| oO (1) Sleep\. j A { . a Pretes the bran requve Proper fo - : F neticnin Th td not 'r deus a Hindle Protas but Vater ” Hho av Greveak clés inet types of Sleep — The different turer of Sleep defter ewcoditatarels anol quanddabvelis - Gan ype OF Sleep Avo in funtion Tmportance ano pragp lace © beleckvoly olepriving Pert oF one Cornpensotaxy Teloown a, when the indole 4 allowed. to slap ad _ Finely, Sleep i nol & Pow ne piace, glee oo" be aucciodia with high cearee Liou cvotivation. Reg ylatet by Severot base Mechanerr , [ a0 ds tubest) - qe Choradenstic, ry Mechonrem Parkeotar fg pe of Slee prrodluce. lob - dlep when ‘tee opr” 40 _qucid b| eer olixorln = Oecur cue both olangerous and expensive b Juypertonmen, _ Sleep claotalee its Confis bua OSA Rerenut Vif fear parley Stem| ~ Thvetigahiow ling - Man Mbjer Tnoubial Cobaduoph 9p leepinew - ppleepinew i & gesiowr , Poteniadly Iie thie atenin g Condition that afer Not only the Sleepy inaloyole, 4 hor edeo Ase | hee darnly » Gr worker & pects ing _ dleep yelotea MOH Velnicle acecdont Yepromt a Moyo poblic Ae boy Concern p ® 1959- 19bo- American Canter pocieky bUavelg - > milli AynetiCon - Slap habite Rows show 7 Mortality _ Men Bosers br) Clolu who slept Jew Fran 4 lowe per night were ge times mete likely fp oli within year than Were hore Who plept fos hos [per night Ly Aeluik en who Slept 710 hr Pe nig bh hed highes deat, Tak |e Ban Notmal Sleepers Tpgomnia: Definition DAm it : | - _ difficotts snipiabhg Sleer M ainpounin. 9 bleop fede obeva sleep for | month (ov) mere froin Nan@ S Us ent Trgornnle _ transient tnAbmn te | Due to Au oheM | Conte | chonge y - The coum sveulley Laiop » Lasting O peor to | ema months 7 The probe? quucrly nonolveo When the Abieuwr A pornoved ~The file clay of sclool, Tmnpemling Examinodien ov change in enmplaynent [da of. loved one Can Pravedoce tome ob'ode brie clopaloance in ermal op veep wore potter Paslrpioleint Secon (Pe Ia» developed a. Cordittened Covus ou Cuociated with shievght of plecpng, _ Obiect feleve fo sloop have — Condashiened a mul Daytime Adaptation shew? [ bed. pedicom) | thal Nowe Saori. 1a Usvelly Sod [ Tréantos to tmpouud Aonotion in Pot’ enk witt Payelci colby relobed Tronmia thew aw Extreme yirednen and the _ HowevereTndiividluat Can become olrpe rah OY — Offen occu in Combinalren Wilk bien And Onwith, clolaspa Ayncli cw and fh ‘ leo phe hypnotic nag ue ned Withdyaus |- Charaduiotic. feabires c 1. Becouve Wony about nob being able te Aleop ) Qa. Tryng too Arveud to Aleop 3. Rwminaken. Lnarilits to clea» Chel» Mind W AWing to Alecp bile 4. Tncreard Movple Heasin When Getting inte bed other Somobic Manip cater op Anatole » Ability to foul oleep Whee nb thing to _ weuching pelsyisen ) (ca. whee DU yen Ones bestvoon | 4 Sleeping better — Trelavidwat olovelopesl Perfermeuree anm'ely Conlemng oubility dp bleep anc Ans Gnditonng gyourpeices “the Altveubon - - Stirulw Control therapy Nm phaumduologe cat approak < fo improve puioceetten b/w Gioing to bed ond being able Je 4alb onlesp |spo | jave poct 5 leop