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Clinical Applications of Technical Procedures in Sleep Medicine 

Clinical Applications of Technical Procedures in Sleep Medicine
Clinical Applications of Technical Procedures in Sleep Medicine

Erika Manis

, and Anita Valanju Shelgikar

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date: 31 July 2021

This chapter discusses diagnostic procedures used in the evaluation and management of sleep disorders commonly encountered in psychiatric patients. Primary sleep disorders including insomnia, breathing-related sleep disorder, sleep-related movement disorders, central disorders of hypersomnolence, circadian rhythm sleep–wake disorders and parasomnias are frequently comorbid with psychiatric disorders. A comprehensive sleep history and physical exam with special attention to respiratory, cardiovascular, and neurologic systems are essential to determine appropriate diagnostic procedure(s) needed to uncover coexisting primary sleep disorder(s) in psychiatric patients. These diagnostic procedures include polysomnography, home sleep apnea testing, multiple sleep latency test, maintenance of wakefulness test, and actigraphy. This chapter focuses on the clinical indications and appropriate patient selection for application of these diagnostic sleep procedures in psychiatric patients.

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