sleep_disorders | CARLAT PUBLISHING

A Prescription App for Insomnia

March 4, 2022

Jesse Koskey, MD. Psychiatrist at Sensible Care, CA Dr. Koskey has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Psychiatrists can now prescribe a cognitive behavioral therapy app that takes basic therapy one step further with digital adaptions to improve insomnia, sleep apnea, and mood.

Sleepwalking on Antipsychotics and Lithium

November 5, 2021

Thomas Jordan, MD.

Thomas Jordan, MD. Dr. Jordan has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Sleepwalking is a rare side effect on psychiatric medications, particularly hypnotics and antidepressants. A new analysis explores whether lithium and the antipsychotics should be added to that list.

Light Therapy: Good for What Ails You?

September 28, 2021

Edmund S. Higgins, MD.

Edmund S. Higgins, MD. Clinical associate professor, Psychiatry and Behavioral Sciences, Medical University of South Carolina. Dr. Higgins has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

The health benefits of light therapy are expanding its use beyond winter depression. Here we explore those promises and pitfalls, including ADHD, PTSD, bipolar depression, binge eating, sleep disorders, dementia, sexual dysfunction, traumatic brain injury, diabetes, and arthritis.

Turning Nightmares Into Dreams

August 3, 2021

Barry Krakow, MD

Barry Krakow, MD

Dr. Krakow is a board-certified sleep medicine specialist practicing in Savannah, GA following a 30-year research career that helped spearhead the movement to address sleep disorders in psychiatric patients. Dr. Krakow has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

When patients have more than one nightmare a week, it’s probably affecting their mental health. Barry Krakow has developed a simple behavioral therapy that reduces nightmares, and in this interview he explains how to apply it during brief and long visits.

Lemborexant and Sleep Architecture in the Elderly

August 3, 2021

Garrett Rossi, MD.

Garrett Rossi, MD. Dr. Rossi has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

It’s rare to see a hypnotic that improves sleep architecture, not to mention next-day functioning. Lemborexant hopes to change that.

The “Z-Drugs”: Safety Issues and Misuse Potential

June 10, 2020

Rehan Aziz, MD.

Rehan Aziz, MD. Associate Professor of Psychiatry and Neurology, Rutgers Robert Wood Johnson Medical School. Dr. Aziz has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Once heralded for their relative safety compared to benzodiazepines, the “Z-drugs” are now known to be one of the most common causes of adverse drug events. Here we review the risks of Z-drugs and highlight updated dosing recommendations for zolpidem.

A New Dopamine and Norepinephrine Reuptake Inhibitor for Excessive Sleepiness

July 3, 2019

Talia Puzantian, Chris Aiken, MD, and Chris Aiken

Talia Puzantian, PharmD, BCPP Chris Aiken, MD. Drs. Puzantian and Aiken have disclosed that they have no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Solriamfetol (Sunosi) was just approved for excessive daytime sleepiness in narcolepsy and sleep apnea, but it may have important psychiatric effects as well.

Melatonin for Insomnia in Patients With Autism

June 11, 2019

Jess Levy, MD.

Jess Levy, MD. Dr. Levy has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Treating sleep problems in youth with autism spectrum disorder (ASD) is tricky at best. One promising treatment is pediatric prolonged-release melatonin (PedPRM) sold under the name Slenyto.

Sleep and PTSD

April 10, 2019

Michael McCarthy, MD

Michael McCarthy, MD

Associate Adjunct Professor, Department of Psychiatry, University of California at San Diego. Dr. McCarthy has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Insomnia is different in PTSD. Some of that is explained by the symptoms of PTSD, such as nightmares, hyperarousal, anxiety, and physical restlessness. But there’s another thing we’re seeing that isn’t as obvious: sleep apnea.

Ask the Editor - Jet Lag and Psychiatric Disorders: Plan for Prevention

April 10, 2019

Chris Aiken, MD.

Chris Aiken, MD.
Editor-in-Chief of The Carlat Psychiatry Report. Practicing psychiatrist, Winston-Salem, NC. Dr. Aiken has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Jet lag happens when people fly across multiple time zones. The body’s internal clock gets out of sync with the outside signals of sunrise and sunset. The result is insomnia, poor concentration, fatigue, and gastrointestinal symptoms.