Transcript Mood Disorders and Sleep

Mood Disorders and Sleep
Frank Gillespie LPCMH, NCC, CADC
Director, Alpha Behavioral Health
[email protected]
•We see some of
the same clients
•Claustrophobia
and the CPAP
machine
Depression
• Characterized by a
combination of symptoms that
interfere with a persons ability
to work, sleep, study, eat and
enjoy once pleasurable
activities (NMH)
Generalized Anxiety
• A chronic disorder characterized by
excessive long lasting anxiety and worry
about nonspecific life events, objects and
situations. Anxiety is considered a
problem when symptoms interfere with a
persons ability to sleep or otherwise
function (MNT)
Panic Disorder
• A serious condition that strikes
without reason or warning.
Symptoms include sudden attacks of
fear and nervousness, as well as
physical symptoms such as sweating
and a racing heart (WebMd). Lack of
sleep only serves to exacerbate this
condition
PTSD
• Post Traumatic Stress Disorder is a type
of anxiety condition. It can occur when
you have gone through an extreme
emotional trauma that involved the
threat of injury or death. 3 symptoms:
flashbacks, repeated memories, repeated
nightmares, and reactions to situations
that remind one of the event (National
Library of Medicine)
Bipolar Disorder
• Characterized by episodes of an elevated or
agitated mood known as mania that often
alternates with episodes of depression. It can
impair the individual’s ability to function in
ordinary life (Wikipedia) For example, they can
experience racing thoughts that caused them
to be unable to get to sleep and stay asleep
and in some cases they can stay up all night
and not be tired
Claustrophobia
• An anxiety condition that refers to a
fear of enclosed spaces or
confinement to things like rooms,
cars, airplanes etc
(rightdiagnosis.com) For the sake of
our study we will also include fear of
the CPAP machine.
Serotonin
• The Serotoninergic System is known
to modulate mood, emotion, sleep
and appetite and thus is implicated
in the control of numerous
behavioral and physiological
functions (biopsychiatry.com)
•Serotonin influences
mood and mood
influences Serotonin
• Even though our clients
may have sleep issues due
to mental health issues it
does not mean they do not
have Sleep Apnea
Medication Management
• Evaluates, monitors
medication if prescribed
and coordinates with talk
therapy.
Medication Management
• SSRI’s – Antidepressants e.g. Lexapro,
Zoloft, Prozac, Trazadone etc.
• Mood Stabilizers e.g. Abilify, Seroquel,
Lamictal etc.
• Anti-Anxiety Medications e.g. Xanax,
Klonopin
• Sedative Hypnotics e.g. Ambien, Lunesta
Talk Therapy
• Evaluates, determines level
and quality of care, sets
treatment plans, and follows a
course of treatment till
discharge.
Natural Ways to Induce Serotonin
–Exercise
–Hot Bath
–Tryptophene
–Melatonin
Natural Ways To Improve
Serotonin Over Time
–Yoga
–Meditation
–Guided Imagery
–Sunlight
Medical (non drug) Ways To Induce
And Improve Serotonin Over Time
–Massage (induce)
–Eye Movement Desensitization
and reprocessing (EMDR)
–Biofeedback
–Alpha Stimulator
Ways To Help Patients With
Claustrophobia Due To The CPAP
–Evaluation Process
–Talk Therapy – focused on
desensitization
–Possible medication management
–Possible use of EMDR
–Possible use of the alpha Stimulator