Insomnia & Sleep Disturbances - Mental Health

There are several different types of sleep disorders, ranging from insomnia, to sleep apnea, restless leg syndrome to narcolepsy, to name a few. Symptoms can range from difficulty falling asleep or waking up, to repeatedly waking through the night, to more serious symptoms affecting breathing during sleep, or excessive daytime sleepiness or sleep paralysis. What they all have in common is their ability to result in physical, emotional or mental health consequences, affecting a person’s overall quality of health and wellness. When it comes to mental health, sleep disorders are not typically classified as mental health disorders themselves, rather, they are either a symptom of an existing medical condition, or they can cause mental health symptoms. Individuals who suffer from anxiety, depression, bipolar disorder, and attention deficit hyperactivity disorder (ADHD) are often prone to sleep problems. Other causes of sleep disorders can vary widely, from biological and genetic disorders, to environmental causes, to work-life-family pressures. Treatments for sleep disorders can be effective. If you have a child or teen who may be exhibiting signs of a sleep disorder, a professional can help diagnose, and create a treatment plan for them. If you, or a friend or loved one need sources of support and information to help diagnose or manage a sleep disorder, Kinjunxion is here to help. We are here to provide you with the resources you need.

You are not alone. Connect with others who may be going through the same thing, find professional help and resources near you. The Kinjunxion community is here to help.

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Sleep Disorders and Sleep Deprivation

An Unmet Public Health Problem

Clinical practice related to sleep problems and sleep disorders has been expanding rapidly in the last few years, but scientific research is not keeping pace. Sleep apnea, insomnia, and restless legs syndrome are three examples of very common disorders for which we have little biological information. This new book cuts across a variety of medical disciplines such as neurology, pulmonology, pediatrics, internal medicine, psychiatry, psychology, otolaryngology, and nursing, as well as other medical practices with an interest in the management of sleep pathology. This area of research is not limited to very young and old patientsâ€"sleep disorders reach across all ages and ethnicities. Sleep Disorders and Sleep Deprivation presents a structured analysis that explores the following: Improving awareness among the general public and health care professionals. Increasing investment in interdisciplinary somnology and sleep medicine research training and mentoring activities. Validating and developing new and existing technologies for diagnosis and treatment. This book will be of interest to those looking to learn more about the enormous public health burden of sleep disorders and sleep deprivation and the strikingly limited capacity of the health care enterprise to identify and treat the majority of individuals suffering from sleep problems.

The Post-Traumatic Insomnia Workbook

A Step-by-Step Program for Overcoming Sleep Problems After Trauma

Difficult and traumatic life experiences affect our lives in unexpected ways and can even change the way we sleep. In fact, up to 75 percent of all people who have experienced abuse, violence, or traumatic incidents have sleeping problems after these events, even after all other trauma-related symptoms have diminished. If you've experienced these problems for yourself, The Post-Traumatic Insomnia Workbook is for you. This workbook is based in cognitive behavioral therapy, a powerful approach that has been proven to be more effective over the long run than sleeping pills. Included are easy tips and techniques you can start doing right away to help you sleep better. You'll learn a variety of relaxation and sleep-scheduling skills that will help you put an end to broken sleep, the need to stay on high alert throughout the night, and sleep-sabotaging habits you may have developed. Why spend another night lying awake? Find the root cause of your restless nights and rediscover peaceful sleep. This workbook will help you:•Understand what's keeping you awake at night•De-stress your bedroom and create a safe space for sleep•Learn powerful relaxation techniques for calming your body and mind before bed•Cope with trauma-related nightmares

Sleep and Mental Illness

The diagnosis of mental illness is frequently accompanied by sleep problems; conversely, people experiencing sleep problems may subsequently develop mental illness. Sleep and Mental Illness looks at this close correlation and considers the implications of research findings that have emerged in the last few years. Additionally, it surveys the essential concepts and practical tools required to deal with sleep and co-morbid psychiatric problems. The volume is divided into three main sections: basic science, neuroendocrinology, and clinical science. Included are over 30 chapters on topics such as neuropharmacology, insomnia, depression, dementia, autism, and schizophrenia. Relevant questionnaires for the assessment of sleep disorders, including quality-of-life measurement tools, are provided. There is also a summary table of drugs for treating sleep disorders. This interdisciplinary text will be of interest to clinicians working in psychiatry, behavioral sleep medicine, neurology, pulmonary and critical care medicine.

