Dr. Colin M Shapiro. Professor, Department of Psychiatry and Opthalmology. University of Toronto Director, Sleep and Alertness Clinic

Size: px
Start display at page:

Download "Dr. Colin M Shapiro. Professor, Department of Psychiatry and Opthalmology. University of Toronto Director, Sleep and Alertness Clinic"

Transcription

1

2 Dr. Colin M Shapiro MBBCh, PhD, MRC Psych. FRCP(C) Professor, Department of Psychiatry and Opthalmology University of Toronto Director, Sleep and Alertness Clinic Youthdale Child & Adolescent Sleep Centre

3

4 Adam and Oswald: Clinical Science 1983, 65, 561 In nocturnal animals peak rates of RNA and protein synthesis, RNA and protein content of cells, number of cells and growth rates occur at the time when sleep predominates i.e., during the light period. Activity Period Sleeping Period * * * * * * * * * * 1800h 2400h 0600h 1200h 1800h * Each star represents a published report * * *

5 LIFE - Cycle and Sleep Composition of Sleep 50% 26% 25% 19% 24% 53% 1% 2% REM DEEP LIGHT WAKE 25% 11% 61% 3% 18% 5% 62% 5% Newborn 16 hrs. avg. Young Adult 8 hrs. avg. Adult 7 hrs. avg. Elderly 6 hrs. avg.

6 INSOMNIA Difficulty Falling asleep Can t Stay asleep (keep waking up) Wake up too Early in the morning Sleep is not Refreshing Can affect up to as many as 1 in 5 teens Signs: always Fatigued; Drinking too much Caffeine; Inattention; Irritable; Lack of Get-up and Go

7 Melatonin secreted by the pineal gland melatonin is produced to help our bodies regulate our sleep-wake cycles Darkness stimulates the release of melatonin and light suppresses its activity melatonin cycles are disrupted when we are exposed to excessive light in the evening or too little light during the daytime

8 DELAYED SLEEP PHASE DISORDER (DSPD) Difficulty with sleep onset at desired time Once initiated, sleep is normal Most common CRSD referral Population data lacking Population estimates of prevalence of % Prevalence increases to >15% amongst adolescents Insomniacs: 10% Positive family history

9 Sleepiness in Seattle & Toronto You are here Your body clock is in Vancouver

10 TREATMENT OPTIONS Melatonin Bright Light Therapy Chronotherapy + Behavioural Strategies

11 DELAYED SLEEP PHASE DISORDER (DSPD) Normal Sleep Phase DSPD Midnight Noon Phase ADVANCE Melatonin pulls sleep time forward Light pushes it away/forward

12 LIGHT APPLICATION IN CHRONOTHERAPY FOR EXTREMELY DELAYED DSPD Chronotherapy Light Application

13 BEHAVIOURAL STRATEGIES Lifestyle changes Sleep hygiene guidelines Changing attitude

14

15

16

17 Rahman, Kayumov,Casper & Shapiro Patient with phase delay are more likely to develop depression! 2010

18

19

20

21 School-related Symptoms of Youth Depression Poor performance in school, truancy, tardiness Withdrawal from school activities/peer groups Lack of enthusiasm, energy or motivation Globalized anger and rage Overreaction to criticism, increased self-criticism Indecision, lack of concentration or forgetfulness Restlessness and agitation Problems with authority Suicidal thoughts or actions (e.g., cleaning out locker, giving away items)

22 Fear of failure social rejection bodily sickness bullying or abuse childhood memories thoughts of a better life separation with family worries about the future

23 This booklet was distributed to parents, school boards, family doctors, group practice and social workers. Response was positive and helped families in particular to accept the diagnosis and initiate treatment specifically.

24 Parents and health professionals were able to recognize the behavior in the children after reading this booklet. This educational tool also helped in the early recognition, detection and assessment of depression in children and teenagers at the sleep clinic.

