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	<title>Sleep Dynamic Therapy &#187; Insomnia</title>
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	<link>http://sleepdynamictherapy.com</link>
	<description>The Sound Sleep Resource</description>
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		<title>Shrink Rap Radio Psychology Interviews with Dr. Barry Krakow</title>
		<link>http://sleepdynamictherapy.com/2011/02/shrink-rap-radio-psychology-interviews-with-dr-barry-krakow/</link>
		<comments>http://sleepdynamictherapy.com/2011/02/shrink-rap-radio-psychology-interviews-with-dr-barry-krakow/#comments</comments>
		<pubDate>Fri, 04 Feb 2011 17:09:37 +0000</pubDate>
		<dc:creator>Dr. Krakow</dc:creator>
				<category><![CDATA[Insomnia]]></category>
		<category><![CDATA[Sound Sleep]]></category>
		<category><![CDATA[shrink rap]]></category>
		<category><![CDATA[sound sleep sound mind]]></category>

		<guid isPermaLink="false">http://sleepdynamictherapy.com/?p=348</guid>
		<description><![CDATA[Exploring brain, body, mind, spirit, intuition, leadership, research, psychotherapy and more! Sound Sleep, Sound Mind with Dr. Barry Krakow Dr. Barry Krakow is a board certified internist and sleep disorders specialist who has spent over 30 years in medicine in the fields of internal, emergency, addiction and sleep medicine. He has conducted more than two [...]]]></description>
			<content:encoded><![CDATA[<p><strong>Exploring brain, body, mind, spirit, intuition, leadership, research, psychotherapy and more!<br />
</strong><br />
Sound Sleep, Sound Mind with Dr. Barry Krakow</p>
<p>Dr. Barry Krakow is a board certified internist and sleep disorders specialist who has spent over 30 years in medicine in the fields of internal, emergency, addiction and sleep medicine. He has conducted more than two decades of research in the treatment of chronic nightmares and disturbing dreams at the University of New Mexico School of Medicine (1988-1999) and the Sleep &#038; Human Health Institute (2000-current).</p>
<p>Dr. Krakow graduated magna cum laude from the University of Maryland School of Medicine. He was residency trained and board certified in internal medicine and also has ten years of clinical work in emergency medicine. He is a member of the American Academy of Sleep Medicine and the Sleep Research Society and is the former medical director of University Hospital Sleep Disorders Center.</p>
<p>Dr. Krakow has published two books, Insomnia Cures and his most recent, Sound Sleep, Sound Mind, is the first book of its kind to focus on mental, emotional and physical causes to sleep disturbances. Dr. Krakow and his wife, Jessica Kohr-Krakow have also published Turning Nightmares into Dreams, an innovated self-help, audio series and workbook to eliminate bad dreams.</p>
<p><a href="http://sleeptreatment.com/about-americas-sleep-doctor/in-the-news/2527-sound-sleep-sound-mind-with-barry-krakow-md-shrink-rap-radio-psychology-interviews-exploring-brain-body-mind-spirit-intuition-leadership-research-psychotherapy-and-more">To listen to the interview, or to read more, click here&#8230;</a></p>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>What a Surprise! Fatigue &amp; Sleepiness Linked to Medical Errors</title>
		<link>http://sleepdynamictherapy.com/2009/09/what-a-surprise-fatigue-sleepiness-linked-to-medical-errors/</link>
		<comments>http://sleepdynamictherapy.com/2009/09/what-a-surprise-fatigue-sleepiness-linked-to-medical-errors/#comments</comments>
		<pubDate>Tue, 29 Sep 2009 12:00:26 +0000</pubDate>
		<dc:creator>Dr. Krakow</dc:creator>
				<category><![CDATA[Depression]]></category>
		<category><![CDATA[Healthcare]]></category>
		<category><![CDATA[Insomnia]]></category>
		<category><![CDATA[Video Blog]]></category>
		<category><![CDATA[fatigue]]></category>
		<category><![CDATA[Sleepiness]]></category>

