Sleep disorders in psychiatry

Also known as Insomnia disorder · CBT-I · Cognitive behavioural therapy for insomnia · Obstructive sleep apnoea · OSA · Hypersomnia · Narcolepsy · Circadian rhythm sleep-wake disorder · Restless legs syndrome · Hypnotics · Z-drugs · Parasomnia

Exam-exhaustive fellowship reference on sleep disorders at the psychiatry interface — DSM-5-TR/ICSD-3 insomnia and hypersomnia nosology, OSA screening and CPAP framing, circadian and parasomnia boundaries, CBT-I first-line evidence, hypnotic risk/benefit and deprescribing, psychotropic effects on sleep, and suicide-risk implications. FRANZCP-primary, globally tagged.

medium28 referencesUpdated 26 July 202614 min readVerification in progress

Practise this topic

12 MCQs

Meet the patient

A 52-year-old shift worker with "treatment-resistant depression" is on her third antidepressant. She snores loudly, wakes unrefreshed at 5 a.m. every morning, has gained 8 kg on mirtazapine, and tells you she "would rather not wake up at all." Her PHQ-9 is stuck at 18.^[10]^[12]^[17]

The registrar wants to switch antidepressants again. The examiner wants to know: "What have you not yet assessed, and what is your first-line treatment for the sleep complaint?"^[2]^[10]

References28Show

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