Insomnia

A Clinical Guide to Assessment and Treatment

This is a practitioner's guidebook presenting steps to assessing and treating a problem that borders on health and psychology. It is an invaluable resource for psychologists, nurses, physicians, and allied health professionals and all those who deal with sufferers of chronic sleep problems.

Behavioral Treatments for Sleep Disorders

A Comprehensive Primer of Behavioral Sleep Medicine Interventions

Sleep is a major component of good mental and physical health, yet over 40 million Americans suffer from sleep disorders. Edited by three prominent clinical experts, Behavioral Treatments for Sleep Disorders is the first reference to cover all of the most common disorders (insomnia, sleep apnea, restless legs syndrome, narcolepsy, parasomnias, etc) and the applicable therapeutic techniques. The volume adopts a highly streamlined and practical approach to make the tools of the trade from behavioral sleep medicine accessible to mainstream psychologists as well as sleep disorder specialists. Organized by therapeutic technique, each chapter discusses the various sleep disorders to which the therapy is relevant, an overall rationale for the intervention, step-by-step instructions for how to implement the technique, possible modifications, the supporting evidence base, and further recommended readings. Treatments for both the adult and child patient populations are covered, and each chapter is authored by an expert in the field. An extra chapter ("The use of bright light in the treatment of insomnia," by Drs. Leon Lack and Helen Wright) which is not listed in the table of contents is available for free download at: http://www.elsevierdirect.com/brochures/files/Bright%20Light%20Treatment%20of%20Insomnia.pdf Offers more coverage than any volume on the market, with discussion of virtually all sleep disorders and numerous treatment types Addresses treatment concerns for both adult and pediatric population Outstanding scholarship, with each chapter written by an expert in the topic area Each chapter offers step-by-step description of procedures and covers the evidence-based data behind those procedures

Quiet Your Mind and Get to Sleep

Insomnia usually appears in the presence of at least one other disorder. Particularly common co-occurring conditions include major depression, generalized anxiety, attention deficit/hyperactivity in children, and chronic pain. In sleep clinics, insomnia patients with co-occurring psychological disorders outnumber those with only insomnia two-to-one (National Institutes of Health), yet there are no books currently available to help those with insomnia comorbid with another mental health condition. Quiet Your Mind and Get to Sleep offers solutions to this sizeable population in a practical, step-by-step manner that simulates the experience of visiting a sleep therapist. This program in this workbook is based on a proven-effective cognitive behavior therapy (CBT) treatment program created by coauthor Colleen Carney. Readers will learn new skills for dealing with insomnia and complete simple worksheets and assignments that will help them evaluate their insomnia as well as their comorbid condition. Chapters address insomnia and depression, insomnia and anxiety (including generalized anxiety disorder, post-traumatic stress disorder, obsessive-compulsive disorder, and other specific types of anxiety), and insomnia and chronic pain.

Sleep—Wake Disorders

Sleep-wake disorders frequently give rise to severe ailments and varied distresses in a great number of people in the world, disturbing their physical and mental activities and their social function. Sleep-wake disorders are now classified into a great number of cate gories according to their clinical features and etiological factors. Patients with sleep-wake disorders are taken care of not only by specialists for such disorders but also by general physicians and specialists of different physical and mental disorders. In the recent years, the nature of sleep and sleep-wake disorders have been intensively studied by investiga tors belonging to different fields of science including medicine, biology, and psychology in many countries. It is very important for the progress of research that investigators work ing in the related fields in different countries meet together and exchange their findings and ideas. The Japanese-German International Symposium on Sleep-Wake Disorders was held on October 9-10th, 1996 in the old, beautiful city of Erfurt (Germany). This symposium was organized by Professor Karlheinz Meier-Ewert (Schwalmstadt, Germany) and Dr. Masako Okawa (Ichikawa, Japan), with support of the German Society of Sleep Research (President at that time, Professor J. H. Peter) and of the Japanese Society of Sleep Research (President at that time, Professor Y. Hishikawa).