abit, Lrnptaring G ran Palcent Hleep hygiene vs yavelly bene}icreul Jennion and. Ruminaber | Rolovarbien hears Ps at leakme | | cfrereoud Muel* ue prominent Aooiluoss Praca: Tent ia thas he of She 1 Queate fer Fipdividlul th and hewvind ‘treomnia. -ovon though brain plactophpolegr cubvity paltem Covsia tent Corelle pes Pabent tPrak fe took him mere with the of Newnal oer] | who piert i” we Pier laboratory might fan | het to daln alr Polyorongrarh J. bleep efticos | within 18 and bobo! ole kin _ Powodoxical Finéemnian, occu I ove appa foe rer Pree ib mre floptevent my ornate ouster posient have pbseuienas Ae amnalie fonetren dew cuwaceningr, 40 2 «OF greater Hoon bra n indaviolwal ubo pattclogy. Hower / Hypothonali ax eatmn Wit Pepe | — SomeCan Peuspomnells Reolite Petcepttn f Anxiolytica Lleoplene» without remnoukably charging oo Phuprolog ical ‘ | ¥ 4 Previously called Peouelo Insernnia | sep Ste Muper, © Trdoronia Witbout olb)edsre findgy) 4 Anylety Can Provoke sleep stat Mieper cone”, Romrnak re wony Cubovt Nob Sleeping Qld foot to He fire) Thus 14 one hes in bed attomphing Te gleer and bes tha Inclivilval mnebs Peeve CLUWaee , evertbove breve y awminedave “tbiovg ah. Dumsed | hersey Ov foein9 Dubevity Consiateat with Cledio physiologic CoweltubeA Ofw Nneimal éleep — — Paychooslvechen aupprocuh Hat Oxplosiathe dhisaoccoblrty LJ boven Oude vty anc perception of Aleop Can be help4o!Ny / Jnoomnia rece S| / pravmo. [tft doe heen oulwe ugygeuted / every help te preent meni Sleep ay Slow wow wy [rem- rem Cycle) Betend NRE™ 5 1 (Fig.20-1) = [pelecnv ths oat! -) moe An ( 28) Bu except dstorbane yoing Ee depot more Deprenin - | Zerotonin Rem Slee - Alu renin | 1000 "Ben Sleae ole ob whe will dwwelop p7oo- lyr Offer a a that Sreaking iernnia por duserolar? | G)oriteria- MobD. [ Trcveones bleep ng | Eads piasning avn €nng | latency pertoc to Rem oleP Jaop CDI Jose liq, in the night {Lt cyeninarbnte nephire Anus ickeprewart tcan, MAS 40 po pwervy Taiopathec Interne} _ Have |felong inna hy b . ot Ooloawae Slecp: fo. e e Ro . Pauychiokuie Crelitten | other | Ervi ng J Aleep ols hubams | por Aleve hy) Olefee Newrlogieal Merlin, jone Prats Cor if sptomia. Peraibk - fra govern bleep Wake Aypken Aleep pomecake proces fo olyefonctionad R Sep Rewbichion theropy _ ph with Teltopaitie jnormnia- ill ever have Nowoal sleep pnokic Madicaben _ Sleep hygiene | Relaxaben Ther oes | ay ( Hewpe!) Phoumaw therapeutic jnfervenHor dus te Menet duecle 2 Chronic Ensorn _ 35 Perent pk in Sleep cluicrda Center Wilh Tneomia as ther chiet Cov | cunt hod Mental Adoycley Holy of the . Poduente Mep Arawe Tnsomia ne Ria foulor qe dleprevitn Jro.d Mood. oeserole. mpo: 967: Pe Tréomni'a ov By follow up tpsomnia Indlepenclent fuk outs Avievele Howma Pt with mop | | mth. afoO - a t ] Bipelan dbirde ] @ Posie | Manta Seldom Complasr bleep Probton Cyenthiugh the b1Cer (2t0 y hia] ight } | _ hoe Vou Prolonged latents to Sle? / _ Sometime L Slow Wave size clopreu oA Pho - visit bleep dbwcrdys al with bipolox cleerd. | hypomania. whe tHe epre! — Alu