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Chapter 40 - Behavioral and psychiatric treatments for sleepiness

from Section 4 - Therapy of Excessive Sleepiness

Published online by Cambridge University Press:  04 February 2011

By
Shelby F. Harris  and
Michael J. Thorpy
Edited by
Michael J. Thorpy  and
Michel Billiard
Michael J. Thorpy
Affiliation:
Sleep-Wake Disorders Center, Montefiore Medical Center, Bronx, NY, USA
Michel Billiard
Affiliation:
Guide Chauliac Hospital, Montpellier, France
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Summary

This chapter presents an overview of many behavioral strategies implemented to combat excessive daytime sleepiness (EDS). Behavioral strategies for consolidating nighttime sleep in patients with narcolepsy are similar to those recommended for patients suffering from insomnia. Insufficient sleep syndrome (ISS) is considered to be the most common cause of daytime sleepiness and fatigue, with patients exhibiting difficulties in memory, attention, and psychomotor performance. Behavioral treatment strategies utilized by the clinician to address EDS are greatly influenced by the underlying cause. Techniques chosen can vary from appropriate timing of light therapy for circadian rhythm disorders, scheduled naps, positive airway pressure (PAP) compliance for sleep-related breathing disorders, and psychotherapeutic techniques for excessive sleepiness secondary to psychiatric disorders. Behavioral techniques to be utilized in all patients should include sleep hygiene, stimulus control, and avoidance of drowsy driving and dangerous activities.

Keywords

chromosomal abnormalitiesexcessive daytime sleepinessgenetic disordersneurodegenerative diseasesneuromuscular diseasesinherited metabolic diseaseshereditary motor and sensory polyneuropathiesgenetic programming malformationsPrader-Willi syndromeSmith-Magenis syndrome
Type
Chapter
Information
Sleepiness
Causes, Consequences and Treatment
 , pp. 452 - 461
Publisher: Cambridge University Press
Print publication year: 2011

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