Essentials - Sleep Problems Complicated by Substance Use Disorders-Event Recording

Video Transcription

Video Summary

The video presentation titled "Sleep Problems Complicated by Substance Use Disorders" discusses different aspects of sleep problems and their relationship with substance use disorders. The presentation is narrated by Dr. Gregory Landy and is part of the online course "The Essentials of Addiction Medicine" offered by the American Osteopathic Academy of Addiction Medicine.<br /><br />The presentation begins with a review of the normal sleep cycle, emphasizing the importance of understanding it to educate patients about what a normal night's sleep should look like. The discussion then progresses to how alcohol affects sleep, using it as a prototypical example for other sedative drugs such as opioids, benzodiazepines, and marijuana. The specific differences between these drugs are briefly mentioned, but the scope of the presentation is focused on alcohol.<br /><br />Obstructive sleep apnea, an underdiagnosed condition, is then discussed in detail, highlighting the relationship between obstructive sleep apnea, alcohol use, and tobacco use. The presentation emphasizes the impact of sleep problems on substance use treatment outcomes, including relapse rates and increased suicidal ideation.<br /><br />The video also covers different components of the sleep-wake cycle, including brainwave activity and physiological changes during non-REM and REM sleep. The influence of alcohol metabolism on the sleep cycle is explained, as well as its sedative effects and subsequent negative impact on sleep quality.<br /><br />The presentation further explores the diagnosis and severity of obstructive sleep apnea, including risk factors and screening instruments. The use of home sleep studies is introduced as an alternative to in-lab polysomnography for gathering objective sleep data.<br /><br />Non-pharmacologic approaches to managing sleep problems are discussed, including sleep hygiene, stimulus control, sleep restriction, worry journaling, and various behavioral treatments. Medication options, both pharmacologic and non-pharmacologic, are mentioned, along with the potential impact of medications on the sleep cycle.<br /><br />The presentation concludes by summarizing the key points covered and expressing the importance of addressing sleep problems in addiction medicine due to their impact on treatment outcomes, risk management, and overall health and well-being.<br /><br />The credits for this presentation go to Dr. Gregory Landy and the American Osteopathic Academy of Addiction Medicine.

Keywords

Sleep Problems Complicated by Substance Use Disorders

Dr. Gregory Landy

The Essentials of Addiction Medicine

American Osteopathic Academy of Addiction Medicine

normal sleep cycle

alcohol and sleep

sedative drugs

obstructive sleep apnea

sleep-wake cycle

non-pharmacologic approaches to sleep problems