Relief from Insomnia

Getting the Sleep of Your Dreams

A complete self-management program for overcoming sleep disorders without medication discusses sleep patterns, the sources of insomnia, sleep problems for children and the elderly, sleep apnea, and narcolepsy. Original.

Overcoming Insomnia and Sleep Problems

A Books on Prescription Title

A Books on Prescription Title All the help you need to conquer your sleep problems and start living life to the full Poor sleep is one of the most common health problems and can leave you feeling exhausted, stressed and run-down. While prescribed medications and over-the-counter remedies rarely offer lasting benefits, Cognitive Behavioural Therapy can help enormously and is the treatment of choice for insomnia. Develop good pre-bedtime routines. The most effective relaxation techniques. Establish a new sleeping and waking pattern. Deal with a racing mind. Use sleeping pills more effectively. Handle jet lag and sleepwalking.

Insomnia and Anxiety

The statistics show that as much as twenty percent of the population suffers from chronic insomnia—and one-fourth of those with the condition eventually develop an anxiety disorder. As comorbid conditions, they contribute to any number of physical and social problems. Yet too often insomnia is undiagnosed, or treated as merely a symptom of the patient’s anxiety. Insomnia and Anxiety is the first clinician guidebook that considers the evaluation and management of insomnia and related sleep disturbances that occur conjointly with the common anxiety disorders. By exploring the ways that one condition may exacerbate the other, its authors present robust evidence of the limitations of viewing insomnia as secondary to GAD, agoraphobia, PTSD, and others in the anxiety spectrum. The book reviews cognitive and emotional factors common to anxiety and sleep disorders, and models a cognitive-behavioral approach to therapy in which improved sleep is a foundation for improved symptom management. Beginning and veteran practitioners alike will find vital insights into all areas of these challenging cases, including: Diagnostic and assessment guidelines. Cognitive-behavior therapy for insomnia. Behavioral strategies for managing insomnia in the context of anxiety. Cognitive strategies for managing comorbid anxiety and insomnia. Sleep-related cognitive processes. Pharmacological treatment considerations. Insomnia and Anxiety is highly useful to clinical psychologists given the range of treatment strategies it describes and to researchers because of its emphasis on the theoretical and empirical bases for its interventions. In addition, its accessible style makes it an excellent training tool for students of therapy and psychopathology.

Sleep Disorders and Mental Health, An Issue of Psychiatric Clinics of North America,

The strong association between mental health and sleep is examined here in topics that include: Epidemiology of sleep disorders, co-morbidity with mental health disorders and impact on health and quality of life; Neurobiology of sleep; Neurobiology of circadian rhythms; Genetics of sleep disorders; Sleep disturbances in anxiety disorders; Sleep disturbances in mood disorders; Sleep disturbances in schizophrenia; Sleep disturbances in substance abuse disorders; Sleep disturbances and behavioral disturbances in children and adolescents; Sleep disturbances and behavioral disturbances in the elderly; Sleep disturbances and behavioral symptoms in medical patients; Effects of psychotropic medications on sleep continuity and sleep architecture; Circadian rhythm sleep disorders; New developments in sleep medications of relevance to mental health disorders; and Primary sleep disorders: identification and treatment by psychiatrists.

Delivering CBT for Insomnia in Psychosis

A Clinical Guide

Individuals with psychiatric disorders such as schizophrenia, bipolar disorder, and post-traumatic stress disorder often report Insomnia and difficulties sleeping which can significantly impede recovery, worsen symptoms, and reduce quality of life. This volume presents a detailed theoretical rationale and session-by-session outline for delivering Cognitive Behaviour Therapy for Insomnia to people with these mental health disorders.The treatment has been developed in close collaboration with people living with mental illness, as well as sleep specialists and psychosis experts. Information regarding the efficacy of the programme is presented, along with resources offering information on complicating factors, avoiding relapse, managing stress, and restoring lifestyle balance.

