Many Disorders in this Category:

	¨Narcolepsy
	¨Insomnia
	¨Night/Rotating Shift Work Schedules
	¨Restless Legs Syndrome
	¨Periodic Limb Movement Disorder
	¨Hypersomnias
	¨Delayed/Advanced Sleep Phase Syndrome
	¨Parasomnias (Rem Sleep Behavior Disorders, Sleep Terror, Sleep Walking, Bruxism, Sleep Enuresis, SIDS)

	¨Excessive Daytime Sleepiness-inappropriate situations, while eating, conversing, driving
	¨Cataplexy-momentary loss in muscle tonus provoked by strong emotion
	¨Sleep Paralysis-not able to move or sleep during transition between sleep & wakefulness
	¨Hypnagogic Hallucinations-Vivid perceptual experiences at sleep onset

	¨Usually begins in late childhood
	¨Attack of REM sleep during the day
	¨as prevalent as multiple sclerosis-1 in 2000
	¨80% undiagnosed
	¨Genetically linked
	¨Treatment-medication

	¨35% Occasional Insomnia
	¨17% Frequent and Disruptive Insomnia
	¨13 million-USA take prescribed Sleep Medication
	¨Impairs alertness and functioning
	¨Causes a 2.5-fold increased risk of motor vehicle accidents

¨

Causes:

	Chronic Illness / Stress
	¨Medication
	¨Caffeine and Alcohol
	¨Heartburn and Acid Reflux
	¨Eating before Bedtime
	¨Exercising before Bedtime
	¨Self Conditioning-associating bedroom other activities
	¨Poor Sleep Environment-noise, light, activity
	¨Uncomfortable Sleep Apparel
	¨Inconsistent noise-white noise
	¨Choice of mattress
	¨Temperature / Humidity
	¨Restless Sleep Partner-spouse, pet

 

	¨70% of shift workers have trouble falling asleep
	¨1-2 hours less sleep / day during week & 3-4 hours less sleep / day during weekends

¨Symptoms:

	•ulcers, gastritis and other gastrointestinal problems
	•respiratory problems and increased respiratory infections
	•low back pain
	•headaches
	•heart disease
	•emotional/marital difficulties
	•susceptibility to stress
	•increased smoking and alcohol use
	•memory lapses
	•Overall decline in health

	¨Nap 2 hours prior to shift
	¨Phase shift changes in, rather than making abrupt changes
	¨Wear sunglasses home-avoid daylight delaying Sleep Cycle
	¨Expose yourself to full day-light spectrum bright light
	¨Avoid medication
	¨Avoid caffeine and alcohol close to bedtime
	¨Deal with stress
	¨Heartburn and Acid Reflux
	¨Avoid eating and exercising before Bedtime
	¨Self Conditioning-associating bedroom with other activities
	¨Poor Sleep Environment-noise, light, activity
	¨Avoid uncomfortable Sleep Apparel
	¨Mask inconsistent noise with consistent white noise
	¨Comfortable mattress
	¨Temperature / Humidity
	¨Restless Sleep Partner-spouse, pet