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Sleep-related complaints are extremely common across the spectrum of psychiatric illness. Accurate diagnosis and management of sleep disturbances requires an understanding of the neurobiological mechanisms underlying sleep and wakefulness, the characteristics of sleep disturbance inherent to psychiatric illness and primary sleep disorders, as well as the psychopharmacologic and behavioral treatments available. Foundations of Psychiatric Sleep Medicine provides a uniquely accessible, practical, and expert summary of current clinical concepts at the sleep-psychiatry interface. Topics covered include: basic principles in sleep science, clinical sleep history taking, primary sleep disorders in psychiatric contexts, and sleep disturbance across a range of mood, anxiety, psychotic, substance use, cognitive and developmental disorders. Written by outstanding experts in the field of sleep medicine and psychiatry, this academically rigorous and clinically useful text is an essential resource for psychiatrists, psychologists and other health professionals interested in the relationship between sleep and mental illness.
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This page intentionally left blank Foundations of Psychiatric Sleep Medicine Foundations of Psychiatric Sleep Medicine Edited by John W. Winkelman MD, PhD Associate Professor of Psychiatry, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA David T. Plante MD Assistant Professor of Psychiatry, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA CAMBRIDGE UNIVERSITY PRESS Cambridge, New York, Melbourne, Madrid, Cape Town, Singapore, São Paulo, Delhi, Dubai, Tokyo, Mexico City Cambridge University Press The Edinburgh Building, Cambridge CB2 8RU, UK Published in the United States of America by Cambridge University Press, New York www.cambridge.org Information on this title: www.cambridge.org/9780521515115 # Cambridge University Press 2010 This publication is in copyright. Subject to statutory exception and to the provisions of relevant collective licensing agreements, no reproduction of any part may take place without the written permission of Cambridge University Press. First published 2010 Printed in the United Kingdom at the University Press, Cambridge A catalog record for this publication is available from the British Library Library of Congress Cataloging-in-Publication Data Foundations of psychiatric sleep medicine / editors, John W. Winkelman, David T. Plante. p. ; cm. Includes bibliographical references and index. ISBN 978-0-521-51511-5 (Hardback) 1. Sleep disorders. 2. Sleep disorders–Psychological aspects. 3. Psychiatry. 4. Mental illness–Complications. I. Winkelman, John W. II. Plante, David T. III. Title. [DNLM: 1. Sleep Disorders–diagnosis. 2. Sleep Disorders– physiopathology. 3. Sleep Disorders–therapy. WM 188] RC547.F68 2010 616.80 498–dc22 2010028666 ISBN 978-0-521-51511-5 Hardback Cambridge University Press has no responsibility for the persistence or accuracy of URLs for external or third-party internet websites referred to in this publication, and does not guarantee that any content on such websites is, or will remain, accurate or appropriate. Every effort has been made in preparing this book to provide accurate and up-to-date information which is in accord with accepted standards and practice at the time of publication. Although case histories are drawn from actual cases, every effort has been made to disguise the identities of the individuals involved. Nevertheless, the authors, editors and publishers can make no warranties that the information contained herein is totally free from error, not least because clinical standards are constantly changing through research and regulation. The authors, editors and publishers therefore disclaim all liability for direct or consequential damages resulting from the u