No Chinicalls i Pateent rene fon tay Sleep - wake rovHine 0nd okay up ~ mos vey fob / pn might -Provoxe Manic Lpibede bleep chase on» [eu ppecifie Achizophen'e} thon tn prcod Oueerol » oer _ pont awe - REM Sleep vyeboure. inruupens fo Rey Sleop cloprivedson Psyrbohic. Relapse con both Come and Reuit fom bleop lov exeow wely Abous poultiple evenla, Gao: - Woy _ bmth [ DomB-CA) es rere cloup “thon - powe cleft teuity Con — wonyind Cae - dliarurked 6122? Retlanes tavily fakes fe Neb atlead trollmg the wy fag- Bara { zopiclone] - Improve JJeop onset ap Qnyiely hen Gmpoued p Be, TFnedeavak bleep huge . { an ola 4“ Sleop olactdla. He te Pefesrranae Of di, { with Mauiherang , TesD-! - living adwitothas indonsiAbent x good Qwolity bleep anc full alas #me albytnon 1 Fes 1-Condoming Ctteme/ Halli 5- tbr NicoHine at night Stimulant 9. fytCouve Emovierat | phypical girl within dew hyo peck Hine 3. Daw time pops lage Voutaken olay lerp nate | Gehedule 4 Alcohol to help siese- Tata! Sedaken bok Con Aa es aneinat ih and bale a 5. Heouy exerci befere oa ee Rowe Oe leooly demporediue and Cornteol Oolays Aleop onset b warehis TH Ped break bed bleep we Eakeg bet \ eieuks tnyy - ieee : - ppreve Sleep hygiene @ 2 / | Regula, Wake up time = plakilte Circarclian Pthuythn f Regula Exercix Acheolole | 3 Beclnoom clouk, ayuct, Cool - pyimad Condition 4-1 Melatonin peleare f bleep onus child veers [suet ono ped — Improve 5122p tbe’ tebe Beheweh - Fe Se Limit At type The foult fon ain "ions 0 on Specs pre pbjexr | Setting fer iatiating | Retuming fy Sleep fedbly boos (0° Pawnk Blinaadodeon, Withos the Prewme of the Slop onset 18 bia ipicently dott P fi 2-6] + | Comin, wo Techeo 7 forme cae plete oladisa (a. Am thuty £29 He sae) arn je Refuse 12 1 am rot grt Ido L ime nepural [ nik Wank yp & Sleop J Delay dyab ge j Gores up fo Use bathroom Roapr0ikng anoites Olrunk. Arswing fer noth bed fume m4 | Complaining of hunge Apywotinnes childter will Clawe ‘thas og ee ee Hae oe ee cyr ad of Hie otf fade a reaher Ynole bea | Gewea when tf child. 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Duane _— - Bry polipiclereet mect'caber os rcdion oh An bipouKins ? dwg Tt Domrolene | < Detonget ov! [ pherobosbirn] Stimulant (Cocane, Aropherarines ] cfingemaia Duele Medical Corckirin — [Pe cluscrol — bpreathng ] pulenenasg Cone - pregnass (feta fr mmedees menwporr.7: © Treatment ‘Thdoma . g Phawnelogel Treabment Ze ~ Ben zocliarepine Recupts Oyonle- bedlabre -hapney © Molebnia Reape Agel Rarer ~ Be Sleep, / To bem Zelpidem | exept" | Ramelten — |g Lem He Nn Phawautgis tert Lehaview Theraey 1 Cognive é dl feret ena bier bebewia, — ~ To Oven pioperirtin and tee claraphive tBovght anus bleep Behave gechntane A~ Universal bleep hygiene Stimulus Control therapy + _ Detnditinng Parodigm cloveleped bs Richoud Bootain andl Cllegue a untvenity of B- Arrzene. TES dreabment. Ame 4 rear, tuple of problems Conameonly ae lc gpicoits initiohing Sleep By adfemphns to undo Conolittorvng that Alecp, Qiinol Conbel Therapy al asavte VnelountneF ne fodew