		<guid isPermaLink="false">http://sleepdynamictherapy.com/?p=252</guid>
		<description><![CDATA[Dr. Barry Krakow discusses how medical errors occur due to sleepiness and fatigue of doctors and caregivers.]]></description>
			<content:encoded><![CDATA[<p>Dr. Barry Krakow discusses how medical errors occur due to sleepiness and fatigue of doctors and caregivers.  <span id="more-252"></span></p>
<p><center><object width="400" height="315"><param name="movie" value="http://www.youtube.com/v/sIo8TKONjKg&#038;hl=en&#038;fs=1&#038;rel=0&#038;hd=1&#038;border=1"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/sIo8TKONjKg&#038;hl=en&#038;fs=1&#038;rel=0&#038;hd=1&#038;border=1" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="400" height="315"></embed></object> </center></p>
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		<slash:comments>0</slash:comments>
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		<item>
		<title>ASV, Adapto-Servo Ventilation, for Insomnia Patients</title>
		<link>http://sleepdynamictherapy.com/2009/08/asv-adapto-servo-ventilation-for-insomnia-patients/</link>
		<comments>http://sleepdynamictherapy.com/2009/08/asv-adapto-servo-ventilation-for-insomnia-patients/#comments</comments>
		<pubDate>Thu, 06 Aug 2009 19:31:10 +0000</pubDate>
		<dc:creator>Dr. Krakow</dc:creator>
				<category><![CDATA[Insomnia]]></category>
		<category><![CDATA[Video Blog]]></category>

		<guid isPermaLink="false">http://sleepdynamictherapy.com/?p=178</guid>
		<description><![CDATA[Video Blog: New device, ASV (Adapto-Servo Ventilation) &#8211; whether or not it is useful with insomnia patients.]]></description>
			<content:encoded><![CDATA[<p><strong>Video Blog: </strong></p>
<p>New device, ASV (Adapto-Servo Ventilation) &#8211; whether or not it is useful with insomnia patients. </p>
<p><span id="more-178"></span><br />
<center><object width="445" height="364"><param name="movie" value="http://www.youtube.com/v/Pk7k9p6SQ-c&#038;hl=en&#038;fs=1&#038;rel=0&#038;color1=0x3a3a3a&#038;color2=0x999999&#038;border=1"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/Pk7k9p6SQ-c&#038;hl=en&#038;fs=1&#038;rel=0&#038;color1=0x3a3a3a&#038;color2=0x999999&#038;border=1" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="445" height="364"></embed></object></center></p>
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		<item>
		<title>Intelligence and Insomnia: The Connection</title>
		<link>http://sleepdynamictherapy.com/2009/02/intelligence-and-insomnia-the-connection/</link>
		<comments>http://sleepdynamictherapy.com/2009/02/intelligence-and-insomnia-the-connection/#comments</comments>
		<pubDate>Wed, 04 Feb 2009 13:03:27 +0000</pubDate>
		<dc:creator>Dr. Krakow</dc:creator>
				<category><![CDATA[Insomnia]]></category>
		<category><![CDATA[Intelligence]]></category>

		<guid isPermaLink="false">http://sleepdynamictherapy.com/?p=115</guid>
		<description><![CDATA[Video Blog: Research shows that people with insomnia often have higher intelligence&#8230;]]></description>
			<content:encoded><![CDATA[<p><strong>Video Blog:</strong> Research shows that people with insomnia often have higher intelligence&#8230; <span id="more-115"></span><center><object width="425" height="344"><param name="movie" value="http://www.youtube.com/v/PO9vqt7QhdE&#038;hl=en&#038;fs=1"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/PO9vqt7QhdE&#038;hl=en&#038;fs=1" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="425" height="344"></embed></object></center></p>
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		<slash:comments>0</slash:comments>
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		<item>
		<title>Fatigue and Sleepiness Among Insomnia Patients</title>
		<link>http://sleepdynamictherapy.com/2009/02/fatigue-and-sleepiness-among-insomnia-patients/</link>
		<comments>http://sleepdynamictherapy.com/2009/02/fatigue-and-sleepiness-among-insomnia-patients/#comments</comments>
		<pubDate>Mon, 02 Feb 2009 17:01:19 +0000</pubDate>
		<dc:creator>Dr. Krakow</dc:creator>
				<category><![CDATA[Insomnia]]></category>

		<guid isPermaLink="false">http://sleepdynamictherapy.com/?p=113</guid>
		<description><![CDATA[Video Blog: Fatigue and Sleepiness Among Insomnia Patients&#8230;]]></description>
			<content:encoded><![CDATA[<p><strong>Video Blog:</strong> Fatigue and Sleepiness Among Insomnia Patients&#8230;<span id="more-113"></span><center><object width="425" height="344"><param name="movie" value="http://www.youtube.com/v/pia7wyBnxQE&#038;hl=en&#038;fs=1"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/pia7wyBnxQE&#038;hl=en&#038;fs=1" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="425" height="344"></embed></object></center></p>
]]></content:encoded>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Stimulus Control</title>
		<link>http://sleepdynamictherapy.com/2009/01/stimulus-control/</link>
		<comments>http://sleepdynamictherapy.com/2009/01/stimulus-control/#comments</comments>
		<pubDate>Tue, 27 Jan 2009 21:43:48 +0000</pubDate>
		<dc:creator>Dr. Krakow</dc:creator>
				<category><![CDATA[Insomnia]]></category>
		<category><![CDATA[Stimulus Control]]></category>

