Discussion – Week 8
Sleep-wake disorders are defined by disturbances to a person’s sleep patterns. Sleep disruptions impact physical, mental and emotional health. There are 10 groups of sleep-wake disorders described in the DSM-5 (American Psychiatric Association, 2013): insomnia, hypersomnolence disorder, narcolepsy, breathing-related sleep disorders, circadian rhythm sleep-wake disorders, non-rapid eye movement sleep arousal disorders, nightmare disorder, rapid eye movement sleep behavior disorder, restless legs syndrome, and substance/medication-induced sleep disorder.
The two key symptoms of a sleep disorder are fatigue and trouble focusing. People with mental health disorders like depression often have co-occurring sleep-wake disorders. It is critical that the clinician conduct an in-depth assessment when a client presents with a sleep-wake disorder, to include among other questions the following: nutrition, energy drink and other supplement/stimulant use, exercise, trauma history, technology use patterns, social and familial relationship health, and medical history with medication history.
Reference: American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5). Washington, DC: Author.
To prepare for this Discussion:
Review Chapter 11 of the textbook.
Review the media pieces listed in the Learning Resources.
Review the expectations in the Discussion Rubric.
Consider the following scenario:
Alex, a male African American adolescent aged 14, has come to therapy because he is experiencing the symptoms of a sleep-wake disorder. His sleep-wake disorder is disrupting his schoolwork, causing absenteeism from school, and is negatively impacting his social engagements due to an increase in irritability and irrational thinking.
Write out a mini script showing what you, the counselor, might say to Alex.
By Day 3
Respond to the following prompts using your mini script.
Provide four potential questions you might ask about Alex’s current sleep hygiene.
Explain the role of counseling alongside sedative-hypnotics.
Explain the long-term consequences of a sleep-wake disorder.
Include an empathetic reflection to Alex
Be sure to support your postings and responses with specific references to the Learning Resources.
Sinacola, R. S., Peters-Strickland, T., & Wyner, J. D. (2020). Basic psychopharmacology for mental health professionals (3rd ed.). Hoboken, NJ: Pearson.
Chapter 11, “Treatment of Sleep Disorders”
Borel, B. (2013, August 14). What’s the connection between sleep and mental health? A Q&A with circadian neuroscientist Russell Foster [Blog post]. Retrieved from https://blog.ted.com/the-connection-between-sleep-and-mental-health-a-qa-with-circadian-neuroscientist-russell-foster/
TED (2018, June). Dan Kwartler: What causes insomnia? [Video file]. Retrieved from https://www.ted.com/talks/dan_kwartler_what_causes_insomnia
Note: The approximate length of this media piece is 5 minutes.
Bonnet, M.H., & Arand, D.L. (2019). Behavioral and pharmacologic therapies for chronic insomnia in adults. UpToDate. Retrieved from https://www.uptodate.com/contents/behavioral-and-pharmacologic-therapies-for-chronic-insomnia-in-adults?search=sleep%20aids&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1
National Sleep Foundation (n.d.). Sleep disorders. Retrieved June 11, 2019 from https://www.sleepfoundation.org/sleep-disorders