Skip to main content Accessibility help
×
Hostname: page-component-78c5997874-v9fdk Total loading time: 0 Render date: 2024-11-05T14:39:23.637Z Has data issue: false hasContentIssue false

Chapter 40 - Behavioral and psychiatric treatments for sleepiness

from Section 4 - Therapy of Excessive Sleepiness

Published online by Cambridge University Press:  04 February 2011

Michael J. Thorpy
Affiliation:
Sleep-Wake Disorders Center, Montefiore Medical Center, Bronx, NY, USA
Michel Billiard
Affiliation:
Guide Chauliac Hospital, Montpellier, France
Get access

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.
Type
Chapter
Information
Sleepiness
Causes, Consequences and Treatment
, pp. 452 - 461
Publisher: Cambridge University Press
Print publication year: 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×