In the News

Recent Interview: Dr. Steven Park

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Expert Interview: Dr. Barry Krakow on Complex Insomnia, UARS, & PTSD

With Dr. Steven Park - November 30th, 2010

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Behavioral Sleep Clinics | April 2011

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A New Home for Nightmare Treatment

behavioral-nightmareMilitary personnel returning from wars in Afghanistan and Iraq show increasing rates of post-traumatic stress disorder (PTSD) and post-traumatic nightmares. Media coverage of these two vexing mental health conditions is also intensifying and raising public awareness about the need for more effective therapeutic options. With growing attention focused on patients with nightmares, sleep centers have an opportunity to engage these patients. Successfully doing so hinges on applying a standard of care for nightmare assessment and treatment through behavioral sleep medicine specialists.

The Webs We Weave in Sleep Medicine | November 2009

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Enlisting patients as more active participants in their treatment.

In the years ahead as health care reform invades, infects, or inspires (take your pick) the medical community toward new models of practice, sleep medicine physicians and technologists must discover innovative treatment pathways. Currently, the most widely used sequence begins with a patient-physician clinic appointment to assess sleep complaints and develop a plan, which typically moves through testing in the sleep lab to long-term use of positive airway pressure therapy (PAP-T).

How effective is this system? Not so impressive judging by PAP-T adherence rates often hovering above 50%.

Nightmares - Sleep and Dreams on ELLE

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The highest-profile quick-fixer may be Barry Krakow, MD, founder of the PTSD Sleep Clinic at the Maimonides Sleep Arts & Sciences center in Albuquerque, New Mexico. Krakow champions an approach called imagery rehearsal therapy (IRT), based on the notion that by actively rescripting our dreams through visualization, we can change their narratives after we fall asleep. Whether they’re freshly returned Iraq vets or desperate housewives, patients who suffer from nightmares (usually a product of post-traumatic stress, but also a result of my type of “run-of-the-mill anxiety,” he tells me by phone) or disorders such as sleep apnea spend nights at Krakow’s four-bedroom clinic and undergo group and individual therapy sessions over the course of a few weeks. Patients articulate their bad dreams and then, with Krakow’s encouragement, repeatedly reimagine them, often in a different light. If a young soldier dreams of being chased by the plumes of an exploding IED, for instance, she might picture instead the breeze of the Pacific or even the cold blast of an air conditioner—whichever she finds most soothing.


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Controversial Study To Test Link Between Insomnia And Sleep Apnea

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The Sleep and Human Health Institute (SHHI) was awarded a grant to study one of the most controversial aspects of Chronic Insomnia. Conventional wisdom connects insomnia to psychological factors -- stress, racing thoughts, and worries -- and is usually treated with sleeping pills or talk therapy. Pitted against the CW is the provocative theory that a large percentage of Chronic Insomniacs suffer from Obstructive Sleep Apnea (OSA), a physical breathing problem that might cause unwanted or unexpected sleeplessness.


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