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Books > Medicine > Nursing & ancillary services > Specific disorders & therapies > Sleep disorders
'A gracefully written book about the inner strength we all have within us' Wim Hof ________________________________________________________________________________ Do you feel held back by your own thoughts? Have you gone through years of therapy but never quite resolved your problems? Whether you struggle with mental health or want to achieve more in life, this revolutionary book is your key to finally making positive changes. It's common to feel a loss of control and even feel out of touch with our own identity when we go through periods of stress or trauma. Our brains are conditioned to form beliefs about ourselves and the world around us, so when we experience adversity thoughts such as 'I'm not good enough', 'I don't deserve to be happy' and 'I don't belong here' can develop and start to hold us back in life. Left unchecked, these thoughts can leave us feeling stuck, incapable and unfulfilled but this life-changing book shows how we can de-hypnotize ourselves of those beliefs and re-discover the capable and confident person within us. Having practised as a therapist for almost thirty years, Andrew Parr has helped thousands of people to break free of their self-sabotaging thoughts and achieve things they never thought possible: from pay rises to weight loss, and from quitting smoking to overcoming insomnia. In The Real You he shares his transformative approach, combining the most effective aspects of hypnotherapy, psychotherapy, coaching and CBT, that will help you to identify and resolve problematic mental patterns more easily than with traditional talking therapy. No matter what you want to achieve, the simple, practical exercises in this book will put you back control of your thoughts, transform your self-confidence and make success possible. ________________________________________________________________________________ 'A truly unique and transformational book' Paul Hewitt, Sports Performance Specialist
Poor sleep can have a huge impact on our health and wellbeing, leaving us feeling run-down, exhausted and stressed out. This self-help guide explains the causes of insomnia and why it is so difficult to break bad habits. This updated edition gives you clinically proven cognitive behavioural therapy (CBT) techniques for improving the quality of your sleep: * Keeping a sleep diary * Setting personal goals * Improving your sleep hygiene * Dealing with a racing mind * Making lasting improvements to your sleeping and waking pattern
New Research on Sleep and Sleep Disorders first addresses how excessive daytime sleepiness is highly prevalent among patients with type 2 diabetes and has been associated with poorer glycemic control. Daytime sleepiness is also associated with cognitive and attention impairment which may lead to sub-optimal self-management and increased medication errors in patients with type 2 diabetes. Sleep dysfunction has multiple causes in critically ill patients, some of which are extrinsic to the patient and some which are intrinsic to the patient. The disruption of sleep can further destabilize a patient or complicate their ICU course. In one study, the authors use a network analysis technique to create networks for each of the four "insomnia identity" groups. These findings may help to further understand the role of daytime sleepiness in different insomnia phenotypes and to better target the clinical intervention. Additionally, the results of a Multiple Sleep Latency Test carried out in forty patients diagnosed with narcolepsy-1 are presented, and protocol is reviewed. Later, the role of upper cervical spine morphology in the diagnosis and treatment of patients with obstructive sleep apnea is examined. It is suggested that upper cervical spine morphology contributes to phenotypic differentiations between types of obstructive sleep apnea and thereby to its diagnosis, subdivision and treatment. Some useful knowledge obtained by analyzing the acoustic properties of snoring sounds and the morphological properties of oropharyngeal soft tissues is presented. Snoring sounds and oropharyngeal soft tissues are directly or indirectly related to the severity of sleep apnea syndrome. Many researchers are moving their attention towards the development of applications for the smartphone related to obstructive sleep apnea syndrome. As such, this compilation analyzes and investigates the functionality of the most accredited apps available for smartphones. The American Academy of Sleep Medicine and the American Academy of OtolaryngologyaHead and Neck Surgery recommend surgery as an option for the treatment of obstructive sleep apnea syndrome, when non-invasive treatments such as CPAP or oral appliances have not been successful. Surgical treatment is more effective when there is an evident anatomical deformity that can be corrected to alleviate the respiratory obstruction. The concluding study focuses on drugs which induce sleep, such as propofol and dexmedetomidine. Drug-induced sedation endoscopy is a relatively simple way to explore obstruction sites during induced sleep and to give the most precise indication for surgery.
Unlock the astonishing facts, myths, and benefits of one of the
most endangered human resources--sleep.
