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Seemingly the most natural and necessary of pursuits, a good night's sleep eludes a remarkable number of people—up to 50 percent of the general population, according to studies, while 10 to 15 percent suffer from severe or chronic sleep disorders. Because the causes and nature of sleeplessness are so many and varied—and often as elusive as sleep itself—the diagnosis and treatment require a flexible, multifaceted approach—and this is precisely what David N. Neubauer lays out in Understanding Sleeplessness. Building on the "four perspectives" conceptualized by McHugh and Slavney in The Perspectives of Psychiatry, Neubauer offers a much-needed explanation of the diverse ways of understa...
Insomnia is a sleep disorder that affects people worldwide. This text provides those with sleep problems or chronic insomnia an overview of research on the causes of sleep loss and the physical effects of insomnia, as well as possible treatments. Disorders are summarized and illustrated with real-life stories about sleep experiences and remedies. This is a concise guide to help readers improve their sleep habits and lives.
GABA (gamma-aminobutyric acid) is the main neurotransmitter regulating sleep. The majority of drugs presently in use for the treatment of sleep disorders act by enhancing GABAergic neuronal inhibition. The GABA system is, therefore, of prime clinical relevance for the therapy of insomnia. The focus of this volume is on the neuropsychopharmacology and the clinical impact of the GABA system in regulating sleep and wakefulness. It presents molecular, neuropharmacological, systems-biological and clinical approaches to the understanding of the mechanism of action of GABA and GABAergic drugs. It also explores the role of GABA in the basic drives that affect sleep, and the influences that adapt sleep and wakefulness to external events.
Updated for its Seventh Edition, Principles of Ambulatory Medicine is the definitive reference for all clinicians caring for adult ambulatory patients. It provides in-depth coverage of the evaluation,management, and long-term course of all clinical problems addressed in the outpatient setting. A major focus is on preventive care, grounded in excellent patient-physician communication. This edition features increased coverage of preventive care, particularly the impact of genetic testing as a disease predictor. For easy reference, the book is organized by body system and each chapter begins with an outline of key topics. References to randomized controlled clinical trials, meta-analyses, and consensus-based recommendations are boldfaced.
"The importance of sleep for well-being and general and mental health is increasingly being recognized. Sleep complaints are commonly associated with mental disorders and are even part of the diagnostic criteria for some of them, such as mood and anxiety disorders and PTSD. The relationship between sleep and psychiatric disorders is intertwined and, in some cases, bidirectional. Anxiety, psychosis, and depression often result in reduced sleep quality (sleep fragmentation, experience of unpleasant, unrefreshing sleep), quantity (increased or reduced), or pattern (changes in sleep schedule, loss of sleep consistency). Reciprocally, sleep disorders can contribute to the exacerbation of psychiat...
Following reviews on sleep physiology, regulation, pharmacology, and the neuronal networks regulating sleep and awakening, as well as a classification of sleep disorders, this book presents a number of major breakthroughs in the treatment of those disorders. These include recently approved drugs for treating insomnia, such as Doxepin; variations on previously approved molecules, e.g. Zolpidem sublingual preparation; or new chemical entities in advanced stages of clinical development, e.g. Orexin antagonists. Further topics discussed include drugs acting on the GABA receptor, such as Lorediplon and Eszopiclone; the treatment of excessive daytime drowsiness with cell therapy and drugs such as Modafinil, Armodafinil and Sodium oxybate; and the use of Tasimelteon in the treatment of circadian sleep disorders.
Extensively revised and updated this edition reflects the progress and developments in the field. With 127 chapters and over 400 contributors this book is a truly comprehensive exposition of the specialty of psychiatry. Written by well-known and highly regarded experts from around the world, it takes a patient-centered approach making it an indispensable resource for all those involved in the care of patients with psychiatric disorders. For this new edition, the section on the Neuroscientific Foundations of Psychiatry has been completely revised, with a new author team recruited by Section Editors Jonathan Polan and Eric Kandel. The final section, Special Populations and Clinical Settings, f...
Lucid dreaming, the skill of recognizing that you're dreaming within a dream, has a vast potential to not only improve the content of your dreams but also to quell anxiety and improve confidence during your waking life. Leveraging both scientific research and two decades of personal experimentation, this book provides everything readers need to know in order to begin lucid dreaming for the first time and to improve the frequency, control, and clarity of existing lucid dream experiences. Personal anecdotes and dream journal entries from the author help clarify points of confusion and motivate readers. This book focuses heavily on the connections between lucid dreaming, mindfulness, and anxiety, and on the myriad benefits lucid dreaming can have while you are awake. Whether you have never had a lucid dream before, or you want to improve the quality and frequency of your lucid dreams, the techniques provided here will make the process simple. With the skill of lucid dreaming, your dreams will become your own personal playground, laboratory, artist studio, or spiritual center. What you gain from such a journey is up to you.
From Ivy: We are sleeping less and less: statistics show that insomnia has reached pandemic proportions, and costs healthcare providers billions. Most of us spend a third of our lives asleep--our bodies insist on sleep; without it, we die. But why we sleep still remains relatively mysterious. The Science of Sleep explains the elements of the sleep state and explores the various sleep disorders and how their available treatments work. By offering an accessible account of sleep science, the book allows the reader to assess their relationship with sleep and craft their own approach to having a restful night with the maximum physical return.
Primary Care Sleep Medicine – A Practical Guide was among the first books to address sleep medicine for a primary care audience. It remains the primary text oriented to the primary care physician with an interest in sleep disorders medicine. Since this title published, there have been many changes in the sleep field. A new text oriented towards supporting the primary care physician in the practice of sleep medicine is needed; an updated second edition of Primary Care Sleep Medicine – A Practical Guide could fill this knowledge gap. This second edition will include updated information on insomnia medications, post-traumatic stress disorders, home sleep testing protocols, complex sleep apnea and the defined role for primary care physicians in sleep medicine.