s Guide "Sleep is better than medicine." --- English Proverb "The beginning of health is sleep." --- Irish Proverb "Disease and sleep keep far
More informationGOT SLEEP? YOUR COMPLETE GUIDE TO UNDERSTANDING SLEEP APNEA
Count me. I dare you. GOT SLEEP? YOUR COMPLETE GUIDE TO UNDERSTANDING SLEEP APNEA PRESENTED BY INTRODUCTION So what s the point of this ebook anyway? At The Maxillofacial Surgery Center, we want to inform
More informationThe Wellbeing Plus Course
The Wellbeing Plus Course Resource: Good Sleep Guide The Wellbeing Plus Course was written by Professor Nick Titov and Dr Blake Dear The development of the Wellbeing Plus Course was funded by a research
More informationSLEEP QUESTIONNAIRE. Please briefly describe your sleep or sleep problem:
SLEEP QUESTIONNAIRE Your answers to the following questions will help us to obtain a better understanding of your sleep problems. Please answer every question to the best of your ability. It is helpful
More informationEmergency Contact Information Name: Phone: Address: Employer Information Employer Name: Address/Street: City: Zip: Phone: Fax:
SUNSET SLEEP LABS PATIENT INFORMATION FORM Patient Information Name: Sex: M F Date of Birth: Address/Street: City: Zip: Phone: Alt Phone: Parent/Guardian: Phone: Social Security Number: Drivers License:
More informationSleep and Parkinson's Disease
Parkinson s Disease Clinic and Research Center University of California, San Francisco 505 Parnassus Ave., Rm. 795-M, Box 0114 San Francisco, CA 94143-0114 (415) 476-9276 http://pdcenter.neurology.ucsf.edu
More informationSleep and Students. John Villa, DO Medical Director
Sleep and Students John Villa, DO Medical Director Objectives: Importance and Benefits of Sleep States and Stages of the Sleep Cycle Sleep Needs, Patterns and Characteristics for All Ages Healthy Sleep
More informationHome Sleep Testing Questionnaire
Home Sleep Testing Questionnaire Patient Name: DOB: / / Gender: Male Female Study Date: / / Marital Status: Married Cohabitate Single Divorced Widow/Widower Email: Phone: Height: Weight: Neck Size: What
More informationMilena Pavlova, M.D., FAASM Department of Neurology, Brigham and Women's Hospital Assistant Professor of Neurology, Harvard Medical School Medical
Milena Pavlova, M.D., FAASM Department of Neurology, Brigham and Women's Hospital Assistant Professor of Neurology, Harvard Medical School Medical Director, Faulkner EEG and Sleep Testing Center Course
More informationAssessment of Sleep Disorders DR HUGH SELSICK
Assessment of Sleep Disorders DR HUGH SELSICK Goals Understand the importance of history taking Be able to take a basic sleep history Be aware the technology used to assess sleep disorders. Understand
More informationSLEEP STUDY. Nighttime. 1. How many hours of sleep are you now getting in a typical night?
SLEEP STUDY Patient Name: Date of Birth: Date of Study: This questionnaire involves a broad range of sleep and sleep-related behaviors. Your answers enable us to develop a clearer picture of your sleep/wake
More informationPULMONARY & CRITICAL CARE CONSULTANTS OF AUSTIN 1305 West 34 th Street, Suite 400, Austin, TX Phone: Fax:
Name: Sex: Age: Date: Date of Birth Height Weight Neck size Referring Physician: Primary Care MD: Main Sleep Complaint(s) trouble falling asleep trouble remaining asleep excessive sleepiness during the
More informationBeyond Sleep Hygiene: Behavioral Approaches to Insomnia
Beyond Sleep Hygiene: Behavioral Approaches to Insomnia Rocky Garrison, PhD, CBSM Damon Michael Williams, RN, PMHNP-BC In House Counseling Laughing Heart LLC 10201 SE Main St. 12 SE 14 th Ave. Suite 10
More informationIndividual Planning: A Treatment Plan Overview for Individuals Sleep Disorder Problems.
COURSES ARTICLE - THERAPYTOOLS.US Individual Planning: A Treatment Plan Overview for Individuals Sleep Disorder Problems. Individual Planning: A Treatment Plan Overview for Individuals Sleep Disorder Problems.
