title: Psychiatric disorders and sleep issues.
abstract: Sleep issues are common in people with psychiatric disorders, and the interaction is complex. Sleep disorders, particularly insomnia, can precede and predispose to psychiatric disorders, can be comorbid with and exacerbate psychiatric disorders, and can occur as part of psychiatric disorders. Sleep disorders can mimic psychiatric disorders or result from medication given for psychiatric disorders. Impairment of sleep and of mental health may be different manifestations of the same underlying neurobiological processes. For the primary care physician, key tools include recognition of potential sleep effects of psychiatric medications and familiarity with treatment approaches for insomnia in depression and anxiety.
authors.affiliation: Department of Medicine, University of Washington, 4245 Roosevelt Way Northeast, Box 354765, Seattle, WA 98105, USA. Electronic address: esutton@uw.edu.
authors.forename: Eliza L
authors.initials: EL
authors.lastname: Sutton
mesh_terms: D000928:Antidepressive Agents / Q000627:therapeutic use; D014150:Antipsychotic Agents / Q000627:therapeutic use; D001921:Brain / Q000502:physiology; D021081:Chronobiology Disorders / Q000150:complications / Q000628:therapy; D015928:Cognitive Behavioral Therapy; D045422:Continuous Positive Airway Pressure; D018491:Dopamine Agonists / Q000008:administration & dosage / Q000009:adverse effects; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use; D001523:Mental Disorders / Q000150:complications* / Q000628:therapy*; D010349:Patient Compliance; D010789:Phototherapy; D012148:Restless Legs Syndrome / Q000139:chemically induced / Q000150:complications / Q000188:drug therapy; D017367:Selective Serotonin Reuptake Inhibitors / Q000627:therapeutic use; D012890:Sleep / Q000502:physiology; D012893:Sleep Wake Disorders / Q000150:complications* / Q000628:therapy*
chemical_list: D000928:Antidepressive Agents; D014150:Antipsychotic Agents; D018491:Dopamine Agonists; D006993:Hypnotics and Sedatives; D017367:Selective Serotonin Reuptake Inhibitors
keywords: Anxiety; Circadian rhythm disorders; Cognitive-behavioral therapy for insomnia; Depression; Insomnia; Obstructive sleep apnea; Restless leg syndrome