imeled in jnpernnia alecpng 12, fx Primes and necutove Rule Atfempt to tnhowe gplinnulvs Cue Me th, pleeplen» Reanadk bed wi Qo to bed only wher op een da bleeping sn bed , Dona yead,, 0 rob eat _ Putra | TSE Role - fo ravi rnie AvCCH ‘and - ya the bed only Don't Watth ‘Telev*4en Do nob falk on the jelephoone phe zid- po nob ® Ire in bee cancl belome frubrosed if unable gyeop. After a dew mipuke [dle no wot tte fo Qnoth 100m » jn bed yp)» Gack Ps Ow clo ghomething yoil gpleepirer Rebun Cloe! Non -crewng 7 — Gok as to Qwoual pes with Ravi Alp sat Ahh Enhance. the preclaniom prderlying exrceudian andl Sleop woxe oscle- ~Thab i? poker oo the Qhame bine eves Morning f Regardtow of hed Hime, torar Aleep saw [ lass of wee) nunc titally Queid oe _ Stiles Contas! tRuapy Wee, ror Acer cuwurg file few weeks of Monts = if Continvey Prout ed » the bout of insomnia in both Areaeneg and Govouty hroweve: Hosull paige los ancl chimintah Quoucaben wi (6, spleer atts than WalepabieAeop Radicken Therapy ~ Arthur ir c Ci 2} ame opens Qus0Ke while lying Pribed amo ee ee ieee (lage - fe thou patient Ihe he Quake In beg unable toslep: - if Pabient Ropers gleeping only 5 his of Schedaty / g hr Hme jn bec - Reduce time in bea. TEND cdwised, owovee not fo fecbuce beating te lov than hie Pet night and, to Wun Potent ) about Ararycuet of dlaviy Hrs A 4 cag, other 47 duing tHe day mule be fo cdl whe ras fare S0min-Nap [eepine \ excep he glinician hen Marilee dleop_offncreny . ae Hire in bea 4) [overage over & arg (Time ewleep an a fA ~ Slee cficiens ye cule go/ +im2 in bed set ewe -C T by jsrir reolwel and gpleods dlacbia Nochanet poakepy | etprin ones 0 fd hae Set}. hypno , Grograure Relavaber ) fides wl leep Jrerthing evercine One alt effnhve Ht Hews “ [Peden relavakeen « [= Goat to fink He oPHmal Feshniawe fer bark bot nob a pt need help in frelowng Potion’, pl- who expeniene Progrenre Musele relaxation - vAeful - Muscle tensionprevtornn'e Excwive S]€epines ae Oo dobiliakng , Potentially / hfe threatening Non - Communicable Conolit'on Comroavence of Con be G! Imufficiene bleep Lily Bore Newslegic clyytonctr iP Lyasnsiern reaulating 3d leep wi) _Dibupted bleer iv Dhow of a trovidyal. ciftoudlier Rly _ Fhe Sleep debt Piece PY Insvfficient ppleep is Corrvlat.c - if ome yedueer gplep oluveden bY | fe aby Per night aan Continue in yegimmen Ae week, pleerinee will Proculy patbelogicatleres — When gleep clot Qdsled 1° -Aleop chametrer (0r2 bar Nourolopee cligsfone hon in flee that Qn inclivi clot will jose mechaatorn, there 4 | Aceon Qo Unexpected into Slee: — gleep orset iN pur cintunntonte Chavartetoricalls co without Wwauing Dlecpiney Con be epitodke and O6cur oo» Srnolab ble ayleer atta oot In He momind——=—=— =~ Oleep clhunkynes toy Be chronic Pas ~ Fatigue, tireolnen and Sleeping Me mot People a Wied by fh _ However , One Can be fired. but ho! al L Sleopy, wo" Sleepy bop not Aeved, "i Sleepy ond pire : , x > Jleepinen dolverbely of fet Aten ter, Concenborten, Men 4 cinch highs ov Cognitive proceuee clude. Failune OF Belroo! = Serious