Sleep (April)

Date of Issue: 04/10/2019 | Volume: 17 | Number: 4

Issue Links:Learning Objectives | Editorial Information

This issue features expert interviews on PTSD and sleep disorders as well as substance abuse and sleep issues. The lead article also covers strategies for helping patients with cognitive decline as well as a research update on moderate alcohol intake possibly reducing the risk of dementia.

In This Issue


The Aging Brain: Preventing Cognitive Decline

Topics: Cognitive Decline | Dementia | Geriatric Psychiatry

We’ve all been there. A 63-year-old patient comes to you with a chief complaint of memory loss. She tells you that she has a hard time remembering people’s names and forgets where she puts her keys. She lives and drives on her own without a problem, but asks, “Isn’t there some memory pill I can take?” What advice can we give her?

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Article Links

Screening Tests for Cognitive Decline

Topics: Cognitive Decline | Dementia | Geriatric Psychiatry

Screening tests can also help distinguish normal aging from a Neurocognitive Disorder. The popular Mini Mental Status Exam is being replaced by more sensitive tests like the Montreal Cognitive Assessment (MOCA) and the Saint Louis University Mental Status Examination (SLUMS). Both of these can be completed in 10 minutes and are normed for Mild and Major Neurocognitive Disorders. An abbreviated form of the SLUMS, the Rapid Cognitive Screen, can be administered in 5 minutes.

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Expert Q&A

Sleep and PTSD

Topics: PTSD | Sleep Disorders

Insomnia is different in PTSD. Some of that is explained by the symptoms of PTSD, such as nightmares, hyperarousal, anxiety, and physical restlessness. But there’s another thing we’re seeing that isn’t as obvious: sleep apnea.

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Ask the Editor

Ask the Editor - Jet Lag and Psychiatric Disorders: Plan for Prevention

Topics: Light and Dark Therapy | Sleep Disorders

Jet lag happens when people fly across multiple time zones. The body’s internal clock gets out of sync with the outside signals of sunrise and sunset. The result is insomnia, poor concentration, fatigue, and gastrointestinal symptoms.

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Expert Q&A

Insomnia and Substance Use Disorders

Topics: Sleep Disorders | Substance Abuse

Sleep problems are common in recovery, and they have many causes such as withdrawal states, circadian rhythm disruptions, and a host of psychiatric and medical comorbidities. It’s a two-way street: Insomnia raises the risk of substance misuse, and addiction can cause or worsen sleep problems.

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Research Update

Moderate Alcohol Use Associated With Reduced Risk of Dementia

Topics: Alcohol Use | Dementia | Geriatric Psychiatry | Research Update

Excessive alcohol use is neurotoxic, but some studies have found that moderate alcohol intake might actually reduce the risk of dementia. Most of these studies, however, have focused on geriatric patients.

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CME Post-Test

CME Post-Test - Sleep, TCPR, April 2019

Topics: CME Post-Test

The post-test for this issue is available for one year after the publication date to subscribers. By successfully completing the test you will be awarded a certificate for 1 CME credit.

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