25

26 CIRCADIAN PHASE MARKERS Active investigation into markers of circadian phase in humans Two currently utilized markers Core body temperature Dim light melatonin onset (DLMO)

27 Melatonin (pg/ml) DIM LIGHT MELATONIN SECRETION ONSET (DLMO) Time of Day Increase in levels begin between 6:00 pm & 9:30 pm (DLMO) Levels peak approximately 3:00 am & begin to decrease Lowest levels just before awakening

28 Melatonin pg/ml DIM LIGHT MELATONIN ONSET: NORMAL Time

29 Melatonin pg/ml DSPD: DLMO (DIM LIGHT MELATONIN ONSET) TEST Time

30 Melatonin pg/ml DLMO: NORMAL VS DSPD DSPD Normal Time

31 Melatonin pg/ml Melatonin DLMO MELATONIN DSPD Approx 5 hours DLMO:

32 BRIGHT LIGHT THERAPY HABITUAL WAKE UP TIME (~11:00 a.m.)

33 See also Ottawa slides on ADHD and Tourette s Syndrome

Dr Alex Bartle. Medical Director Sleep Well Clinic Christchurch

Dr Alex Bartle. Medical Director Sleep Well Clinic Christchurch Dr Alex Bartle Medical Director Sleep Well Clinic Christchurch 11:00-11:55 WS #113: Circadian Sleep Disorders 12:05-13:00 WS #125: Circadian Sleep Disorders (Repeated) Overview The Structure of Sleep

More information

The Importance of Sleep to a Healthy Workplace

The Importance of Sleep to a Healthy Workplace The Importance of Sleep to a Healthy Workplace Peter Cistulli MBBS, PhD, MBA, FRACP Head, Discipline of Sleep Medicine University of Sydney Medical School Royal North Shore Hospital Royal North Shore Hospital

More information

Sharon A. Chung, PhD Clinical Researcher Youthdale Treatment Centres Sleep Research Laboratory, University Health Network Tel: Fax:

Sharon A. Chung, PhD Clinical Researcher Youthdale Treatment Centres Sleep Research Laboratory, University Health Network Tel: Fax: Sharon A. Chung, PhD Clinical Researcher Youthdale Treatment Centres Sleep Research Laboratory, University Health Network Tel: 416-603-5275 Fax: 416-603-5292 sachung@uhnres.utoronto.ca www.sleepontario.com

More information

Improving Your Sleep Course. Session 1 Understanding Sleep and Assessing Your Difficulties

Improving Your Sleep Course. Session 1 Understanding Sleep and Assessing Your Difficulties Improving Your Sleep Course Session 1 Understanding Sleep and Assessing Your Difficulties Course Information Session Details Sessions Session 1 Session 2 Session 3 Session 4 Optional Review Session 5 Session

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

This brief animation illustrates the EEG patterns of the different stages of sleep, including NREM and REM sleep.

This brief animation illustrates the EEG patterns of the different stages of sleep, including NREM and REM sleep. Brain wave frequency and amplitude This brief animation illustrates the EEG patterns of the different stages of sleep, including NREM and REM sleep. http://www.youtube.com/watch?v=u WYwMnMMEoU&feature=related

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

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

The Diagnosis and Treatment of Circadian Rhythm Disorders

The Diagnosis and Treatment of Circadian Rhythm Disorders Adelaide Institute for Sleep Health, Repatriation General Hospital, Daw Park, SA The Diagnosis and Treatment of Circadian Rhythm Disorders Professor Leon Lack School of Psychology, Flinders University

More information

Teenagers: Sleep Patterns and School Performance

Teenagers: Sleep Patterns and School Performance The National Healthy Sleep Awareness Project involves a partnership between the American Academy of Sleep Medicine, Center for Disease Control and Sleep Research Society. The long term goal of the project

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

Consciousness, Stages of Sleep, & Dreams. Defined:

Consciousness, Stages of Sleep, & Dreams. Defined: Consciousness, Stages of Sleep, & Dreams I. Consciousness Conscious is: Waking Consciousness Defined: Altered State of Consciousness Defined: Most of waking life Fuzzy, organized, bizarre thoughts Examples:

More information

Overview of the Biology of Sleep and Circadian Rhythms

Overview of the Biology of Sleep and Circadian Rhythms Overview of the Biology of Sleep and Circadian Rhythms Daniel J. Buysse, MD UPMC Professor of Sleep Medicine Professor of Psychiatry and Clinical and Translational Science University of Pittsburgh School