Financial Health & Literacy

Mental Health Advocacy

Prenatal Health

Mental Health Peer Support

Mental Health Education

Mental Health Recovery

Health Conscious

Mental Health Issues

Exercise Mental Health

Woodview Mental Health and Autism Services - Hamilton

Offers community-based, office-based, and day treatment programs for children and youth who face emotional, behavioural, and mental health challenges. A wide variety of programs and services for children, teens and adults with a diagnosis of Autism Spectrum Disorder are offered.

Programs in Hamilton include day treatment at Delta Secondary (HAM2899), day treatment at Hill Park Secondary (HAM0840), ASD Adult Residential Program (HAM0586), ASD Adult SIL Program (HAM2868), ASD Day Supports Program - a Transition to Adulthood group at Woodview Manor (HAM2866), ASD Children and Teen groups and camps and Adult ASD Vocational and Passport services (HAM1428) (HAM2866).

Lynwood Charlton Centre - Intensive Child and Family Services

Services assist parents to develop skills that support children and youth with mental health needs, and who may be at risk for an out of home placement. Service is provided in the home, school, and community.


Lynwood Charlton Centre

Accredited children's mental health centre offering services to children and youth (all genders) with emotional and behavioural struggles and their families


Joseph Brant Hospital - Community Mental Health Outpatient Services - Burlington - Joseph Brant Community Health Centre (Brant Centre)

Community Mental Health provides a continuum of care from assessment or consultation, to specialized treatment supports for clients with complex and serious mental health disorders.

Child and Adolescent Clinic (CAP)
Provides support to children/youth under the age of 18 years.
* Child and Adolescent Psychiatrist works with Social Worker to assess and provide treatment recommendations on complex cases.

Concurrent Disorders Clinic (Addictions & Mental Illness)
Specialized assessments of clients with co-occurring mental health and addictions disorders.
* psychiatrists work with Social Worker to identify clients who would benefit from longer term individual treatment.
* clinic staff also provide "Health & Hope Group," a 10-week psycho-educational support group for people who experience difficulties with both a mental health issue and substance abuse issue.

Early Intervention in Psychosis (Phoenix)
Regional clinical program provides service to clients 14-40 years of age experiencing a first episode of psychosis.
* jointly managed by Joseph Brant Hospital, Oakville Trafalgar Memorial Hospital, North Halton Mental Health Clinic, ADAPT, and the Halton-Peel Schizophrenia Society.
* for more information, see separate record here

General Psychiatrist Consultation Clinic
Assessment, medication review, and treatment recommendations via a "shared care" model with family physicians.
* follow up appointments provided as necessary for more complex cases to ensure the efficacy of medications prescribed and that the recommended treatment plan is working for the client.

Geriatric Psychiatric Consultation Service
Supports clients aged 65 and older who are residents of Burlington, for more details see separate record here

Halton Homes (homelessness service)
Provides clinical support to Halton Homes service which targets mental health clients at risk of being homeless and provides both clinical case management and housing supports.
* Ontario Ministry of Health supportive housing initiative, lead agency is Summit Housing and Outreach Program.
* for more information see separate records here

PACT (Program of Assertive Community Treatment)
Community outreach program of Halton Region, is housed at Joseph Brant serving all Halton residents, see separate record here

PHAST (Prioritizing Health through Acute Stabilization and Treatment)
Access to mental health and addiction services for individuals 16 and older with mental health and/or addiction concerns who have an urgent need for acute stabilization and intervention
* multidisciplinary model, which includes the services of a registered nurse, addictions specialists, social workers, a child and youth intensive worker, a peer support worker, an occupational therapist, a transitional age youth social worker, a case manager and clerical support
* treatment includes stabilization and referral to social service agency partners through a combination of group and one-on-one sessions for individuals and their families

Treatment Services
Available through referral from a physician:
1. Short Term Treatment
Meets the needs of individuals who are experiencing mental health issues such as mood or anxiety disorders.
* assessment, psychiatric evaluation, treatment planning, skill development and coordination of community resources.
* an average of 12 therapy sessions is offered.
* clinicians also offer treatment via several groups, e.g. Cognitive Behavioural Therapy (CBT) for clients with depression or anxiety.