Insomnia is a pervasive problem among adults that impairs cognitive abilities and the immune system, and it can intensify other mental and physical disorders. Yet, existing medical, psychological, and alternative treatments have only limited success in treating this persistent disorder. In this clinical guide, Jason Ong introduces mental health practitioners to an innovative, evidence-based form of treatment to treat chronic insomnia: mindfulness-based therapy for insomnia (MBTI). MBTI is an 8-session group intervention that combines mindfulness meditation with principles and strategies derived from cognitive behavioral therapy. Through guided meditations, group discussions, and daily activities performed at home, participants cultivate greater self-awareness and change their unhealthy thoughts and behaviours surrounding sleep to reduce stress, sleeplessness, and other insomnia symptoms long after treatment has ended. As well as teaching mental health professionals how to integrate MBTI into their own practices through detailed session-by-session guidelines, this book helps practitioners evaluate potential participants prior to treatment by assessing any physical and psychological issues that underlie their insomnia and determining whether MBTI will be appropriate for them. Practitioner competency is also given special focus.
This up-to-date, superbly illustrated book is a practical guide to the effective use of neuroimaging in the patient with sleep disorders. There are detailed reviews of new neuroimaging techniques - including CT, MRI, advanced MR techniques, SPECT and PET - as well as image analysis methods, their roles and pitfalls. Neuroimaging of normal sleep and wake states is covered plus the role of neuroimaging in conjunction with tests of memory and how sleep influences memory consolidation. Each chapter carefully presents and analyzes the key findings in patients with sleep disorders indicating the clinical and imaging features of the various sleep disorders from clinical presentation to neuroimaging, aiding in establishing an accurate diagnosis. Written by neuroimaging experts from around the world, Neuroimaging of Sleep and Sleep Disorders is an invaluable resource for both researchers and clinicians including sleep specialists, neurologists, radiologists, psychiatrists, psychologists.
There is an epidemic of fatigue running rampant in our society. Every morning, hundreds of thousands of women wake up to find themselves exhausted, overwhelmed, and overstressed. Groggily turning off the alarm, they reach for coffee, soda, or some other promise of energy. They suffer through the day-irritable, on edge, forgetful, depressed, and craving sweets. And then, at night, they have trouble sleeping. Diet and exercise don't seem to change things-if they even have the energy to follow these programs. So what on earth is going on?In "Are You Tired and Wired?, " Marcelle Pick, co-founder of Women to Women-one of the first clinics in the country devoted to providing health care for women by women-and the author of "The Core Balance Diet," focuses on the root cause of these symptoms: adrenal dysfunction.With all the stresses that exist today-from challenges at home and at work to environmental toxins to chronic health problems-the adrenal glands, which are responsible for providing the fight-or-flight hormones, can force the body to endure a constant flood of stress hormones that can ultimately lead to multiple health issues, especially severe fatigue. The good news is that through diet, lifestyle adjustments, and reprogramming of stressful emotional patterns this can all be fixed Pick helps readers identify which of three adrenal dysfunction profiles they fit-racehorse, workhorse, or flatliner-and then lays out an easy-to-follow, scientifically based program to help them restore adrenal balance, re-gear their metabolism, and regain their natural energy to live a happier and less-stressed life.
Many fascinating and important psychological disorders are either omitted from our current diagnostic systems or rarely covered during graduate or medical training. As a result, most mental health students and trainees are never taught to identify, diagnose, or treat them. This lack of attention has real-world consequences not only for patients, but for basic science as well. Unusual and Rare Psychological Disorders collects and synthesizes the scientific and clinical literatures for 21 lesser-known conditions. The coverage is broad, ranging from exploding head syndrome and koro to body integrity identity disorder and persistent genital arousal disorder. All chapters follow a uniform structure and introduce each disorder with a vivid clinical vignette. After discussing the historical and cultural contexts for the disorder, authors describe the typical symptoms, associated features, current role in diagnostic systems (if any), and etiologies. Clinically relevant information on assessment and differential diagnosis is also provided. Finally, authors review the treatment options and suggest future directions for research. This unique and engaging volume will not only be a useful resource for researchers and clinicians who already possess expertise in the more well-known manifestations of psychopathology, but it will also be of interest to students and trainees in the mental health professions.
A guide to using the science of the body clock to create the optimum personal routine, and sleep better, work better and feel better. In the twenty-first century, we increasingly push our daily routines into the night, carrying out work, exercise and our social lives long after dark. But we have forgotten that our bodies are governed by a 24-hour biological clock which guides us towards the best time to sleep, eat and think. New science has proven that living out of sync with this clock is not only disrupting our sleep, but leaving us more vulnerable to infection, cancer, obesity, type 2 diabetes, heart disease and mental illness. In Life Time, Professor Russell Foster shares his life's work, taking us on a fascinating and surprising journey through the science of our body clocks. Using his own studies, as well as insights from an international community of sleep scientists and biologists studying circadian rhythms, he illustrates the surprising effects the time of day can have on our health- how a walk outside at dawn can ensure a better night's sleep, how eating after sundown can affect our weight, and the extraordinary effects the time we take our medication can have on our risk of life-threatening conditions, such as strokes. In the modern world, we have neglected an essential part of our biology. But with knowledge of this astonishing science, we can get back into the rhythm, and live healthier, sharper lives.