More information

Dr Alex Bartle. Director Sleep Well Clinic

Dr Alex Bartle. Director Sleep Well Clinic Dr Alex Bartle Director Sleep Well Clinic 1 Fatigue in the Workforce The structure of sleep Fatigue and sleep Consequences of fatigue Management of Shiftwork Conclusion Sleep Architecture REM NREM Rapid

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

Sleep and mental wellbeing: exploring the links

Sleep and mental wellbeing: exploring the links Sleep and mental wellbeing: exploring the links Like most physiological functions, the length and quality of sleep is influenced by a host of biological, environmental and lifestyle factors. Across all

More information

SLEEP, ADOLESCENCE AND SCHOOL Overview of problems and solutions

SLEEP, ADOLESCENCE AND SCHOOL Overview of problems and solutions SLEEP, ADOLESCENCE AND SCHOOL Overview of problems and solutions Professor Greg Murray, FAPS Dr Suzanne Warner Today s talk Why do we sleep? What s wrong with adolescent sleep? How can adolescents improve

More information

RECIPES FOR A GOOD NIGHT S SLEEP

RECIPES FOR A GOOD NIGHT S SLEEP RECIPES FOR A GOOD NIGHT S SLEEP Maribeth Gallagher, PMHNP-BC, MS Hospice of the Valley Objectives: Describe the most common changes in sleep that occur in older adults. Discuss the possible negative effects

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

ADHD and Sleep. Dr. Jessica Agnew-Blais MRC Postdoctoral Fellow SDGP Centre Institute of Psychiatry, Psychology & Neuroscience

ADHD and Sleep. Dr. Jessica Agnew-Blais MRC Postdoctoral Fellow SDGP Centre Institute of Psychiatry, Psychology & Neuroscience ADHD and Sleep Dr. Jessica Agnew-Blais MRC Postdoctoral Fellow SDGP Centre Institute of Psychiatry, Psychology & Neuroscience Who am I? Who I am: ADHD researcher Parent Who I am not: Clinician Sleep expert

More information

SLEEP AND MELATONIN SECRETION ABNORMALITIES IN CHILDREN & ADOLESCENTS WITH FASD DR. S. GORIL DR. D. ZALAI DR. C. SHAPIRO DR. L. A.

SLEEP AND MELATONIN SECRETION ABNORMALITIES IN CHILDREN & ADOLESCENTS WITH FASD DR. S. GORIL DR. D. ZALAI DR. C. SHAPIRO DR. L. A. SLEEP AND MELATONIN SECRETION ABNORMALITIES IN CHILDREN & ADOLESCENTS WITH FASD DR. S. GORIL DR. D. ZALAI DR. C. SHAPIRO DR. L. A. SCOTT SLEEP Pivotal role in brain development during maturation 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

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

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

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

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

Changing School Start Times: Findings and Issues

Changing School Start Times: Findings and Issues Changing School Start Times: Findings and Issues Kyla L. Wahlstrom, PhD Center for Applied Research and Educational Improvement (CAREI) Literature Overview Teens who reported getting an insufficient amount

More information

What is Consciousness?

What is Consciousness? What is Consciousness? Module 6 Consciousness and the Two-Track Mind: Dual processing, Sleep and Dreams Class Objectives What is consciousness? What are the stages of sleep? How does sleep deprivation

More information

Stage REM. Stage 3/4. Stage 2. Sleep 101. NREM vs. REM. Circadian Rhythms. Sleep Is Needed To: 9/24/2013

Stage REM. Stage 3/4. Stage 2. Sleep 101. NREM vs. REM. Circadian Rhythms. Sleep Is Needed To: 9/24/2013 The Power of Sleep: Supporting Healthy Sleep in Children with Autism Spectrum Disorders REM Stage 1 TERRY KATZ, PHD UNIVERSITY OF COLORADO SCHOOL OF MEDICINE JFK PARTNERS CHILD DEVELOPMENT UNIT, CHILDREN

More information

Sleep This factsheet is available in a downloadable PDF here. Table of Contents Introduction Insomnia How Long does Insomnia Last? How much Sleep should You get? Symptoms of Insomnia Causes of Insomnia

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 Issues in Children and Adolescents with FASD

