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Archives for Sleep Disorders


2010 Research Updates in Psychiatry

ADHD What is the Minimum Effective Dose of OROS Methylphenidate for Adolescents? Dosing stimulants is never easy. There are various rules of thumb—for example, mg/kg for amphetamine preparations and 1 mg/kg for methylphenidate preparations—but these have not been empirically validated. Ortho- McNeil Janssen...
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Carlat Psychiatry Report

Sleeping Pills, New and Old

Sleep Drugs Found Only Mildly Effective, but Wildly Popular” proclaimed the headline of a recent New York Times article (S. Saul, October 23, 2007). The Times analyzed the results of a newly published metaanalysis of chronic insomnia treatments and concluded that, on average, sleeping...
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DSM-5 Changes: Sleep-Wake Disorders

The new Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) has a number of changes to sleep disorders, now called sleep-wake disorders. This article outlines some of the major changes to these conditions. According to the American Psychiatric Association (APA), the publisher...
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Carlat Psychiatry Report

Common Sleep Disorders & Treatments

While there are plenty of excessively complicated classifications of sleep disorders in this world, TCR, in the midst of a sleep-deprived delirium, has decided that psychiatrists should become most familiar with the following four common problems: Obstructive Sleep Apnea Restless Leg Syndrome. Circadian sleep...
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Carlat Psychiatry Report

Sleeping Pills: An Update

While sleeping pills have been around for a long time, the modern age of hypnotics began December 16, 1992, when the FDA approved Ambien (zolpidem). Sonata (zaleplon), a late bloomer, received approval in 1999. Both Ambien and Sonata are officially classified as “non-benzodiazepines,” although...
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