Abstract
Successful management of patients with sleep disorders requires attention to the clinical history, particularly the sleep history, knowledge of the causes of insomnia and hypersomnia, and familiarity with a variety of therapeutic interventions. To illustrate these principles, the authors describe a 68-year-old woman who had a history of clinical depression but who, on further investigation, was found to suffer from three sleep disorders: narcolepsy, periodic leg movements during sleep, and rapid eye movement sleep behaviour disorder. Treatment of these sleep disorders caused a complete amelioration of the mood symptoms and a significant improvement in psychosocial functioning and well-being.
Keywords: depression, family medicine, insomnia, psychiatry, sleep disorders
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Selected References
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- Diagnostic classification of sleep and arousal disorders. 1979 first edition. Association of Sleep Disorders Centers and the Association for the Psychophysiological Study of Sleep. Sleep. 1979 Autumn;2(1):1–154. [PubMed] [Google Scholar]
- Doghramji K. Sleep disorders: a selective update. Hosp Community Psychiatry. 1989 Jan;40(1):29–40. doi: 10.1176/ps.40.1.29. [DOI] [PubMed] [Google Scholar]
- Fleming J. A., Bourgouin J., Hamilton P. A sleep laboratory evaluation of the long-term efficacy of zopiclone. Can J Psychiatry. 1988 Mar;33(2):103–107. doi: 10.1177/070674378803300206. [DOI] [PubMed] [Google Scholar]
- Fleming J. A., Fleetham J. A., Taylor D. R., Remick R. A. A case report of obstructive sleep apnea in a patient with bipolar affective disorder. Can J Psychiatry. 1985 Oct;30(6):437–439. doi: 10.1177/070674378503000613. [DOI] [PubMed] [Google Scholar]
- Fleming J. A. The laboratory evaluation of sleep and its disorders. Can Fam Physician. 1988 Feb;34:371–374. [PMC free article] [PubMed] [Google Scholar]
- Kales A., Vela-Bueno A., Kales J. D. Sleep disorders: sleep apnea and narcolepsy. Ann Intern Med. 1987 Mar;106(3):434–443. doi: 10.7326/0003-4819-106-3-434. [DOI] [PubMed] [Google Scholar]
- Kelly J. F., Lowe D. C., Taggart H. M. Narcolepsy in the elderly: a forgotten diagnosis. Age Ageing. 1987 Nov;16(6):405–408. doi: 10.1093/ageing/16.6.405. [DOI] [PubMed] [Google Scholar]
- Mitler M. M., Browman C. P., Menn S. J., Gujavarty K., Timms R. M. Nocturnal myoclonus: treatment efficacy of clonazepam and temazepam. Sleep. 1986;9(3):385–392. doi: 10.1093/sleep/9.3.385. [DOI] [PubMed] [Google Scholar]
- Thorpy M. J., Glovinsky P. B. Parasomnias. Psychiatr Clin North Am. 1987 Dec;10(4):623–639. [PubMed] [Google Scholar]