Sleep Issues in Children and Adolescents with FASD Sleep Issues in Children and Adolescents with FASD Presenters: Dr. Louise Scott, Paediatric Neuropsychologist Wilma Veenhof, C. Psych. Associate (Supervised Practice) Karen Huber, Clinic Coordinator Janet

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

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

FATIGUE MANAGEMENT & MITIGATION

FATIGUE MANAGEMENT & MITIGATION FATIGUE MANAGEMENT & MITIGATION PAM JAGER DIRECTOR OF EDUCATION & DEVELOPMENT GRMEP OBJECTIVES By the end of this presentation participants will: Understand ACGME requirements for fatigue management &

More information

Sleep and Dreams UNIT 5- RG 5A

Sleep and Dreams UNIT 5- RG 5A Sleep and Dreams UNIT 5- RG 5A Goals for today Can you Discuss the circadian rhythm, what it is and how it effects us. Identify and explain each of the 5 stages of sleep. As well as the typical waves of

More information

Lack of sleep. Reading Practice

Lack of sleep. Reading Practice Reading Practice Lack of sleep Section A It is estimated that the average man or woman needs between seven-and-a-half and eight hours' sleep a night. Some can manage on a lot less. Baroness Thatcher, for

More information

Common Adolescent Issues How to Identify and Help

Common Adolescent Issues How to Identify and Help Common Adolescent Issues How to Identify and Help Mark Samways School Counsellor Mark.Samways@dubaicollege.org @DCol_wellbeing Dates of all talks Tuesday 21 st November: Screen Time Tuesday 28 th November:

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

John McLachlan. Clinical Lead Pulmonary Physiology & Sleep Medicine. President Elect, WA Branch Thoracic Society of Australia & NZ

John McLachlan. Clinical Lead Pulmonary Physiology & Sleep Medicine. President Elect, WA Branch Thoracic Society of Australia & NZ John McLachlan Respiratory & Sleep Physician @FSH Clinical Lead Pulmonary Physiology & Sleep Medicine Sleep Physician x 27 years Interest in Insomnia management President Elect, WA Branch Thoracic Society

More information

6/29/2009. Awareness of everything going on inside and outside of you CONSCIOUSNESS, SLEEP & DREAMS HYPNOSIS. Meaning of consciousness

6/29/2009. Awareness of everything going on inside and outside of you CONSCIOUSNESS, SLEEP & DREAMS HYPNOSIS. Meaning of consciousness 6/29/2009 ness ness Links to Learning Objectives CONSCIOUSNESS, SLEEP & DREAMS HYPNOSIS LO 4.1 Meaning of consciousness LO 4.6 LO 4.2 Why people sleep LO 4.3 of sleep LO 4.4 disorders LO 4.5 Dreaming PSYCHOACTIVE

More information

The Use of Bright Light in the Treatment of Insomnia

The Use of Bright Light in the Treatment of Insomnia Chapter e39 The Use of Bright Light in the Treatment of Insomnia Leon Lack and Helen Wright Department of Psychology, Flinders University, Adelaide, South Australia PROTOCOL NAME The use of bright light

More information

Overview. Introduction. Circadian Rhythm Sleep Disorders. Relationships to Narcolepsy Circadian Sleep Disorders Network

Overview. Introduction. Circadian Rhythm Sleep Disorders. Relationships to Narcolepsy Circadian Sleep Disorders Network 1 Introduction Overview Circadian Rhythm Sleep Disorders Definitions DSPS Non-24 Treatment and Issues Relationships to Narcolepsy Circadian Sleep Disorders Network 2 Circadian Rhythms 24 hours 10 minutes

More information

Sleep Deprived Teens A Growing Trend Hayley Dohnt, PhD (ClinPsyc)

Sleep Deprived Teens A Growing Trend Hayley Dohnt, PhD (ClinPsyc) Sleep Deprived Teens A Growing Trend Hayley Dohnt, PhD (ClinPsyc) Clinical Psychologist, SOMNIA Sleep Services www.somnia.com Adolescent Sleep Most adolescents do not get enough sleep Research suggests

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

INSOMNIAS. Stephan Eisenschenk, MD Department of Neurology

INSOMNIAS. Stephan Eisenschenk, MD Department of Neurology INSOMNIAS INSOMNIAS General criteria for insomnia A. Repeated difficulty with sleep initiation, duration, consolidation or quality. B. Adequate sleep opportunity, persistent sleep difficulty and associated

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

What is melatonin, anyway?