		<guid isPermaLink="false">http://sleepdynamictherapy.com/?p=110</guid>
		<description><![CDATA[Everyone&#8217;s talking about Stimulus these days and whether or not it will work. In sleep medicine, we have a treatment technique known as Stimulus Control, which refers to the specific plan of not going to bed until you&#8217;re sleepy. In other words the way to avoid insomnia is to stay away from the bedroom until [...]]]></description>
			<content:encoded><![CDATA[<p>Everyone&#8217;s talking about Stimulus these days and whether or not it will work.  </p>
<p>In sleep medicine, we have a treatment technique known as Stimulus Control, which refers to the specific plan of not going to bed until you&#8217;re sleepy.  In other words the way to avoid insomnia is to stay away from the bedroom until you feel genuine sleepiness that will put you fast asleep.</p>
<p>On a lighter side, I wonder whether we need a little Stimulus &#8220;Control&#8221; in our government.  The government imagines that more stimulus will restore the economy, but that&#8217;s like telling an insomniac, spend more time in bed and you&#8217;ll get more sleep, which actually causes more insomnia.  In this case, spending more money is guaranteed to stimulate our debt and deficit, but I think we&#8217;re all beginning to wonder just how good that is for the economy.</p>
<p>So, Mr.President, how about a little Stimulus &#8220;Control.&#8221;</p>
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		<slash:comments>0</slash:comments>
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		<item>
		<title>Baltimore Trip to APSS</title>
		<link>http://sleepdynamictherapy.com/2008/05/baltimore-trip-to-apss/</link>
		<comments>http://sleepdynamictherapy.com/2008/05/baltimore-trip-to-apss/#comments</comments>
		<pubDate>Fri, 30 May 2008 00:34:25 +0000</pubDate>
		<dc:creator>Dr. Krakow</dc:creator>
				<category><![CDATA[Imagery]]></category>
		<category><![CDATA[Insomnia]]></category>
		<category><![CDATA[Nocturia]]></category>
		<category><![CDATA[PAP Therapy]]></category>
		<category><![CDATA[SDB]]></category>
		<category><![CDATA[Sleep Drugs]]></category>
		<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://www.sleepdynamictherapy.com/2008/05/baltimore-trip-to-apss/</guid>
		<description><![CDATA[My research team will be in Baltimore for the annual APSS, presenting 5 works from the past year, including: 1. Oral presentation by me on the topic of &#8220;Sleep Disordered Breathing in Patients Dependent on Prescription Sleep Medications.&#8221; 2. Oral presentation by Eddie Romero on the topic of &#8220;Nocturia as a Screening Tool for Sleep-Disordered [...]]]></description>
			<content:encoded><![CDATA[<p>My research team will be in Baltimore for the annual APSS, presenting 5 works from the past year, including: </p>
<p>1.  Oral presentation by me on the topic of &#8220;Sleep Disordered Breathing in Patients Dependent on Prescription Sleep Medications.&#8221;<br />
2.  Oral presentation by Eddie Romero on the topic of &#8220;Nocturia as a Screening Tool for Sleep-Disordered Breathing.&#8221;<br />
3.  Poster by Linda Trujillo on the topic of &#8220;Self-Guided Imagery for Insomnia Patients undergoing Polysomnography Testing.&#8221;<br />
4.  Poster by Natalia McIver on the topic of &#8220;Self-Guided Imagery for SDB Patients undergoing a Polysomnography Titration.&#8221;<br />
5.  Poster by Eddie Romero on the topic of &#8220;Nocturia as a Screening Tool in Insomnia Patients with Potential Risk for Sleep-Disordered Breathing.&#8221;</p>
]]></content:encoded>
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		<item>
		<title>Bilevel Preferred Over CPAP</title>
		<link>http://sleepdynamictherapy.com/2008/04/bilevel-preferred-over-cpap/</link>
		<comments>http://sleepdynamictherapy.com/2008/04/bilevel-preferred-over-cpap/#comments</comments>
		<pubDate>Thu, 03 Apr 2008 06:21:21 +0000</pubDate>
		<dc:creator>Dr. Krakow</dc:creator>
				<category><![CDATA[Bilevel]]></category>
		<category><![CDATA[CPAP]]></category>
		<category><![CDATA[Insomnia]]></category>
		<category><![CDATA[Mental Health]]></category>
		<category><![CDATA[Pressure Intolerance]]></category>

