Pillow Talk - Questions and Answers About Sleep

Questions and Answers About Sleep

Dr. Barry Krakow
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  • Albuquerque
  • United States
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Latest Sleep News

NY Times: Insomnia Is Linked to Trouble Breathing

by BENEDICT CAREY from the New York Times

NY Times - Insomnia Linked to Breathing

Brief respiratory problems during sleep may play a larger role in causing insomnia than the usual suspects, a small study suggests. 

READ MORE at NYTimes.com

Dr. Barry Krakow on PTSD, Insomnia, and Sleep Apnea

Dr. Barry Krakow on PTSD, Insomnia, and Sleep Apnea

Nov 27th ’12 6:00 pm Dr. Barry Krakow talks with Dr. Steven Park about PTSD (post-traumatic stress disorder), insomnia, and obstructive sleep apnea.  

Listen to the interview here: 

{audio}/images/stories/audio/park-nov-27.mp3{/audio}

In Search of Compliance - HomeCare Magazine

Market success depends on getting sleep-disorder breathing patients to use therapy devices

by Larry Anderson

Compliance is the Holy Grail of sleep-disorder breathing therapy. Technologies such as continuous positive airway pressure (CPAP) devices only work if patients use them, and yet industry statistics suggest compliance rates hovering around 50 percent, to the detriment of both patient well-being and DME/HME providers’ bottom line.

Compliance is critical to successful treatment of sleep-disorder breathing and also to the success of DME/HME providers. It’s clearly in everyone’s interests to boost compliance, but how?

Devoting time and resources to ensure compliance is particularly challenging for DME providers in the age of competitive bidding, says Mitchell Yoel, executive vice president of business development and government affairs at Drive Medical Design and Manufacturing. “Current pressures on providers are coming from multiple fronts,” he says. “Providers must both facilitate and confirm compliance with PAP therapy to ensure clinical outcomes and reimbursement, and must also manage the operational costs associated with the amount of time clinical staff spends on PAP patients to get the appropriate fit and comfort.”

Read more...

Profile Information

How many hours of sleep do you get at night?
6 hours
About Me:
Dr. Barry Krakow - Author of "Sound Sleep, Sound Mind."
Website:
http://sleeptreatment.com

Barry Krakow, M.D.

Barry Krakow, MD is a board certified internist and sleep disorders specialist, who has spent 25 years in medicine in the fields of internal medicine, emergency medicine, addiction medicine, and sleep medicine. Currently, he is medical director of two sleep facilities in Albuquerque, NM:

  • Maimonides Sleep Arts & Sciences, Ltd, a community-based, sleep medical center
  • Sleep & Human Health Institute, a non-profit sleep research institute

Dr. Krakow's research team has established many firsts in the field of sleep medicine, including:

  • The first randomized controlled study to demonstrate that a cognitive-imagery technique can successfully decrease chronic nightmares without medication or psychotherapy
  • The first studies to show that trauma survivors suffer inordinately high rates of sleep breathing problems that worsen their insomnia, anxiety, depression, and posttraumatic stress symptoms.
  • The first studies to link sleep breathing problems to insomnia complaints among psychiatric patients
  • The first case series showing that treatment of sleep breathing problems decreases insomnia problems in many different types of insomnia patients
  • The first study to show that a large proportion (50%) of sleep center patients with sleep apnea also suffer from clinically significant insomnia symptoms, which may interfere with their efforts to treat their sleep breathing problems
  • The first study to show that evidence-based sleep medicine treatments could help crime victims with sleep problems
  • The first study to show that evidence based sleep medicine treatments could help disaster survivors with sleep problems
  • The first randomized controlled study to demonstrate that nasal dilator strips can reduce insomnia symptoms in patients with likely sleep-disordered breathing.

Dr. Krakow's research group is one of the most published on the evaluation and treatment of sleep disorders in mental health patients, including more than 30 peer-reviewed papers and abstracts in this field. In addition, he has authored or co-authored four books on this topic as well.

Dr. Krakow's research teams have consistently shown that insomnia and mental health patients frequently suffer from undiagnosed physical sleep disorders, which prevent them from resolving their sleep complaints, and which therefore often prevent them from improving their mental health.

With the publication of Dr. Krakow's new book, Sound Sleep, Sound Mind, he aims to spread the word that an enormously large number of insomnia patients and mental health patients can benefit a great deal by completing a full sleep evaluation and receiving evidence-based sleep treatments. In his view, sleep medicine needs to be thoroughly integrated into the fields of psychiatry and psychology in order to provide mental health patients the opportunity to rapidly recover their sleep health. We believe that aggressive treatment of sleep disorders in these patients will markedly improve their chances to improve their mental health.

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Dr. Barry Krakow's Blog

Sound Sleep Sound Mind - 4.5 stars out of 5.

Sound Sleep, Sound Mind has been getting a lot of great reviews! We encourage you to rate the book, too!…

Continue

Posted on January 19, 2010 at 2:30pm

Comment Wall (3 comments)

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At 4:00pm on October 12, 2009, Jan said…
Hopefully I will be moving back to Albuquerque in the near future and it's nice to learn about the NM Sleep Center. I see that you have addressed several aspects of sleep disorders on other medical conditions. I recently posted a discussion questions regarding the affects of elevation on the severity of sleep apnea. I was wondering if you could point me to some literature or articals which may address this question. All I know is that my life dramatically change when I moved up here to the Grand Canyon, and I'm still looking for answers. -- Thanks
At 8:03am on October 25, 2008, Noel said…
Dr. Krakow,

Could you please respond to my blog or directly to me on "Turning Nightmares into Dreams?"

Thank-you,
Noel A. Cuff
At 12:13pm on June 4, 2008, Danielle said…
Dr. Krakow,
It is good to know that someone is addressing the issue of sleep with regard to mental health, although the issue is so potentially treacherous. I fear another stigma on the horizon, if this isn't handled with care. And from the perspective of a narcoleptic, I can assure you that I have had times when I have suffered from insomnia that has crippled me in every aspect of judgment until I resolved it.
 
 
 

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