What is melatonin, anyway? DISCLOSURE & ACCREDITATION This Grand Rounds is accredited for CME by the Yale School of Medicine. If you wish to receive credit for your participation, you must: DISCLOSURE & ACCREDITATION Acknowledgement

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

6/3/2015. Insomnia An Integrative Approach. Objectives. Why An Integrative Approach? Integrative Model. Definition. Short-term Insomnia

6/3/2015. Insomnia An Integrative Approach. Objectives. Why An Integrative Approach? Integrative Model. Definition. Short-term Insomnia Insomnia An Integrative Approach Jeffrey S. Jump, M.D. Medical Director CHI Memorial Integrative Medicine Associates Objectives Understand the importance of sleep to health Identify patients with insomnia

More information

Dr Alex Bartle. Sleep Well Clinic

Dr Alex Bartle. Sleep Well Clinic Dr Alex Bartle Sleep Well Clinic Overview of Sleep Disorders Sleep: Why bother. Effect of Poor Quality or reduced Quantity of Sleep Common Sleep Disorders Management of Insomnia Medication vs CBTi Conclusion

More information

BIORHYTHMS & TEETER-TOTTERS. By: Dr. Scott Monk or

BIORHYTHMS & TEETER-TOTTERS. By: Dr. Scott Monk   or BIORHYTHMS & TEETER-TOTTERS By: Dr. Scott Monk www.choosehealth.net or www.fbahealth.net The inescapable fact is that all life is replete with and governed by cycles. Man lives according to his inward

More information

Why Do We Sleep At Night?

Why Do We Sleep At Night? 4 Why Do We Sleep At Night? Now that you know what actually happens across the sleep period, let s look at what determines when we sleep. There are two biological determiners of sleep, sleep pressure and

More information

Functional Assessment of Depression and Anxiety Disorders Relevant to Work Requirements

Functional Assessment of Depression and Anxiety Disorders Relevant to Work Requirements Functional Assessment of Depression and Anxiety Disorders Relevant to Work Requirements Paul S. Appelbaum, MD Dollard Professor of Psychiatry, Medicine & Law Columbia University Overview Depression and

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

Downstream product market research of Melatonin

Downstream product market research of Melatonin Downstream product market research of Melatonin Product name and physical & chemical properties Product Usage Product principle / mechanism Melatonin (N-acetyl-5-methoxytryptamine), also known as pinealin,

More information

Chronic Insomnia: DSM - V. Insomnia DSM - V. Patient Symptoms. Insomnia: Assessment and Overview of Management. Insomnia Management in the Digital Age

Chronic Insomnia: DSM - V. Insomnia DSM - V. Patient Symptoms. Insomnia: Assessment and Overview of Management. Insomnia Management in the Digital Age Insomnia Management in the Digital Age Dr Anup Desai Sleep & Respiratory Medicine MBBS (syd), PhD (syd), FRACP Senior Staff Specialist, POW Hospital Medical Director, Sydney Sleep Centre Senior Lecturer,

More information

Consciousness. Mind-body Problem. Cartesian Substance Dualism 2/2/11. Fundamental issue addressed by psychologists Dualism. Monism

Consciousness. Mind-body Problem. Cartesian Substance Dualism 2/2/11. Fundamental issue addressed by psychologists Dualism. Monism Consciousness Mind-body Problem Fundamental issue addressed by psychologists Dualism Mind is immaterial Mind can exist separate from the body Monism Mind and body are different aspects of the same thing

More information

Chapter Five. Sleep McGraw-Hill Higher Education. All rights reserved.

Chapter Five. Sleep McGraw-Hill Higher Education. All rights reserved. Chapter Five Sleep 2011 McGraw-Hill Higher Education. All rights reserved. Endocrine System Made up of ductless glands that produce hormones Hormones control various body functions/processes Hormones are

More information

Key FM scientific principles

Key FM scientific principles Key FM scientific principles Philippa Gander Research Professor, Director Fatigue Management Approaches Symposium 5-6 April 2016, Montréal, Canada Fatigue a physiological state of reduced mental or physical

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

Psychological Sleep Services Sleep Assessment

Psychological Sleep Services Sleep Assessment Psychological Sleep Services Sleep Assessment Name Date **************************************************** Insomnia Severity Index For each question, please CIRCLE the number that best describes your

More information

Sleep 101 in Kids. Session Outline. Dr Colin M. Shapiro BSc, FRCPC, MBBS, PhD.

