SLEEPLESS SOULS

How is My Sleep?

Do you Still Feel Fatigued or Sleepy during the Day?

Any Near Misses while Driving?

Can You Concentrate?

How is your Short term Memory?

Normal Sleep Average Sleep is around 8 hours

Range 5-10

Four stages of sleep

REM and. Non REM

One Third of Our Life Time Spent in Sleep

Why Sleep is important?

Restorative Theory of Sleep

Adaptive theory of Sleep

Energy Conservation Theory

How much sleep We Need?

Average 7-8 hrs

Core Sleep at Least 6 hours

Repair the day time Wear and Tear

Maintain adequate daytime functioning

Symptoms of Lack of Sleep

Daytime Tiredness

Daytime. Sleepiness

Irritability

Anxiety

Forgetfulness/ poor Performance at Work

Family Discord

Accidents

Common Sleep Disorders

Poor Sleep Hygiene

Obstructive SleepApnea

Insomnia

Restless Leg Syndrome

Obstructive Sleep Apnea

Pathophysiology

Consequences

Effects

TREATMENT OF OSA

Gold standard treatment is CPAP. Therapy

Surgical intervention is absolutely last resort

Dental Divices are also one of the option for Milder cases

Symptoms of OSA in Children

Snoring

Resp Pauses

Restless Sleep

Diaphoresis

Enuresis ( Bed Wetting)

Increased Work of Breathing

Choking Noises

Frequent Awakenings

Dry mouth

Symptoms in Children Diurnal

Behavior Problems

Poor School Performance

Morning Headaches

Attention Deficit Disorder

Aggressive Behavior

Insomnia

Inability to Fall asleep

Inability to Maintain Sleep

Waking up with feeling being tired

Waking up Earlier than Desired

Insomnia

Short-Term Insomnia. Symptoms less than 3 months

Chronic Insomnia. Three times per week for more than three weeks.

Other Insomnia

What Havoc Cell Phones causing?

Light right before Sleep Affects Melatonin Release

It Alters Circadian Rhythm

Breaks Sleep just being on Nightstand

Radiation Affects on Brain yet too Early to conclude

Behavior TherapySleep Hygiene

Stimulus Control

Relaxation

Sleep Restriction

Cognitive Therapy

Cognitive Behavior Therapy

Other Approaches

Medications

Benzo

Non benzo

Melatonin Agonists

Orexin Receptor Antagonists

Risks. Too. Many

When do I Feel Great

After Great Night Sleep

And after 1 Hour of Squash or Two hours of Tennis