How to Help Your Clients Get Better Sleep

Size: px
Start display at page:

Download "How to Help Your Clients Get Better Sleep"

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 disorders, and almost all of them can be improved with lifestyle changes. HEALTHY LIFESTYLE, HEALTHY SLEEP There are many different sleep

More information

Healthy Sleep Tips Along the Way!

Healthy 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 information

A 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 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 information

Sleep Your Way to Stronger Resilience

Sleep 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 information

WHY CAN T I SLEEP? Deepti Chandran, MD

WHY 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 information

Sleep 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 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 information

Sleep Self-Assessment

Sleep 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 information

Article printed from

Article 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 information

Ten tips for a good night s sleep

Ten 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 information

SLEEP DISORDERS CENTER QUESTIONNAIRE

SLEEP 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* 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 information

SLEEP 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 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 information

Sleep Medicine Questionnaire

Sleep 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 information

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

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 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 information

Sleep and Traumatic Brain Injury (TBI)

Sleep 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 information

Insomnia. 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. 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 information

Are you skimping on sleep, or could you have a sleep disorder?

Are 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 information

TOP 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 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 information

A good night s sleep

A 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 information

Sleep History Questionnaire B/P / Pulse: Neck Circum Wgt: Pulse Ox

Sleep 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 information

Sleep. Information booklet. RDaSH. Adult Mental Health Services

Sleep. 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 information

Module 22: Fact or Falsehood?

Module 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 information

Sweet Dreams: The Relationship between Sleep Health and Your Weight

Sweet 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 information

General Information. Name Age Date of Birth. Address Apt. # City State Zip. Home Phone Work Phone. Social Security Number Marital Status

General 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 information

Facts about Sleep. Circadian rhythms are important in determining human sleep patterns/ sleep-waking cycle

Facts 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 information

Sleep 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 information

Patient Information. Name: Date of Birth: Address: Number & Street City State Zip Code. Home Number: ( ) Cell Number: ( )

Patient 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 information

A Good Night s Sleep Participant s Guide

A 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 information

GOT SLEEP? YOUR COMPLETE GUIDE TO UNDERSTANDING SLEEP APNEA

GOT 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 information

The Wellbeing Plus Course

The 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 information

SLEEP QUESTIONNAIRE. Please briefly describe your sleep or sleep problem:

SLEEP 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 information

Emergency Contact Information Name: Phone: Address: Employer Information Employer Name: Address/Street: City: Zip: Phone: Fax:

Emergency 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 information

Sleep and Parkinson's Disease

Sleep 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 information

Sleep and Students. John Villa, DO Medical Director

Sleep 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 information

Home Sleep Testing Questionnaire

Home 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 information

Milena 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 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 information

Assessment of Sleep Disorders DR HUGH SELSICK

Assessment 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 information

SLEEP STUDY. Nighttime. 1. How many hours of sleep are you now getting in a typical night?

SLEEP 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 information

PULMONARY & CRITICAL CARE CONSULTANTS OF AUSTIN 1305 West 34 th Street, Suite 400, Austin, TX Phone: Fax:

PULMONARY & 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 information

Beyond Sleep Hygiene: Behavioral Approaches to Insomnia

Beyond 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 information

Individual Planning: A Treatment Plan Overview for Individuals Sleep Disorder Problems.

Individual 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 information

SLEEP HISTORY QUESTIONNAIRE

SLEEP 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 information

Sleep. elibrary Reference Materials

Sleep. 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 information

Assignment 1. Why Joey needs sleep

Assignment 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 information

Managing Insomnia Disorder A Review of the Research for Adults

Managing 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 information

INSOMNIA SELF-CARE GUIDE

INSOMNIA 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 information

PATIENT NAME: M.R. #: ACCT #: HOME TEL: WORK TEL: AGE: D.O.B.: OCCUPATION: HEIGHT: WEIGHT: NECK SIZE: GENDER EMERGENCY CONTACT: RELATIONSHIP: TEL:

PATIENT 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 information

Original Sleep Hygiene Rules*

Original 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 information

Managing Sleep Problems after Cancer

Managing 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 information

Traumatic Brain Injury and Sleep

Traumatic 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 information

Iowa Sleep Disturbances Inventory (ISDI)

Iowa 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 information

States of Consciousness: Narcolepsy and Insomnia. Alisha Walz. Psychology 101, Section D. Professor Howe

States 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 information

Instructions. 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.