		<guid isPermaLink="false">http://www.sleepdynamictherapy.com/2008/04/bilevel-preferred-over-cpap/</guid>
		<description><![CDATA[One thing that continues to puzzle us in our work at our sleep center is how frequently patients are prescribed CPAP when we suspect they should have been initiated with bilevel therapy. We work on 2nd opinion patients quite a bit, and in nearly 90% of cases, the patient presents with a failed response to [...]]]></description>
			<content:encoded><![CDATA[<p>One thing that continues to puzzle us in our work at our sleep center is how frequently patients are prescribed CPAP when we suspect they should have been initiated with bilevel therapy.  We work on 2nd opinion patients quite a bit, and in nearly 90% of cases, the patient presents with a failed response to CPAP.  Few if any of these patients ever report that their physicians discussed the potential to use bilevel instead of CPAP.  Some had been exposed to auto-CPAP, Cflex, and other expiratory relief systems, but very few had even heard of the term bilevel.</p>
<p>In our clinical experience, where we specialize in mental health patients with insomnia and SDB, we quickly transition the patient to bilevel once they have failed CPAP therapy either initially during the desensitization procedure before the overnight titration or during the titration when it becomes apparent that they are struggling to breathe out against pressurized airflow coming in (expiratory intolerance). </p>
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		<title>Heath Ledger Update</title>
		<link>http://sleepdynamictherapy.com/2008/02/health-ledger-update/</link>
		<comments>http://sleepdynamictherapy.com/2008/02/health-ledger-update/#comments</comments>
		<pubDate>Sat, 23 Feb 2008 10:17:09 +0000</pubDate>
		<dc:creator>Dr. Krakow</dc:creator>
				<category><![CDATA[Insomnia]]></category>
		<category><![CDATA[Sleep Drugs]]></category>

		<guid isPermaLink="false">http://www.sleepdynamictherapy.com/2008/02/health-ledger-update/</guid>
		<description><![CDATA[Two weeks later, and I&#8217;ve yet to see one thoughtful discussion about what underlying sleep problems might have contributed to his insomnia and ultimately to his demise. On the one hand, the severe insomnia he appeared to suffer from as described in the tabloids would almost suggest bipolar or a manic-like experience. On the other [...]]]></description>
			<content:encoded><![CDATA[<p>Two weeks later, and I&#8217;ve yet to see one thoughtful discussion about what underlying sleep problems might have contributed to his insomnia and ultimately to his demise.  On the one hand, the severe insomnia he appeared to suffer from as described in the tabloids would almost suggest bipolar or a manic-like experience.  On the other hand, there is no discussion as to whether he was known to suffer any sleep breathing symptoms.  </p>
<p>Tens of thousands of people take too many drugs to sleep at various times in their experiences with medications.  The vast majority do not die!  What distinguishes those who do not survive?  The two most likely candidates are a breathing problem or a cardiac arrhythmia, the latter perhaps brought on by a breathing disorder that drops oxygenation to critically low levels.   </p>
<p>The other questions that should have been asked are where did he get the pills, and did any of his prescribing physicians ever refer him to a sleep specialist? </p>
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		<item>
		<title>&#8220;He just kept saying that nothing he tried helped him sleep&#8230;&#8221;</title>
		<link>http://sleepdynamictherapy.com/2008/02/he-just-kept-saying-that-nothing-he-tried-helped-him-sleep/</link>
		<comments>http://sleepdynamictherapy.com/2008/02/he-just-kept-saying-that-nothing-he-tried-helped-him-sleep/#comments</comments>
		<pubDate>Fri, 08 Feb 2008 06:50:45 +0000</pubDate>
		<dc:creator>Dr. Krakow</dc:creator>
				<category><![CDATA[Insomnia]]></category>
		<category><![CDATA[Sleep Drugs]]></category>

		<guid isPermaLink="false">http://www.sleepdynamictherapy.com/2008/02/he-just-kept-saying-that-nothing-he-tried-helped-him-sleep/</guid>
		<description><![CDATA[Do you think someone should have taken Heath Ledger&#8217;s sleep complaints seriously? Based on the multiple drugs that allegedly caused his overdose, I doubt anyone took his sleep problems seriously!]]></description>
			<content:encoded><![CDATA[<p>Do you think someone should have taken <a href="http://http://www.foxnews.com/story/0,2933,329270,00.html">Heath Ledger&#8217;s sleep complaints</a> seriously?  Based on the multiple drugs that allegedly caused his overdose, I doubt anyone took his sleep problems seriously!</p>
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