More informationSLEEP HISTORY QUESTIONNAIRE
Date of birth: Today s date: Dear Patient: SLEEP HISTORY QUESTIONNAIRE Thank you for taking the time to fill out a sleep history questionnaire. This will help our healthcare team to provide the best possible
More informationSleep. elibrary Reference Materials
Sleep elibrary Reference Materials Sleep TABLE OF CONTENTS 1.1 Introduction 4 1.1.1 Basic Sleep Facts 4 1.1.2 The Stages of Sleep 4 1.1.3 Sleep Rhythms 4 1.1.4 Getting Enough Sleep 4 1.2 Sleep Problems
More informationAssignment 1. Why Joey needs sleep
SLEEP ASSIGNMENTS Assignment 1 Why Joey needs sleep Joey doesn t like to go to bed in the evening, because he thinks sleeping is a waste of time. But he is wrong! His body and his brain need 10 to 12 hours
More informationManaging Insomnia Disorder A Review of the Research for Adults
Managing Insomnia Disorder A Review of the Research for Adults e Is This Information Right for Me? This information is right for you if: Your health care professional said you have insomnia disorder (said
More informationINSOMNIA SELF-CARE GUIDE
INSOMNIA SELF-CARE GUIE All of us have trouble sleeping from time to time. This is perfectly normal. Sleep problems (also known as insomnia) are often triggered by sudden life changes that lead to increased
More informationPATIENT NAME: M.R. #: ACCT #: HOME TEL: WORK TEL: AGE: D.O.B.: OCCUPATION: HEIGHT: WEIGHT: NECK SIZE: GENDER EMERGENCY CONTACT: RELATIONSHIP: TEL:
SLEEP DISORDERS INSTITUTE HOSPITAL: DePaul Building Street Address City, State Zip Tel: (202) 555-1212 Fax: (202) 555-1212 SLEEP QUESTIONNAIRE PATIENT NAME: M.R. #: ACCT #: STREET ADDRESS: CITY: STATE:
More informationOriginal Sleep Hygiene Rules*
Original Sleep Hygiene Rules* 1. Sleep as much as needed to feel refreshed and healthy during the following day, but not more. Curtailing time in bed a bit seems to solidify sleep; excessively long times
More informationManaging Sleep Problems after Cancer
Managing Sleep Problems after Cancer For cancer survivors Read this resource to learn about: What a sleep problem is What causes it What you can do to improve your sleep When to talk to your doctor Please
More informationTraumatic Brain Injury and Sleep
Traumatic Brain Injury and Sleep Javier has a hard time falling asleep and his lack of sleep made his anxiety worse. He Also became fatigued and irritable easily, It really made our lives harder. Sleep
More informationIowa Sleep Disturbances Inventory (ISDI)
Department of Psychological & Brain Sciences Publications 1-1-2010 Iowa Sleep Disturbances Inventory (ISDI) Erin Koffel University of Iowa Copyright 2010 Erin Koffel Comments For more information on the
More informationStates of Consciousness: Narcolepsy and Insomnia. Alisha Walz. Psychology 101, Section D. Professor Howe
Narcolepsy and Insomnia 1 States of Consciousness: Narcolepsy and Insomnia Alisha Walz Psychology 101, Section D Professor Howe October 16, 2002 Narcolepsy and Insomnia 2 States of Consciousness: Narcolepsy
More informationInstructions. If you make a mistake, put an "X" over the checkmark. Then put a checkmark in the correct box and draw a circle around that box.
SLEEP HEART HEALTH STUDY SLEEP HABITS AND LIFESTYLE QUESTIONNAIRE Instructions Thank you for taking time to fill out the enclosed Sleep Habits Questionnaire. Please fill out the form completely. You may
More informationWELCOME TO THE NORTHSHORE UNIVERSITY HEALTHSYSTEM SLEEP CENTERS
WELCOME TO THE NORTHSHORE UNIVERSITY HEALTHSYSTEM SLEEP CENTERS Prior to your office visit, we request that you complete this questionnaire. It asks questions not only about your sleeping habits and behavior
More informationSession 5. Bedtime Relaxation Techniques and Lifestyle Practices for Improving Sleep
Session 5 Bedtime Relaxation Techniques and Lifestyle Practices for Improving Sleep Lesson 1: Relaxation Techniques at Night and Lifestyle Practices That Improve Sleep Using Relaxation Techniques to Aid
More informationSLEEP QUESTIONNAIRE. Name: Sex: Age: Date: DOB: / / SSN: - - Address: Referring Physician: Family Physician: Height: Weight: Neck Size: Phone:
SLEEP QUESTIONNAIRE Name: Sex: Age: Date: DOB: / / SSN: - - Address: Referring Physician: Family Physician: Height: Weight: Neck Size: Phone: Please fill in the blanks, and check appropriate areas on the
More informationPatient Scheduled Letter Thunderbird Internal Medicine Sleep Center 5620 W. Thunderbird Rd., Suite C-1 Glendale, AZ (602)
Patient Scheduled Letter Thunderbird Internal Medicine Sleep Center 5620 W. Thunderbird Rd., Suite C-1 Glendale, AZ 85306 (602) 938 6960 Dear Patient, Your Doctor has requested you be scheduled for a sleep
More informationWelcome to the Choose Life Balance self-study course from K-State Research & Extension.