Sleep 101 in Kids. Session Outline. Dr Colin M. Shapiro BSc, FRCPC, MBBS, PhD. 1 Sleep 101 in Kids Dr Colin M. Shapiro BSc, FRCPC, MBBS, PhD http://www.sleepontario.com/ Mon, Sep 19, 2011 This presentation is brought to you in a collaboration between NIOC and Dr. Colin M. Shapiro

More information

Better Bedtime Routines. Michelle Mogenson, D.O. Children s Physicians Spring Valley

Better Bedtime Routines. Michelle Mogenson, D.O. Children s Physicians Spring Valley Better Bedtime Routines Michelle Mogenson, D.O. Children s Physicians Spring Valley Outline Sleep expectations Guidance on how to improve sleep Infant sleep methods What you want: Why are you here? Why

More information

SLEEP PROBLEMS DURING ADOLESCENCE: LINKS

SLEEP PROBLEMS DURING ADOLESCENCE: LINKS In: The Dance of Sleeping and Eating Among Adolescents ISBN: 978-1-61209-710-7 Editors: Yael Latzer and Orna Tzischinsky 2012 Nova Science Publishers, Inc. Chapter 9 SLEEP PROBLEMS DURING ADOLESCENCE:

More information

Insomnia. Learning Objectives. Disclosure 6/7/11. Research funding: NIH, Respironics, Embla Consulting: Elsevier

Insomnia. Learning Objectives. Disclosure 6/7/11. Research funding: NIH, Respironics, Embla Consulting: Elsevier Insomnia Teofilo Lee-Chiong MD Professor of Medicine National Jewish Health University of Colorado Denver School of Medicine Learning Objectives Learn about the causes of transient and chronic Learn how

More information

Index. sleep.theclinics.com. Note: Page numbers of article titles are in boldface type.

Index. sleep.theclinics.com. Note: Page numbers of article titles are in boldface type. Note: Page numbers of article titles are in boldface type. A Actigraphy, 475, 485, 496 Adolescents, sleep disorders in, 576 578 Adults, sleep disorders in, 578 580 Advanced sleep phase disorder, 482 Age,

More information

Sleep in Athlete. March 29, 2015

Sleep in Athlete. March 29, 2015 Sleep in Athlete March 29, 2015 Iris A. Perez, M.D. Assistant Professor of Clinical Pediatrics Keck School of Medicine of USC Division of Pediatric Pulmonology and Sleep Medicine Children s Hospital Los

More information

Rhythm Plus- Comprehensive Female Hormone Profile

Rhythm Plus- Comprehensive Female Hormone Profile Rhythm Plus- Comprehensive Female Hormone Profile Patient: SAMPLE REPORT DOB: Sex: F Order Number: K00000 Completed: Received: Collected: SAMPLE REPORT Sample # Progesterone (pg/ml) Hormone Results Oestradiol

More information

Sleep is regulated by two body systems:

Sleep is regulated by two body systems: Sleep is regulated by two body systems: Circadian Biological Clock The Clock-Dependent Process that Regulates Alertness Sleep/Wake Homeostasis The Process that Balances Sleep and Wakefulness Circadian

More information

Do You Get Enough Sleep?

Do You Get Enough Sleep? LP 3A sleep deprivation 1 Do You Get Enough Sleep? Many college students do not get enough sleep. In a survey of more than 200,000 first year students, more than 80% say that stayed up all night at least

More information

Sleep Wake Cycle in Depression

Sleep Wake Cycle in Depression Sleep Wake Cycle in Depression Constantin R. Soldatos Professor of Psychiatry & Founder of Sleep Study Center Eginition Hospital University of Athens Lecture in Suzdal School, 20/04/2013 SLEEP WAKE CYCLE