This issue of Sleep Medicine Clinics, edited by Song Tar Toh in collaboration with Consulting Editor, Teofilo Lee-Chiong, is devoted to the Preventing, Screening, and Treatments for Obstructive Sleep Apnea, beyond Positive Airway Pressure (PAP). Topics covered in this issue include: Prevention and Screening of Obstructive Sleep Apnea (OSA); Anatomical and Physiologic Considerations in Surgical Treatment for OSA; Medical and Surgical Options for Weight Management in OSA; Positional Therapy for OSA; Oral Appliances in Adults and Pediatrics; Myofunctional Therapy for OSA; Drug-induced Sleep Endoscopy in Treatment Options Selection; Establishing a Patent Nasal Passage in OSA; Palatal Surgery: From Ablation to Reconstruction; Volumetric Tongue Reduction Surgery in Clinical Practice; Transoral Robotic Surgery for OSA; Genioglossus Advancement and Hyoid Surgery; Maxillomandibular Rotational Advancement: Airway, Aesthetics, and Angle Considerations;
Experts of every kind are queuing up to warn us that lack of sleep, or the wrong kind, will bring down a bewildering array of dire consequences. Heather Darwall-Smith's message in this book is simple: don't panic! Humans are biologically programmed to sleep, and by interrogating all the factors - sociological, physiological, neurological, and psychological - that might be impeding this innate instinct, each of us can work out the changes we can make in our own lifestyles to allow ourselves to sleep naturally again. This book demystifies the bewildering data around sleep by combining science with natural self-help techniques. Inside the pages of this illustrated guide to sleep, you'll discover: - A visual approach to understanding the science of why and how we sleep through info-graphics, graphs and diagrams that unpick the data and present the facts in an easy-to-follow format - Proven techniques and strategies for better sleep from the author - based on extensive clinical practice and drawing on the most up-to-date evidence from scientists around the world - The latest research and evidence to debunk the myths and misconceptions around sleep Heather Darwall-Smith has combined her research findings, clinical expertise, and curated techniques to create a uniquely visual approach to explaining the interrelated factors that make up our sleep habits. She also provides natural techniques to deal with these underlying causes. Humans are biologically programmed to sleep, Heather encourages each of us to work out the changes we can make to our lifestyles to nourish our body clocks for us to sleep naturally again. The Science of Sleep provides in-depth answers to questions about sleep challenges and exposes myths and fads using science that is accessible to all. Armed with facts, this book equips readers to take control of their choices, understand and transform their sleep habits one night at a time.
Sleep can be viewed as a brain state, as a process and a behavior. As any of these, sleep serves several purposes, including energy restoration, immunocompetence, brain metabolic homeostasis, neural ontogenesis and, importantly, cognitive, emotional and social processing. Supported by a strong empirical backbone focused on contemporary research outlining links between these subjects, this book will offer a guide to state-of-the-art research of sleep mechanisms, its impact in many cognitive and affective features as well as brief but in-depth overview of the strong association between sleep and social interactions. The complexity behind the common mechanisms between sleep, cognition and emotion, reveal that only through an integral approach in its study at both a neuroanatomical, functional, clinical and social level can reveal how this interplay influences human and furthermore, of mammal homeostasis as whole. Also, we intend to shed a light on the complex relationships between sleep and specific psychiatric disorders, thereby informing both prevention and clinical intervention. In order to provide clear guidance for researchers, the book also outlines future directions for the continued advancement of our understanding of sleep. We aim to balance the breadth and depth of available information to provide a resource that is accessible for upper-level seminars within academic settings, while serving as a practical guide for established scholars studying and treating conditions related to the interplay between sleep, cognition and emotion.