Welcome to the Choose Life Balance self-study course from K-State Research & Extension. 1 This self-study course will examine five topics that are important for balanced living: time management, stress
More informationHow To Win Your War Against Snoring And Sleep Apnea
Page 1 of 1 Contents What Is Sleep Apnea?... 9 Treatments For Central Sleep Apnea... 10 Learning About Sleep Apnea... 11 What Are The Symptoms Of Sleep Apnea?... 12 What Is Causing My Obstructive Sleep
More informationth Ave NE Suite F Bellevue, WA Phone: (425) Fax: (425) Excessive Daytime Sleepiness
1414 116 th Ave NE Suite F Bellevue, WA 98004 Phone: (425) 451-8417 Fax: (425) 455-4089 Excessive Daytime Sleepiness Nearly everyone has days when they feel sleepy. But for some people, excessive sleepiness
More informationNot Sleepy HO Q1 D2 Q3 Q4 ]5 D6 j7 Q8 Q9 Q10 Extremely Sleepy
Health Benefits Employee Services HBE Preventive Health - Sleep Assessment Form Please bring your completed assessment form to your appointment. To schedule an appointment please call 505 844-HBES (4237).
More informationA Guide to Getting the Best Sleep Possible
A Guide to Getting the Best Sleep Possible BEST POSITIONS FOR SLEEP On your back: Sleeping on your back makes it easy for your head, neck and spine to maintain a neutral position. On your side: Side-sleeping
More informationWHEN COUNTING SHEEP FAILS: ADMINISTERING SINGLE-SESSION COGNITIVE-BEHAVIORAL THERAPY FOR INSOMNIA IN A GROUP PSYCHOEDUCATIONAL FORMAT
WHEN COUNTING SHEEP FAILS: ADMINISTERING SINGLE-SESSION COGNITIVE-BEHAVIORAL THERAPY FOR INSOMNIA IN A GROUP PSYCHOEDUCATIONAL FORMAT Kristin E. Eisenhauer, PhD. Trinity University San Antonio, Texas I
More information31 Days to Better Sleep
31 Days to Better Sleep Sleeping is just as important to survival as eating, drinking and breathing. But for lots of people, getting enough sleep can range from challenging to impossible. This August,
More informationSLEEP: Overcome INSOMNIA And Learn About The Causes And Treatments That Will Help End Your SLEEPING DISORDER. (sleep Treatments, Better Sleep, Sleep
SLEEP: Overcome INSOMNIA And Learn About The Causes And Treatments That Will Help End Your SLEEPING DISORDER. (sleep Treatments, Better Sleep, Sleep Problems,... How To Sleep, Sleep Apnea, Apnea) By Tina
More informationAustralian Centre for Education in Sleep (ACES)
Australian Centre for Education in Sleep (ACES) High School workbook 1 Table of Contents for High School student workbook Topic Page 1. Introduction Dear Student 1 2. Top five reasons why you need to sleep
More informationAssociated Neurological Specialties and Sleep Disorder Center
Sleep Center Questionnaire Name: Sex: Age: Date: Date of Birth: Height: Weight: Neck Size: Primary Care Physician: Referring Physician: Main Sleep Issues/Complaints Trouble falling asleep Trouble staying
More informationDisclosures. Speaker: Teva, UCB, Purdue Advisory Board: Welltrinsic Sleep Network Consultant: Vapotherm, Inc. National Interpretor: Novasom
So PAP Doesn t Work Rochelle Goldberg, MD, FAASM, FCCP Diplomat, American Board of Sleep Medicine Director Sleep Medicine Services Main Line Health Systems Lankenau Medical Center and Paoli Hospital Disclosures
More informationBaptist Health Floyd 1850 State Street New Albany, IN Sleep Disorders Center Lung & Sleep Specialists. Date of Birth: Age:
Page 1 of 7 GENERAL INFORMATION Name: Date of Birth: Age: Social Security #: Sex: Height: Weight: Address: City: State: Zip: Home Phone: Cell Phone: Work Phone: Employer s Name: Marital Status: Married
More informationGet on the Road to Better Health Recognizing the Dangers of Sleep Apnea
Get on the Road to Better Health You Will Learn About The importance and benefits of sleep Sleep deprivation and its consequences The prevalence, symptoms, and treatments for major sleep problems/ disorders
More informationSleep Symptoms & History
Sleep Symptoms & History In your own words, please tell us what brings you to the sleep clinic today? How long have you been experiencing your sleep problems? yrs. mos. To give us a precise understanding
More informationParticipant ID: If you had no responsibilities, what time would your body tell you to go to sleep and wake up?
