Obstructive sleep apnea (OSA) with heavy snoring is a common disorder, affecting more than 1 out of 10 adults, and is closely associated with hypertension, heart disease, stroke, depression, and cognitive decline. Upper airway stimulation therapy is a novel, highly effective alternative method of treatment, involving a surgically implanted device that uses electrical stimulation of muscles to expand the upper airway, thereby addressing the primary cause of OSA. The first of its kind, Upper Airway Stimulation Therapy for Obstructive Sleep Apnea is a comprehensive review of the medical, surgical, and technical aspects of this innovative treatment for OSA. It delves into the current state of knowledge regarding upper airway stimulation, reviewing pathophysiological basis of sleep apnea and the specific mechanism by which upper airway stimulation provides airway support in this disorder. Evidence-based, this book provides practical guidelines for patient selection, clinical outcomes, surgical technique, long-term follow-up and adverse events, as well as for developing an upper airway stimulation program.

Management of Sleep Disorders in Psychiatry provides the most comprehensive and evidence-based review of the clinical management of DSM-V based sleep-wake disorders in patients with psychiatric disorders. This book is organized into three sections that focus on the basics of sleep medicine, clinical features and treatment of DSM-V sleep-wake disorders, and evidence-based management of sleep disorders commonly associated with a range of DSM-V based psychiatric disorders. The first section orients the reader to topics such as sleep physiology, neural mechanisms of wakefulness and sleep, circadian rhythms, effects of sleep on cognition, history taking in sleep medicine, and clinical application of technical procedures used in the field of sleep medicine. The second section adopts a unique perspective of using DSM-V classification of sleep-wake disorders to integrate the management of sleep disorders with mainstream clinical psychiatry. This section features a comprehensive chapter on pediatric sleep-wake disorders, a topic of interest to fellows and practicing clinicians specializing in child and adolescent psychiatry. The third section offers the most comprehensive review of comorbidity, shared pathophysiology, and clinical management of sleep disorders within the context of a wide range of DSM-V based psychiatric disorders. This section also highlights important topics such as delirium, neurocognitive disorders, effects of psychotropic medications on sleep, neurological disorders, pain disorders, forensic sleep medicine, and eating disorders. This clinically-oriented resource provides case vignettes and clinical pearls to illustrate the diagnosis and treatment of sleep disorders in the setting of a variety of psychiatric presentations. Additionally, each chapter includes a self-assessment section with multiple-choice questions that helps the reader solidify their clinical skills and prepare for the board and certification examinations for topics pertinent to sleep-wake disorders in psychiatry.

Sleep paralysis (characterized by an inability to move, conscious awareness in sleep, and vivid hallucinations) has a history that spans over two-thousand years. However, despite this expansive history, it is only in recent times that a scientific evidence base has accrued. The authors explore sleep paralysis from a range of historical perspectives, placing the phenomenon in a context relevant to clinicians and researchers. Dr. Brian Sharpless and Dr. Karl Doghramji's Sleep Paralysis: Historical, Psychological, and Medical Perspectives examines and synthesizes theoretical and empirical literature on sleep disorder. With a focus on phenomenology and prevalence of sleep paralysis, the book situates the disorder within cultural and historical contexts. Sleep paralysis is found to be a well-described, REM-based phenomenon with a number of known behavioral and psychological correlates. The authors compile and summarize the associated features, diagnostic issues, prevalence rates, and potential etiologies. The clinical ramifications of sleep paralysis are also thoroughly examined in this important text. The authors evaluate the available assessment instruments, provide guidance on differential diagnosis, and compile what is known about its clinical impacts. Although a number of individuals are troubled by sleep paralysis, no empirically-established treatments are available. The authors present medication guidance and a brief five session cognitive-behavioral treatment (with a corresponding adherence measure and assessment instrument) for chronic cases.