This book provides a case-based illustrative approach to the understanding and management of common and important sleep disorders, including snoring and sleep disordered breathing, insomnia and circadian-rhythm disorders, as well as primary neurological sleep disorders. Case histories are written by well-established experts from University College London Hospitals who have long-standing experience of providing a multi-disciplinary approach to the management of sleep disorders. Cases focus on the recognition of presenting features of sleep disorders and their clinical importance, using real life patients from sleep clinic. Each case report provides a detailed clinical description followed by a clear explanation of the salient points. The text is supported by photographs, diagrams and line drawing and concludes with a list of key learning points. Each case history reads as stand-alone, although a common theme of presenting features, clinical features, investigation and treatment is adhered to. Cases are written in an easy-flowing prose style in an attempt to simulate the experience of seeing and discussing a real life patient case in clinical practice. The book is of interest to all clinicians who are likely to come across patients with sleep disorders in their clinical practice and wish to improve their understanding and knowledge of sleep disorders.
The first comprehensive book on the subject, The Genetic Basis of Sleep and Sleep Disorders covers detailed reviews of the general principles of genetics and genetic techniques in the study of sleep and sleep disorders. The book contains sections on the genetics of circadian rhythms, of normal sleep and wake states and of sleep homeostasis. There are also sections discussing the role of genetics in the understanding of insomnias, hypersomnias including narcolepsy, parasomnias and sleep-related movement disorders. The final chapter highlights the use of gene therapy in sleep disorders. Written by genetic experts and sleep specialists from around the world, the book is up to date and geared specifically to the needs of both researchers and clinicians with an interest in sleep medicine. This book will be an invaluable resource for sleep specialists, neurologists, geneticists, psychiatrists and psychologists.
We tend to think of sleep as a private concern, a night-time retreat from the physical world into the realm of the subconscious. Yet sleep also has a public side; it has been the focal point of religious ritual, philosophic speculation, political debate, psychological research, and more recently, neuroscientific investigation and medical practice. In this first ever history of sleep research, Kenton Kroker draws on a wide range of material to present the story of how an investigative field - at one time dominated by the study of dreams - slowly morphed into a laboratory-based discipline. The result of this transformation, Kroker argues, has changed the very meaning of sleep from its earlier conception to an issue for public health and biomedical intervention. Examining a vast historical period of 2500 years, Kroker separates the problems associated with the history of dreaming from those associated with sleep itself and charts sleep-related diseases such as narcolepsy, insomnia, and sleep apnea. He describes the discovery of rapid eye movement - REM - during the 1950s, and shows how this discovery initiated the creation of 'dream laboratories' that later emerged as centres for sleep research during the 1960s and 1970s. Kroker's work is unique in subject and scope and will be enormously useful for both sleep researchers, medical historians, and anybody who's ever lost a night's sleep.
Obstructive sleep apnea is a disorder characterised by repetitive, complete or partial closure of the upper airway during sleep. Many factors, including craniofacial abnormalities, influence upper airway obstruction during sleep. Sleep apnea syndrome (SAS) is related to different combinations of anatomical and functional aspects that produce the airway collapse in individual patients. To compensate for the craniofacial abnormalities and treat sleep apnea, there are some dental and maxillofacial surgical modalities. In this book, treatment and research of SAS are described mainly from clinical and neurophysiological aspects in the stomatognathic system.
Sleep deprivation is a sufficient lack of restorative sleep over a cumulative period so as to cause physical or psychiatric symptoms and affect routine performances or tasks. Sleep deprivation and sleep disorders are quite common and affect millions of people world-wide. This book discusses the physiological effects of sleep deprivation on the brain. Cognitive performance efficiency during a night without sleep is also assessed. Current theories concerning the role of sleep in memory processing, such as the Synaptic Homeostasis Theory, are examined. Furthermore, published data regarding sleep in critically ill patients is discussed to increase the awareness among health care professionals in general and the intensive care unit (ICU) staff in particular. Other chapters in this book address the correlation between excessive yawning and sleep deprivation and the types of oculomotor responses that occur in patients who are suffering from sleep deprivation. This new book gathers the latest research from around the globe in this field.
Snoring is a common symptom of airway obstruction, which is included in the spectrum of sleep-related breathing disorders. The manifestation may occur alone (primary snoring) or in association with other signs and symptoms such as rhinorrhea, hyponasal speech, cough, hypopnea, and sleep apnea. Furthermore, snoring in the paediatric population is increasing and has been identified as a primary health concern by the American Academy of Paediatrics. This increase has been associated with a rise in co-morbid disease processes such as asthma and allergies, lifestyle changes and increasing changes and increasing obesity in the paediatric population. This book examines the clinical picture, aetiology, diagnosis and treatment of snoring in paediatric patients. A thorough review of the literature data on the efficacy of the different types of intraoral devices used in obstructive sleep apnea-hypopnea (OSAH) is also assessed, as well as the two common urological consequences in OSA patients, namely Erectile Dysfunction (ED) and nocturia. Other topics discussed in this book include the underlying etiologic factors associated with sleep disordered breathing (SDB), a review of diagnostic studies that have been used to assess upper airway anatomy in patients with sleep-disordered breathing and a discussion of a multi-disciplinary approach taken to address the interaction of etiological components associated with SDB, to identify the causative agent(s) in specific individuals seeking definitive resolution.