What does your sleep look like on a typical week? Total Sleep Time: Bedtime:, Sleep onset latency:, Number of Awakenings:, Wake time after sleep onset:, Rise time:, Out of bed:, Naps:? Notes: Is your sleep
More informationANNUAL FOLLOW-UP QUESTIONNAIRE
SLEEP HEART HEALTH STUDY - TUCSON ANNUAL FOLLOW-UP QUESTIONNAIRE - 2004 Dear Sleep Heart Health Study participant: Today s Date: / / Month Day Year Please take the time to complete and return this short
More informationInsomnia: Its Causes & Solutions
Insomnia: Its Causes & Solutions Many people may suffer from insomnia at some point in their lives, as it is a fairly common problem, especially as you age. Long term insomnia can have drastic effects
More informationOSA - Obstructive sleep apnoea What you need to know if you think you might have OSA
OSA - Obstructive sleep apnoea What you need to know if you think you might have OSA Obstructive sleep apnoea, or OSA, is a breathing problem that happens when you sleep. It can affect anyone men, women
More informationSleep Questionnaire. If yes, what? If yes, how would you describe it? Please explain? If yes, what times are these?
THE ADRENAL THYROID REVOLUTION Professional Mastermind Aviva Romm MD Sleep Questionnaire Sleep is important for musculoskeletal healing and for healthy immune function, mood, cognitive and brain function,
More informationManaging Insomnia: an example sequence of CBT-based sessions for sleep treatment
Managing Insomnia: an example sequence of CBT-based sessions for sleep treatment Session 1: Introduction and sleep assessment -Assess sleep problem (option: have client complete 20-item sleep questionnaire).
More informationTHE PERMANENTE MEDICAL GROUP
Patient label here THE PERMANENTE MEDICAL GROUP Division of Sleep Medicine COMPLETED BY: PARENT/GUARDIAN CHILD/ADOLESCENT Age: Height: Weight: PEDIATRIC SLEEP QUESTIONNAIRE Thank you completing this questionnaire.
More informationSleep Questionnaire Name: Sex: Age: Da te: Da te of birth: Height: Weight: Neck siz e: Ref erring Physician: Primary Car e MD:
www.myvcmf.com 1133 E. Stanley Blvd., Suite 101 Livermore, CA 94550 925 454-4280 5725 W. Las Positas Blvd., Suite 110 Pleasanton, CA 94588 925-416-6767 Sleep Questionnaire Name: Sex: Age: Da te: Da te
More informationAre you looking for a different option to treat your insomnia?
re you looking for a different option to treat your insomnia? BELSOMR is a prescription medicine for adults who have trouble falling or staying asleep (insomnia). Selected Risk Information Do not take
More informationSleep Dysfunction in Multiple System Atrophy DR CALLUM DUPRE NEUROLOGY/SLEEP MEDICINE CAPITAL HEALTH SYSTEM
Sleep Dysfunction in Multiple System Atrophy DR CALLUM DUPRE NEUROLOGY/SLEEP MEDICINE CAPITAL HEALTH SYSTEM Categories of Disturbance Sleep Breathing Disorders Parasomnias Sleepiness Insomnia Breathing?
