Sleep Dynamic Therapy

This talk was given in December 2003 at the University of New Mexico Dept of Psychiatry Grand Rounds. The title is the “Limits of Psychiatry in Treating Psychiatric Insomnia.” It reflects our growing interest in the relationships between sleep-disordered breathing and insomnia, particularly in mental health patients. Note the material on nocturia is dated and see Mary Umlauf’s work for a more comprehensive explanation for why sleep breathing patients wake up at night to use the bathroom. In short, the body is deceived into believing that a fluid overloaded state exists and so it must release a natural diuretic to “correct” the problem