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.

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

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.

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.

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.

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

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.

Overcoming Insomnia

A Cognitive-Behavioral Therapy Approach, Workbook

It is estimated that one in ten U.S. adults suffers from chronic insomnia. If left untreated, chronic insomnia reduces quality of life and increases risk for psychiatric and medical disease, especially depression and anxiety. The Overcoming Insomnia treatment program uses evidence-based cognitive-behavioral therapy (CBT) methods to correct poor sleep habits. CBT has been proven in multiple studies to improve sleep by reducing time spent in bed before sleep onset, reducing time spent awake after first sleep onset, and increasing the quality and efficiency of sleep. This second edition has been thoroughly updated by the program developers, Jack D. Edinger and Colleen E. Carney. Patients use the Workbook in conjunction with the treatment they receive from their therapist. Patients will receive information about healthy sleep and the reasons for improving sleep habits, and the therapist will develop a program to address that patient's specific sleep problems. Use of a sleep diary, assessment forms, and other homework (all provided in the Workbook) allows patient and therapist to work together to develop an effective sleep regimen tailored specifically for each patient.

Case Studies in Insomnia

If ever a book could be called timely, this is it. Sleep disorders medicine has made rapid advances in recent years. The field has attained growing respectability, with a textbook recently published, a congressionally man dated National Commission on Sleep Disorders Research, and a growing public awareness of the importance of sleep disorders. However, this rapid growth has made the discrepancy among certain components of the field all the more obvious. Thus, we find that patients who complain of insom nia are almost never in the majority of those seen in sleep disorders centers, in spite of the well-known fact that the prevalence of such individ uals in our society is by far the largest. Current articles on insomnia abound, but they tend to be facile recitations of diagnosis and impractical global recommendations for treat ment, without providing the essential details. Indeed, the clinical profes sions really do not know what to do about insomnia. This is reflected in a number of observations I have made in the recent past. For example, the majority of individuals who complain of insomnia take alcohol, aspirin, over-the-counter medications, hot baths, and a host of other nostrums, but rarely seek a physician. In the unlikely event that a physician is consulted, he is likely to prescribe a sleep medication but without any particular consistency, or any clear instructions on its use.

Overcoming Insomnia and Sleep Problems

A self-help guide using cognitive behavioural techniques

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.

Pharmacological Treatment of Mental Disorders in Primary Health Care

This manual attempts to provide simple, adequate and evidence-based information to health care professionals in primary health care especially in low- and middle-income countries to be able to provide pharmacological treatment to persons with mental disorders. The manual contains basic principles of prescribing followed by chapters on medicines used in psychotic disorders; depressive disorders; bipolar disorders; generalised anxiety and sleep disorders; obsessive compulsive disorders and panic attacks; and alcohol and opioid dependence. The annexes provide information on evidence retrieval, assessment and synthesis and the peer view process.

Financial Health & Literacy

Mental Health Advocacy

Mental Health Peer Support

Mental Health Education

Mental Health Recovery

Health Conscious

Mental Health Issues

Exercise Mental Health

Mental Health & Wellness

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).

McMaster Children's Hospital - Child and Youth Mental Health Outpatient Service and Home Based Services - Ron Joyce Children's Health Centre, Level 3

Supports children and their families with moderate to severe emotional and/or behavioural difficulties, who have not responded to traditional out-patient services. The staff are Child and Youth workers and Early Childhood Educators, and are part of a large outpatient team, including child psychiatry.

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.


McMaster Children's Hospital - Specialized Developmental and Behavioural Services - Ron Joyce Children's Health Centre, Level 3

Provides assessment, consultation, and treatment services to children and adolescents with developmental disabilities. SDBS also provides support to families with preschoolers with behavioural and/or emotional challenges.

McMaster Children's Hospital - Child and Youth Mental Health Inpatient Service

An inpatient unit for children and youth who require intensive mental health services.

Halton Healthcare - Sleep Laboratory - Oakville Trafalgar Memorial Hospital

Sleep lab provides sleep studies to treat the following conditions:
  • Obstructive Sleep Apnea (OSA): caused by an obstruction of the upper airway characterized by repetitive pauses in breathing despite the effort to breathe
  • Central Sleep Apnea: similar to OSA but the brain stops sending signals to the muscles that control breathing * may be associated with other medical conditions such as obesity, heart failure or Parkinson’s  Disease
  • Insomnia: sleeplessness or difficulty falling or staying asleep
  • Hypersomnia: excessive daytime sleepiness and/or prolonged night time sleep * always ‘hungry’ for (more) sleep
  • Narcolepsy: excessive daytime sleepiness characterized by the brain’s inability to regulate the sleep-wake cycle normally * frequent dream recall, may experience sudden muscle weakness often triggered by a strong emotion such as laughing or being frightened
  • Parasomnias: various abnormal behaviors during sleep such as Restless Leg Syndrome, REM-Behaviour Disorder, Night Terrors, Bruxism (teeth grinding)

MedSleep - Respirology and Sleep Medicine - Milton

Community-based sleep clinic * diagnostic and treatment services for sleep disorders * offers clinical consultation and diagnostic polysomnography (overnight sleep lab testing) * insomnia cognitive behavioral group and individual therapy * sleep education for the community

Sleep Medicine Group - Sleep Study and Consultation - Oakville

Community-based sleep clinic * diagnose and treat a wide range of sleep disorders such obstructive sleep apnea, primary snoring, circadian rhythms, insomnia, restless leg syndrome, narcolepsy, parasomnia, pediatric sleep issues, etc

McMaster Children's Hospital - Developmental Pediatrics and Rehabilitation Registration Office - Ron Joyce Children's Health Centre, Level 3

Provides a central referral point to all programs and services. Parents, teens, and professionals in the community may call to inquire about programs and services.

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.

Hamilton. Public Health Services - Complex Trauma Services - Effort Square

For children who have been exposed to or who have experienced multiple traumatic events that often occur within the caregiving system and display behavioural and emotional difficulties.

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