More informationHow to. Sleep Better
How to Sleep Better Having trouble nodding off? Join the club. More than one third of Americans aren t getting enough sleep. Sleep is essential to our mental and physical health, but we are so used to
More informationTreating Insomnia in Primary Care. Judith R. Davidson Ph.D., C. Psych. Kingston Family Health Team
Treating Insomnia in Primary Care Judith R. Davidson Ph.D., C. Psych. Kingston Family Health Team jdavidson@kfhn.net Disclosure statement Nothing to disclose A ruffled mind makes a restless pillow. ~ Charlotte
More informationMEDICAL HISTORY QUESTIONNAIRE
MEDICAL HISTORY QUESTIONNAIRE NAME: SEX: DATE: DOB: AGE: Primary Doctor / Care Manager: Additional doctors to receive sleep study results: Chief sleep related complaint: What made you decide to have this
More information130 Preston Executive Drive Cary, NC Ph(919) Fax(919) Page 1 of 6. Patient History
130 Preston Executive Drive Cary, NC 27513 Ph(919)462-8081 Fax(919)462-8082 www.parkwaysleep.com Page 1 of 6 Patient History *Please fill out in dark BLACK INK only. General Information Name Sex: Male
More informationSleep Management in Parkinson s
Sleep Management in Parkinson s Booklet 1 Introduction An introduction to Sleep Management in Parkinson s Sleep disturbances are commonly experienced by those with Parkinson s, and by the relatives and
More informationSleep hygiene. Turnberg Building Department of Respiratory Medicine University Teaching Trust
University Teaching Trust Sleep hygiene Turnberg Building Department of Respiratory Medicine 0161 206 3158 All Rights Reserved 2016. Document for issue as handout. Nothing is more frustrating than not
More informationSleep: What s the big deal?
Rise & Shine: The Importance of Sleep Sleep: What s the big deal? Sleep affects every aspect of a child s physical, emotional, cognitive, and social development. 1 Sleep is the Primary Activity of the
More informationSleep History Questionnaire. Sleep Disorders Center Duke University Medical Center. General Information. Age: Sex: F M (select one)
Sleep History Questionnaire Sleep Disorders Center Duke University Medical Center Part I: General Information Name: Address: Date: Phone: Age: Sex: F M (select one) Education (years of school): Occupation:
More informationSleep Well! Learn Techniques to Help You. Wellness Tip: Following consistent to bed and wake up schedules will help you sleep better.
Sleep Well! Learn Techniques to Help You Total Body Conditioning Fall asleep faster Can Help You: Sleep through the night Improve heart health Wake up feeling more Boost upper body and leg energized and
More informationYOU REALLY NEED TO SLEEP: Several methods to improve your sleep
YOU REALLY NEED TO SLEEP: Several methods to improve your sleep Sleep is essential to our well-being. When humans fail to get good sleep over a period of time, numerous problems can occur. CAN T SLEEP!!
More informationlyondellbasell.com Are You Getting Enough Sleep?
Are You Getting Enough Sleep? Everyone knows what a good night s sleep can do for you. Sleep is one of the most important activities we do to maintain our bodies. It allows our minds and bodies to repair
More informationThe Reasons for Insomnia and the Ways to Fight It
The Reasons for Insomnia and the Ways to Fight It Insomnia is a relatively common sleep disorder, which is indicated by insufficient duration or unsatisfactory quality of sleep over an extended period.
More informationInsomnia. Dr Terri Henderson MBChB FCPsych
Insomnia Dr Terri Henderson MBChB FCPsych Plan Basics of insomnia Pharmacology Medication CBT Details of insomnia Unsatisfactory sleep that impairs daytime well-being Starts with specific problem or change
More informationNew Patient Sleep Intake
New Patient Sleep Intake Name: Date of Birth: Primary Care Physician: Date of Visit: Referring Physician and/or Other Physicians: Retail Pharmacy: Mail Order Pharmacy: Address: Mail Order Phone #: Phone
More informationModule 04: Sleep. Module 04:
Module 04: Sleep Module 04: Sleep Module 04: SLEEP This module includes the following sections: Key Messages Common Sleep Challenges Medications and Sleep Tips from Families for Getting a Good Night s
More informationSleep Better: Getting A Good Night s Rest And Resolving Insomnia By Michael Jibrael READ ONLINE
Sleep Better: Getting A Good Night s Rest And Resolving Insomnia By Michael Jibrael READ ONLINE Serious insomnia-fighting tips from a veteran of the sleep wars. People with DSPS are not just night owls:
More informationAGING CHANGES IN SLEEP
OBJECTIVES: Understand the common age-related changes in sleep Discuss the evaluation of the older person with sleep complaints Identify sleep apnea, PLMS, RLS, and REM sleep disorders and their treatments
More informationFatigue. Based on information from FAA briefing prepared by Thomas E. Nesthus, Ph.D.
Fatigue Based on information from FAA briefing prepared by Thomas E. Nesthus, Ph.D. What is fatigue? ICAO s definition: A physiological state of reduced mental or physical performance capability resulting
More informationTips for Enhancing Brief Interventions
Tips for Enhancing Brief Interventions Nutrition, Diet and Sleep Monica Berry, CHC, AADP Behavioral Health is Essential to Health Prevention Works Treatment is Effective People Recover Learning Objectives
More information