- Dedication
- Contributors
- 1 Sleep Medicine and Psychiatry
- 2 Sleep Architecture and Physiology
- 3 Neurobiology of Sleep and Wakefulness
- 4 Circadian Rhythms
- 5 Sleep and Cognition
- 6 Office-Based Evaluation of Sleep Disordered Patients
- 7 Clinical Applications of Technical Procedures in Sleep Medicine
- 8 Insomnia Disorder—Pathophysiology
- 9 Pharmacological Management of Insomnia
- 10 Insomnia—Behavioral Treatments
- 11 Hypersomnolence Disorders
- 12 Parasomnias
- 13 Circadian Rhythm Sleep Disorders
- 14 Sleep-Related Movement Disorders
- 15 Breathing-Related Sleep Disorders
- 16 Pediatric Sleep–Wake Disorders
- 17 Depressive Disorders
- 18 Bipolar and Related Disorders
- 19 Anxiety, Obsessive-Compulsive, and Related Disorders
- 20 Trauma- and Stressor-Related Disorders
- 21 Schizophrenia Spectrum and Other Psychotic Disorders
- 22 Substance Use Disorders
- 23 Neurodevelopmental Disorders
- 24 Delirium
- 25 Neurocognitive Disorders
- 26 Neurological Disorders
- 27 Pain Disorders
- 28 Psychotropic Medications and Sleep
- 29 Forensic Sleep Medicine
- 30 Eating Disorders
- 31 Future of Sleep Medicine and Psychiatry
- Index
(p. 68) Office-Based Evaluation of Sleep Disordered Patients
- Chapter:
- (p. 68) Office-Based Evaluation of Sleep Disordered Patients
- Author(s):
Karl Doghramji
- DOI:
- 10.1093/med/9780190929671.003.0006
Sleep-related complaints are commonly encountered in the context of ambulatory care, including insomnia, excessive sleepiness, and parasomnias. This chapter outlines a systematic approach to the evaluation of these complaints, with the goal of uncovering conditions that may be associated with these complaints and guiding the course of clinical care. The patient’s past medical, psychiatric, and surgical history; medications; substance use; family history; and social and occupational history, as well as the specific symptoms, should be examined. A physical examination and the use of rating scales can be helpful. When specific conditions can thus be identified, treatment can be tailored to those conditions, thus optimizing clinical outcomes.
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- Dedication
- Contributors
- 1 Sleep Medicine and Psychiatry
- 2 Sleep Architecture and Physiology
- 3 Neurobiology of Sleep and Wakefulness
- 4 Circadian Rhythms
- 5 Sleep and Cognition
- 6 Office-Based Evaluation of Sleep Disordered Patients
- 7 Clinical Applications of Technical Procedures in Sleep Medicine
- 8 Insomnia Disorder—Pathophysiology
- 9 Pharmacological Management of Insomnia
- 10 Insomnia—Behavioral Treatments
- 11 Hypersomnolence Disorders
- 12 Parasomnias
- 13 Circadian Rhythm Sleep Disorders
- 14 Sleep-Related Movement Disorders
- 15 Breathing-Related Sleep Disorders
- 16 Pediatric Sleep–Wake Disorders
- 17 Depressive Disorders
- 18 Bipolar and Related Disorders
- 19 Anxiety, Obsessive-Compulsive, and Related Disorders
- 20 Trauma- and Stressor-Related Disorders
- 21 Schizophrenia Spectrum and Other Psychotic Disorders
- 22 Substance Use Disorders
- 23 Neurodevelopmental Disorders
- 24 Delirium
- 25 Neurocognitive Disorders
- 26 Neurological Disorders
- 27 Pain Disorders
- 28 Psychotropic Medications and Sleep
- 29 Forensic Sleep Medicine
- 30 Eating Disorders
- 31 Future of Sleep Medicine and Psychiatry
- Index