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Article: Sleeping problems in mood, anxiety disorders: make sure that primary antidepressant prescribed does not aggravate patient's sleep problems.(side effects)
- Article from:
- Clinical Psychiatry News
- Article date:
- February 1, 2006
- Author:
CopyrightCOPYRIGHT 2006 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)
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Nearly every psychiatric disorder has sleep disturbance as a potential symptom.
Sleep should be an object of inquiry in the initial assessment. Asking the patient about sleep is "a useful way to build rapport: Most people are quite concerned and feel comfortable talking about sleep, and the interview can then move on to other factors," said Dr. Lois Krahn, a certified sleep specialist and chair of adult psychiatry at the Mayo Clinic in Scottsdale, Ariz. The prospect of relieving sleeplessness can overcome ambivalence about treatment.
Nonpharmacologic approaches should be primary. These include basic sleep hygiene and, when available, cognitive-behavioral ...