Instructions. 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 information

WELCOME TO THE NORTHSHORE UNIVERSITY HEALTHSYSTEM SLEEP CENTERS

WELCOME 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 information

Session 5. Bedtime Relaxation Techniques and Lifestyle Practices for Improving Sleep

Session 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 information

SLEEP 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: 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 information

Patient 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 (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 information

Welcome 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. 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 information

How To Win Your War Against Snoring And Sleep Apnea

How 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 information

th Ave NE Suite F Bellevue, WA Phone: (425) Fax: (425) Excessive Daytime Sleepiness

th 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 information

Not Sleepy HO Q1 D2 Q3 Q4 ]5 D6 j7 Q8 Q9 Q10 Extremely Sleepy

Not 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 information

A Guide to Getting the Best Sleep Possible

A 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 information

WHEN 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 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 information

31 Days to Better Sleep

31 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 information

SLEEP: 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 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 information

Australian Centre for Education in Sleep (ACES)

Australian 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 information

Associated Neurological Specialties and Sleep Disorder Center

Associated 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 information

Disclosures. Speaker: Teva, UCB, Purdue Advisory Board: Welltrinsic Sleep Network Consultant: Vapotherm, Inc. National Interpretor: Novasom

Disclosures. 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 information

Baptist Health Floyd 1850 State Street New Albany, IN Sleep Disorders Center Lung & Sleep Specialists. Date of Birth: Age:

Baptist 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 information

Get on the Road to Better Health Recognizing the Dangers of Sleep Apnea

Get 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 information

Sleep Symptoms & History

Sleep 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 information

Participant ID: If you had no responsibilities, what time would your body tell you to go to sleep and wake up?

Participant 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 information

ANNUAL FOLLOW-UP QUESTIONNAIRE

ANNUAL 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 information

Insomnia: Its Causes & Solutions

Insomnia: 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 information

OSA - 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 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 information

Sleep Questionnaire. If yes, what? If yes, how would you describe it? Please explain? If yes, what times are these?

Sleep 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 information

Managing Insomnia: an example sequence of CBT-based sessions for sleep treatment

Managing 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 information

THE PERMANENTE MEDICAL GROUP

THE 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 information

Sleep Questionnaire Name: Sex: Age: Da te: Da te of birth: Height: Weight: Neck siz e: Ref erring Physician: Primary Car e MD:

Sleep 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 information

Are you looking for a different option to treat your insomnia?

Are 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 information

Sleep 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 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 information

How to. Sleep Better

How 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 information

Treating 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 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 information

MEDICAL HISTORY QUESTIONNAIRE

MEDICAL 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 information

130 Preston Executive Drive Cary, NC Ph(919) Fax(919) Page 1 of 6. Patient History

130 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 information

Sleep Management in Parkinson s

Sleep 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 information

Sleep hygiene. Turnberg Building Department of Respiratory Medicine University Teaching Trust

Sleep 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 information

Sleep: What s the big deal?

Sleep: 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 information

Sleep 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. 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 information

Sleep 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. 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 information

YOU REALLY NEED TO SLEEP: Several methods to improve your sleep

YOU 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 information

lyondellbasell.com Are You Getting Enough Sleep?

lyondellbasell.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 information

The Reasons for Insomnia and the Ways to Fight It

The 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 information

Insomnia. Dr Terri Henderson MBChB FCPsych

Insomnia. 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 information

New Patient Sleep Intake

New 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 information

Module 04: Sleep. Module 04:

Module 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 information

Sleep 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 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 information

AGING CHANGES IN SLEEP

AGING 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 information

Fatigue. 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. 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 information

Tips for Enhancing Brief Interventions

Tips 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