Sleep apnea or sleep apnoea is a sleep disorder characterised by pauses in breathing during sleep. These episodes, called apneas (literally, "without breath"), each last long enough so one or more breaths are missed, and occur repeatedly throughout sleep. There are two distinct forms of sleep apnea: Central and Obstructive. Breathing is interrupted by the lack of effort in Central Sleep Apnea, but from a physical block to airflow despite effort in Obstructive Sleep Apnea. In Mixed Sleep Apnea, both types of events occur. Regardless of type, the individual affected with sleep apnea is rarely (if ever) aware of having difficulty breathing, even upon awakening. Sleep apnea is recognised as a problem by others witnessing the individual during episodes, or is suspected because of its effects on the body (sequelae). This book presents important new research in this field.
Sleep medicine encompasses an unusually board spectrum of contributions from biology, technology, and medicine. This volume summarizes the considerable mass of knowledge that has been accumulated in the field and imparts its major findings in a manner that is comprehensive yet not overwhelming. Edited by an eminent sleep researcher and with contributions from leading experts in the field, the volume provides a basic grounding in sleep medicine and covers the fascinating complexity of the field. It separates figure from ground for those who are newcomers to the field and who are seeking guideposts for further research. Sleep problems are frequently co-morbid with other medical conditions, and clinicians need to be alert to this interconnectedness and to recognize which difficulties are primary and which are not. Synoposis of Sleep Medicine will be a valuable tool for clinicians in many specialties for addressing diagnostic problems in sleep medicine. The volume is the first of its kind, rich yet comprehensive and focused and one that is sure to meet the needs of both basic and clinical research for some years to come.
Combining a wide range of drug-free therapeutic approaches, this book is a step-by-step guide to Peter Smith's unique, 100% natural sleep solution. It: * Explains how sleep 'works' and the physical and psychological causes of insomnia. * Offers practical advice about how to practice good sleep behaviours and switch on relaxation responses within the nervous system, including the revolutionary concept of 'virtual darkness'. * Gives tips on getting the right dietary supplements for a good night's sleep and creating the right sleeping environment. * Advises 'night owls' 'early birds' and 'free runners' about how to reset problematic sleep cycles. * Provides guidelines for preventing jetlag. 'Sleep Better with Natural Therapies' combines psychological treatments, such as CBT, with physiological ones, such as adjusting the biological clock, and demonstrates that it is possible to retrain the mind and change your learned associations with sleep in just a matter of weeks. This is vital reading for anyone struggling with insomnia, problems with sleep cycles, or the effects of jet lag and will be of interest to complementary health practitioners and mental health professionals.
This book brings together an unprecedented number and range of contributions from different disciplines relating to sleep in one comprehensive volume. The contributors explore the science of sleep - what it is, what makes it happen and why we do it - as well as the measurement of sleep, its importance for daytime performance and its sociological and cultural aspects. Sleep disorders, sleep quality and the importance of sleep for daytime performance are also explored, as are the ways in which sleep can be affected by medication and medical and psychiatric conditions. This groundbreaking and insightful book will be of great interest to students, academics and professionals in a wide range of disciplines, and anyone else who wishes to discover more about this fascinating topic.
This first such volume in this field, "Sleep Disorders: Diagnosis and Therapeutics" explores sleep pharmacology and therapeutics. This text is an introduction for clinicians and researchers who are new to sleep pharmacology and outlines the wider range of therapeutic options currently available to them. Leading researchers in the area of experimental and clinical and psychopharmacology critically assess the progress in their specialist fields. For seasoned clinicians, the book assists in selecting the most appropriate methodologies and treatment options designed to circumvent the problems in combating sleep disorders. The use of this knowledge is essential for the development of skills and techniques in sleep disorders and their treatment and diagnosis. "Sleep Disorders: Diagnosis and Therapeutics" not only informs, but also stimulates research in this area and is a must-have text for psychiatrists, psychopharmacologists, and experimental and clinical pharmacologists, psychologists, and neuroscientists. This resource is also appropriate for physicians and scientists from academic centers, commercial and clinical laboratories, and those who are involved in research and development of sleep pharmaceuticals. |
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