Comorbid Sleep and Psychiatric Disorders A Clinical Casebook
This book examines 23 case examples of the most common comorbid presentations of sleep and psychiatric disturbances from a reader-friendly, digestible approach. Most chapters are written and edited by the rare experts certified in both sleep and psy
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Comorbid Sleep and Psychiatric Disorders
A Clinical Casebook
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Comorbid Sleep and Psychiatric Disorders
Imran S. Khawaja Thomas D. Hurwitz Editors
Comorbid Sleep and Psychiatric Disorders A Clinical Casebook
Editors
Imran S. Khawaja Center for Sleep Medicine VA North Texas Health Care System, Department of Psychiatry and Neurology and Neurotherapeutics UT Southwestern Medical Center Dallas, TX USA
Thomas D. Hurwitz Minneapolis VAHCS Hennepin County Medical Center, and University of Minnesota Medical School Minneapolis, MN USA
ISBN 978-3-030-11771-9 ISBN 978-3-030-11772-6 (eBook) https://doi.org/10.1007/978-3-030-11772-6 © Springer Nature Switzerland AG 2019 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Preface
Sleep problems and psychiatric illness go hand in hand. There is no psychiatric disorder during which sleep is not disturbed, and there has been an increasing emphasis on recognizing and treating sleep disorders in patients with comorbid psychiatric disorders. In fact, evidence supports a bidirectional relationship between the two domains. Because of this bidirectional relationship, increasing clinical sensitivity to sleep disturbance enhances monitoring of severity, natural history, progress of therapy, and risk of relapse of psychiatric disorders. Clinicians must become increasingly cognizant of this. For instance, we now recognize insomnia as both a symptom of mood disorder and a predictor of its occurrence and severity. We are learning that sleep- disordered breathing is frequently comorbid with depression. In many academic medical centers, there is little education about sleep medicine available for medical students and residents. Indeed, physicians may even
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