More information

1. What is a clinical disorder? [provide the detailed definition you learned in class]

1. What is a clinical disorder? [provide the detailed definition you learned in class] 1. What is a clinical disorder? [provide the detailed definition you learned in class] A constellation of symptoms that significantly impairs an individual s ability to function, and is characterized by

More information

THE DANGERS OF DROWSY DRIVING. The Costs, Risks, and Prevention of Driver Fatigue

THE DANGERS OF DROWSY DRIVING. The Costs, Risks, and Prevention of Driver Fatigue THE DANGERS OF DROWSY DRIVING The Costs, Risks, and Prevention of Driver Fatigue Presented on behalf of Texas Department of Transportation This presentation is a modification of one created and copyrighted

More information

S U P P O R T I N G S L E E P I N A S D V I C T O R I A K N O W L A N D U N I V E R S I T Y O F Y O R K

S U P P O R T I N G S L E E P I N A S D V I C T O R I A K N O W L A N D U N I V E R S I T Y O F Y O R K S U P P O R T I N G S L E E P I N A S D V I C T O R I A K N O W L A N D U N I V E R S I T Y O F Y O R K WHAT IS SLEEP FOR? If sleep doesn t serve an absolutely vital function, it is the greatest mistake

More information

Sleep habits and their consequences: a survey. Umar A. Khan, Sara N. Pasha, Sarah K. Khokhar, Asim A. Rizvi

Sleep habits and their consequences: a survey. Umar A. Khan, Sara N. Pasha, Sarah K. Khokhar, Asim A. Rizvi 1 Original Article Sleep habits and their consequences: a survey Umar A. Khan, Sara N. Pasha, Sarah K. Khokhar, Asim A. Rizvi Department of Medicine, Shifa International Hospital and Shifa College of Medicine,

More information

Delayed sleep-wake phase disorder and shift work

Delayed sleep-wake phase disorder and shift work Delayed sleep-wake phase disorder and shift work James K. Wyatt, Ph.D., D. ABSM, FAASM Director, Section of Sleep Disorders and Sleep-Wake Research Rush University Medical Center Associate Professor of

More information

Introduction. What is Shiftwork. Normal Human Rhythm. What are the Health Effects of Shiftwork? Blue Light

Introduction. What is Shiftwork. Normal Human Rhythm. What are the Health Effects of Shiftwork? Blue Light Shiftwork Health Effects and Solutions James Miuccio, MSc, CIH, CRSP Occupational Hygienist February 28, Introduction What is Shiftwork Normal Human Rhythm What are the Health Effects of Shiftwork? Blue

More information

Sleep Apnea and Intellectual Disability

Sleep Apnea and Intellectual Disability Sleep Apnea and Intellectual Disability Presenters: Dr Colin Shapiro BSc, FRCP(C), MBBS, PhD Judi Hoskins DSW, B.A. Psych Nov 15, 2010 1 Sleep Apnea and Intellectual Disabilities: multidisciplinary assessment

More information

Let s Talk About drowsy Driving

Let s Talk About drowsy Driving Let s Talk About drowsy Driving Information from the Illinois Department of Public Health Division of Injury and Tobacco Use Prevention Presented by Dale O. Ritzel, Emeritus Director Safety Center, Southern

More information

Insomnia. St. Joseph s Annual Family Practice Refresher March 1, Robert J. Ostrander, M.D

Insomnia. St. Joseph s Annual Family Practice Refresher March 1, Robert J. Ostrander, M.D St. Joseph s Annual Family Practice Refresher March 1, 2018 Robert J. Ostrander, M.D If in bed I say, When shall I arise? then the night drags on; I am filled with restlessness until the dawn. Job 7:4

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

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

Light Therapy in Sleep Disorders 2014

Light Therapy in Sleep Disorders 2014 Light Therapy in Sleep Disorders 2014 Andrew G Veale Light and Health Effects through the eye Effects through the skin Positive effects Mood Vitality Alertess Light on skin Vitamin D production light therapy

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

No conflict of interest

No conflict of interest Boa tarde No conflict of interest Um prazer e uma honra estar em Portugal SLEEP QUESTIONS Leonardo Fuks MD Rabin medical center Israel OSA OBSTRUCTIVE SLEEP APNEA MILD 5-15 MODERATE > 15 < 30 SEVERE >

