Blog posts with the tag "Sleep"

Staff Perspective: Nightmares and Disturbing Dreams

By Maegan Willing  on 22.06.2022 2:15 pm

Today you’re meeting a new patient. They present with a history of combat trauma and report significant sleep disturbances including problems falling asleep because they fear they will have another nightmare.
This may feel familiar to you, and there is a good reason for that. Nightmares are incredibly common after a traumatic event, with some estimates suggesting posttraumatic nightmares occur in 90% of patients with PTSD. 

Staff Perspective: Navigating CBTI Treatment Options - Do We Need Providers Anymore?

By Carin Lefkowitz  on 30.03.2022 11:40 am
Dr. Carin Lefkowitz

The interest in virtual treatment options has never been stronger than it is right now. Not only are virtual treatment options more convenient in regards to time and location, but they also mitigate the risk of exposure in the era of COVID-19. Unsurprisingly, research and scholarly writing in the areas of telehealth and mobile apps has skyrocketed in the past two years. This has included interest in flexible treatment options for insomnia disorder. 

Staff Perspective: The Importance of Screening for Sleep Disorders in Patients with a History of Traumatic Brain Injury

By Maegan Willing  on 23.03.2022 8:53 am

Since 2000 over 449,000 service members have had at least one documented TBI, of which approximately 82% are mild (Traumatic Brain Injury Center of Excellence, 2021). These injuries occur as part of mission-related activities while in-theater or during training exercises or as part of recreational activities. Many patients report experiencing headaches, memory and concentration issues, changes in mood, and increased irritability, depression, anxiety, and sleep problems (Mayo Clinic Staff, 2021).

Staff Perspective: Understanding Patient Experiences with Treatment for Insomnia

By Timothy Rogers  on 16.03.2022 9:30 am
Dr. Tim Rogers

Insomnia is one of the top sleep related diagnoses for military personnel and veterans (Kelly et al., 2019). Additionally, insomnia is associated with a myriad of psychological and medical problems, increases in utilization of healthcare services and costs (Bramoweth et al., 2022; Klingaman et al., 2018). It is a serious problem.

Staff Perspective: Clinical Skills and Optimizing Treatment - The Case for EBPs

By Jeffrey Mann  on 19.05.2021 9:41 am
Jeffrey Mann, Psy.D.

Over the years I’ve worked with a variety of patients and learned a few lessons along the way about efficiency… especially when it comes to the use of Evidence-Based Psychotherapies (EBPs). As a graduate student, I had very little exposure to EBPs and I was thoroughly immersed in existential and client-centered therapy. As I entered the military for my internship year I had my first introduction to protocol-based treatment and I was very skeptical. That year and the subsequent years have been transformative in the way I approach my patients' problems.

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