If your Sleep Baseline Assessment Session has advised you to learn about specific disorders, proceed to the disorder section below. Each disorder has a sleep center locator (as does the middle of this page).
Clinical confirmation of a disorder requires a physician. Educate yourself on the disorder screening criteria, diagnostic requirements and treatment modalities available. Discuss these with your physician.
Common sleep disorders often overlap with poor sleep preparation patterns that invoke similar pathological mechanisms to the disorders. Visit educational sections on disorder mechanisms and sleep functions.
Poor sleep quality invokes physiological mechanisms that drive other common disorders such as obesity, diabetes and heart-disease even before sleep disorder states are reached. See OSA section for more.
The goal is to turn your negative reflexives about the challenges you have with sleep onset into positive, confident associations with your bedroom and your sleep environment.
It is completely counter-intuitive at first but one of the best ways to "reset" your association with sleep is to make you physiologically sleepy enough to overcome your intruding concerns.
You will learn in the circadian rhythm education section that sleep onset follows a natural dip that prepares the way for sleep. Relaxation techniques can assist this natural process.
Therapy, guided imagery and mindfulness can help control intrusive thoughts. After all, one of sleep's basic functions is to "finish" processing your emotions if you are ready to let it.
As a disorder class, SDB's (SRBD's) include not only OSA, but central sleep apnea (CSA) due to opioids (from reduced respiratory drive) and Cheyne-Stokes respiration (CSR) from the reduced blood flow of conditions such as congestive heart failure (CHF) and stroke.
Obstructive sleep apnea (OSA) is what is often referred to by the public as simply "sleep apnea". OSA is more prevalent in obese individuals, the male gender and advanced age (male and female). The economic and individual health impacts from OSA are substantial.
Cheyne-Stoke respiration (CSR) is an alternating crescendo-decrescendo breathing pattern that cycles between periods of hyper breathing and under breathing which is common in congestive heart failure (CHF) patients. It is a different pattern than CSA due to opioids.
CSA types can vary, including CSR subtypes from stroke or CHF, and an under and over breathing cycle due to the overall reduced respiratory drive that opioids induce. When present with OSA, CSA creates 'complex' apnea types that are more difficult to treat than OSA alone.
Individuals with diabetes, hypertension, cardiac arhythmmia, heart disease, obesity, heart-failure, stroke; and women with PCOS are significantly more likely to have OSA or some other form of SDB.
Due to a number of factors that include the penchant for weight-gain and reductions in the stiffness of the upper-airway musculature, individuals over 50 (and post-menopausal women) are at increased risk.
Males are significantly more likely to have OSA, however post-menopausal women approach the rate of men overall and women with PCOS are at significantly higher risk for OSA than women in general.
Aggressive snoring is a major indicator for upper-airway resistance and OSA. Body mass index (BMI) is also a good indicator but for some populations neck circumference is a better indicator that abdominal fat.