2. Intensive Case Management
Inter-professional team offers comprehensive outreach services to adult clients and their families.
* addresses the multiple needs of clients with predominantly psychotic or severe mood disorders (eg. bipolar) and focuses on the client's goals and effective community reintegration.

3. Medication Clinic
Operates with both RN and Psychiatrist support for the follow up of primarily a chronic population.
* goals are to facilitate the optimal use of psychotropic medications with a view to prevent/reduce hospitalizations and Emergency Department visits, ensure client stability in the community and support clients in maintaining adequate functioning and an enhanced quality of life.

Hamilton Mental Health Outreach

A community mental health organization that provides client-directed intensive case management services for adults who have a serious and persistent mental illness.

Parents for Children's Mental Health - Family Support Group - Oakville Chapter

Provincial, family-led, non-profit organization that provides a voice for families who face the challenges of child and youth mental health issues * provide support, education, and empowerment by linking networks of families, communities, agencies and government


Services include:
  • peer to peer assistance and support
  • link families to important networks within their communities
  • help families access important resources

Mental Health Rights Coalition of Hamilton

A consumer-run drop-in and resource centre for people with lived experience of mental health or addiction problems. Peer support is available as needed in person and over the phone. Also provides peer support training to individuals and agencies.

Parents for Children's Mental Health - Hamilton Chapter

Provides support, education, and empowerment to parents and families of children and youth who face mental health challenges. Local chapter of a provincial, family-led organization.

Lynwood Charlton Centre - Residential and Day Treatment Programs, 526 Upper Paradise Rd - 526 Upper Paradise Rd

Residential Program -- Program is available to children experiencing emotional, social and behaviour difficulties, which are of such an intensity that intervention at a less intrusive level may not be of sufficient benefit to the child and their family.

The service model offers two Phases of three-month treatment for a total of six months. (Phase 1 is in-program Sunday-Friday, Phase 2 is in-program Monday-Wednesday). There is also a respite period for three months following discharge from the six-month long program. Children in residence may attend their own school or may be referred to the Day Treatment classrooms at the Upper Paradise Site.

Day Treatment Program -- The program is available for children who are experiencing emotional, social and behaviour difficulties to such a degree that it is impeding their progress in a regular or specialized school placement.

Joseph Brant Hospital - PACT for Halton - Joseph Brant Community Health Centre

A community outreach program, serving residents of Halton.
* also known as "Hospital without Walls," the program is organized as a mobile interdisciplinary team that provides round-the-clock clinical treatment, rehabilitative, and support services to individuals with a severe and persistent mental illness, in their homes

Services provided by PACT include:
* comprehensive case management with a rehabilitation focus
* crisis assessment and intervention
* symptom assessment and management
* administration and monitoring of medication
* activities of daily living
* social and leisure skills development
* supportive counselling
* education
* consultation
* support to caregivers

St. Joseph's Healthcare Hamilton - Mental Health and Wellness Resource Centre - West 5th Campus, Harbour North Unit

Provides people in recovery, their families, and community members with access to reliable and user-friendly information about mental health, addictions, and related issues. Computer access is available, and electronic resources are listed on the centre's website. Part of the Mental Health and Addictions Program's Peer Support Services.

Recovery Canada - Burlington Groups - No Physical Address

Major Services:
* weekly group meetings to support those with anxiety, depression and low self-esteem, open to the public and visitors to join and observe
* monthly leaders training for interested members who have attended Recovery Canada groups for at least six months

Website includes more information on the Recovery method as well as information on the meeting places, telephone meetings, chat rooms, and online meetings (see here)