Aesvlt of Sleopines 1 acuitlen Indlusbiod / fous 04 emnploymene, PH Vebicle cline : “thew cue any blecp diserclr covered Bh oe \ lay fime Alecpine” Bympton- Oppose cleats of Ip Eb peut [Oto b0 Indubrcloas | IQy000 [Nailers] | —Sleepines prodeton by ~ Baie ews alysfonetien Sleop Mechanism - Evoloqy - 7 YS: Genericalley Aigguad Larpecrole Austin emnel cleprert - TnCamne mods! Narwolepey - Mutaken Preloptn-2 wore identifies thet Peovit 1° hy pocsett M alfonctioing of thas relopterwith HLA-D@e! - 0b02 Posie (2) pe proolatakle jn csr anc Speditic HLA n horron Noyeolepey inclivicluad _ Jove of busrocreta-! Bayer w curtotmmone proces That olamage Hy pocieha Containing Cells in CNS — Clavie fam Nattoleps with Pe ee Exceive clay rime Slapne? Cosaplers Sleep povolyns [Link] A. alle inedien — Pabent with Nawcolersy often Lave Gbhermal Yes cubitectine cnet fools in which Rem Sleor occu. Gpoon opie spleer Ou negle cind wring Rem dleee nbrusicn - 6 ran mechani” fusw Hed " claypane tron Rem bleep “en pecctiven OF Ae et ee bleep Chouadsrbhien - bleep poualy ih Gimilor to Muscle odenia. thar oct cud prem Sleep gre Aralliein akon — 1h Conseewe | yivids Chwarae “that oc while pordicully — Coraelone 4a Cataplesy x yey pakot in $i steng enor svally out ing claytime Napa: Nautokp+y appan tebe ||o/ Lrigges laugbly Arges of - um Ajaroionk Wearnen i, oh jar Common Lindl fend (Poverty Calaplry Tye lntat Prvalyor While PA fully Conneter 4 C0. Have te Epiovcle [owe dum Gevesat qpecend de minvtes : J — spall The —poaont Unable to oppeav, "Ay fol doo : Nochunal gpleep Often foogrnantes fbwe Can be. Comicduable Bleep clérfuhonce Petbent pro Ox Peuience in ful Dopiewien When ik 1) pok Abeaded ~ Bocik ipolalen, dlifficolly vaith Oxadernca and Employment — aunel fea of cbwng Contsibvle to adient With Narvolepes mente Novveolepey aseme 4 low expeuioted by P Vastot Noacolepey witPou Cataplexy Qenetic basis ray be Quis difpeunt — treldvjoloat Lore Pronounced euy fume spl eerincw but ove Mefreded bY olay news [ Lie Hhow pt with clove Aer Narlolepey Bleer excovively at night J Othe Bynybw Norte lepy @ (onset- Aclolescence some of Huss pateert Hay oonot Jobs olovelop — Codaplexy\ fie Vazeenn) - Specter dus to Medical Conditein @& | ~ whee Nould epey Plovoked by Pe Cataplery Wsvally prem Xe / tumow | Ppouctoiclowr af Aaypotiialae , plaaue odfeding Appetite. prs -antimas Ab, pultiPle Aclevs [ee ce Pick dca - tYpe-C [ children £547 ge ] Qoffin- Lowry Syndaome Cab aplesy — vsvably cubsent ip Nauolepy alw Multiple Puleusee | myctontc cbysh Phy ] Proce vill Ayn dure | _Paokirsn Oba cme | moll ayer aueply _ Nawelepyy af Medica! Conclikue post tawmabe bag poucrenia, Which | may mer ocuw with Cok oplery R etoment Hype! omnia | _ Predominantly afer Malin i] leine- Levin sy ndbrome in EOuly odolestene can ett kee i life [in Aerate _ Clawic gar - QReturunt epibocle a/v De trome Slecpren [ 18 to aohr Sleep period) — Yoraciow eating - Ars pew Aexvalik - Disinhibitien ( Aagqrenven) Epivtle - Jaw dew dep + Aeveral Wor _ Appear once fo ten Hnw | yee