Behavioral and psychiatric treatment of parasomnias

Shelby Freedman Harris, Michael J. Thorpy

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Introduction The successful management of parasomnias frequently requires a combination of pharmacologic, psychological and behavioral treatments. Oftentimes, these events are considered unimportant (or untreatable) events, but a knowledgeable clinician can use them as clues to uncover a significant sleep disorder and to generate a comprehensive treatment plan.In the past, clinicians relied upon traditional pharmacologic agents (e.g. REM suppressants); however, a number of additional treatments are becoming available. With newer forms of psychotherapy, including various treatment approaches underneath the umbrella term “cognitive behavior therapy”, as well as various other treatment options from hypnotherapy to scheduled awakenings, this chapter presents a review of the behavioral and pharmacological treatments commonly recommended for parasomnias (divided into NREM events, REM events, and events in transition between sleep and wakefulness, as treatment options are different depending upon the distinction). This chapter will also include a brief review of the literature, and the various treatment options will be discussed to give the clinician a better understanding of the current available treatment approaches. Treatment of arousal disorders (sleepwalking, night terrors, confusional arousals, sleep-related eating, sleepsex) Disorders of arousal generally encompass the following diagnoses: sleepwalking, night terrors, confusional arousals, sleepsex disorders and sleep-related eating disorders. The overall behavioral and pharmacological treatment for these disorders has significant overlap and will be discussed as a whole, with disorder-specific treatment recommendations mentioned throughout.

Original languageEnglish (US)
Title of host publicationThe Parasomnias and Other Sleep-Related Movement Disorders
PublisherCambridge University Press
Pages312-322
Number of pages11
ISBN (Print)9780511711947, 9780521111577
DOIs
StatePublished - Jan 1 2010

Fingerprint

Parasomnias
Psychiatry
Sleep Arousal Disorders
Night Terrors
Therapeutics
Somnambulism
Arousal
Sleep
Pharmacology
Hypnosis
Wakefulness
Cognitive Therapy
Psychotherapy

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Harris, S. F., & Thorpy, M. J. (2010). Behavioral and psychiatric treatment of parasomnias. In The Parasomnias and Other Sleep-Related Movement Disorders (pp. 312-322). Cambridge University Press. https://doi.org/10.1017/CBO9780511711947.034

Behavioral and psychiatric treatment of parasomnias. / Harris, Shelby Freedman; Thorpy, Michael J.

The Parasomnias and Other Sleep-Related Movement Disorders. Cambridge University Press, 2010. p. 312-322.

Research output: Chapter in Book/Report/Conference proceedingChapter

Harris, SF & Thorpy, MJ 2010, Behavioral and psychiatric treatment of parasomnias. in The Parasomnias and Other Sleep-Related Movement Disorders. Cambridge University Press, pp. 312-322. https://doi.org/10.1017/CBO9780511711947.034
Harris SF, Thorpy MJ. Behavioral and psychiatric treatment of parasomnias. In The Parasomnias and Other Sleep-Related Movement Disorders. Cambridge University Press. 2010. p. 312-322 https://doi.org/10.1017/CBO9780511711947.034
Harris, Shelby Freedman ; Thorpy, Michael J. / Behavioral and psychiatric treatment of parasomnias. The Parasomnias and Other Sleep-Related Movement Disorders. Cambridge University Press, 2010. pp. 312-322
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