More information

Sleep: What can go wrong and where to turn

Sleep: What can go wrong and where to turn Sleep: What can go wrong and where to turn Michael J. Strunc MD Child Neurology and Sleep Medicine Director, The Center for Pediatric Sleep Medicine At CHKD Assistant Professor, Pediatrics, Eastern Virginia

More information

Strategies for Better Sleep

Strategies for Better Sleep Strategies for Better Sleep Presented by BHS Call: 800-327-2251 Visit: www.bhsonline.com 2017 BHS, All rights reserved. 1 Training Summary This seminar will review the negative impacts of sleep loss, the

More information

How To Cure Insomnia: Discover How To Cure Insomnia Without Drug Or Alcohol, How To Get A Good Night's Sleep And Be Well Rested For Life By Sally M.

How To Cure Insomnia: Discover How To Cure Insomnia Without Drug Or Alcohol, How To Get A Good Night's Sleep And Be Well Rested For Life By Sally M. How To Cure Insomnia: Discover How To Cure Insomnia Without Drug Or Alcohol, How To Get A Good Night's Sleep And Be Well Rested For Life By Sally M. Dennis Lack of Sleep and the Immune System - WebMD -

More information

Suicide Awareness & Prevention The Silent Epidemic Kristin A. Drake Cell:

Suicide Awareness & Prevention The Silent Epidemic Kristin A. Drake Cell: Suicide Awareness & Prevention The Silent Epidemic Kristin A. Drake Cell: 915 525 8937 What is Suicidality? ~According to Dr. Osvaldo Gaytan, Child and Adolescent Psychiatrist for El Paso Behavioral, Suicidality

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

Parents Guide to Teenagers and Sleep. Copyright Child Mind Institute

Parents Guide to Teenagers and Sleep. Copyright Child Mind Institute Copyright 2016. Child Mind Institute Adolescents are notoriously sleep-deprived, because of a combination of biology, technology and the demands of school and extracurricular activities. This guide outlines

More information

Sophia L. Dollar, MPH Wellness Coach

Sophia L. Dollar, MPH Wellness Coach Sophia L. Dollar, MPH Wellness Coach Welcome! Today s Outline: Introduction I. Public Health Problem II. The Sleep Cycle III. IV. I. NREM & REM Cycle II. The Right Mix Insomnia I. Causes and Effects II.

More information

ADHD, Circadian Rhythm, Sleep & Health

ADHD, Circadian Rhythm, Sleep & Health ADHD, Circadian Rhythm, Sleep & Health Is ADHD a circadian rhythm disorder? ADHD Foundation, Liverpool, Nov 8, 2018 J.J. Sandra Kooij, MD PhD Associate professor of Psychiatry, VUMc Amsterdam Expertise

More information

Medications that are not FDA approved for children will be discussed. NAPNAP National Conference 2018

Medications that are not FDA approved for children will be discussed. NAPNAP National Conference 2018 Medications that are not FDA approved for children will be discussed NAPNAP National Conference 2018 (Honaker & Meltzer, 2016; Keyes, Maslowsky, Hamilton & Schulenberg, 2015) Chronically disrupted sleep

More information

Make sure you remember the Key Concepts

Make sure you remember the Key Concepts A2 Psychology Term 1 Module 4 Physiological Psychology Biological Rhythms, Sleep and Dreaming Area of Study: Biological Rhythms. Lesson 7 Getting you Thinking pg 403 Make sure you remember the Key Concepts

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

Citation Hong Kong Practitioner, 1997, v. 19 n. 12, p

Citation Hong Kong Practitioner, 1997, v. 19 n. 12, p Title Melatonin use in sleep disorders Author(s) Chung, KF Citation Hong Kong Practitioner, 1997, v. 19 n. 12, p. 669-672 Issued Date 1997 URL http://hdl.handle.net/10722/45309 Rights This work is licensed

More information

Objectives. Common mental health disorders Facts about mental health Typical development How to help Resources.

Objectives. Common mental health disorders Facts about mental health Typical development How to help Resources. Project Aware ACCESS Increase youth access to mental health services and supports within a data-based multi-tiered framework (e.g., ISF; Barrett, Eber, & Weist, 2013) AWARENESS Increase awareness of mental

More information