Normal sleep and common disorders: the role of the psychotherapist in identifying and managing patients with sleep disorders
May 2 @ 9:00 am - 12:30 pm$175 – $225
Dr. Marcel Alexander Baltzan
OPQ Accreditation RA03226-20 3.5 CE hours
Saturday May 2nd, 2020 from 9am to 12:30pm
4150 Sainte Catherine Street West suite 328
Sleep disorders are common and can seriously affect health and daytime function. Up to 40% of people can be affected depending upon the age and type of participants being studied. Patients with depression and anxiety are more often affected. Fatigue, disturbed mood and problems with daytime sleepiness can seriously affect both social and occupational functioning. In spite of this, many patients do not discuss their sleep-related symptoms for an average of 9 years before they find treatment; some may never be identified. This can be considered tragic given that a few simple questions have proven to identify patients at high risk of sleep apnea or insomnia.
The prime method of the diagnosis of chronic insomnia is through interview of the patient. This can be assisted by a structured and validated questionnaires as well as sleep diaries. This diagnosis and therapy is well within the accepted competence of psychologists as a guideline standard by medical societies.
There is now a growing body of scientific evidence regarding the long term risks of untreated sleep apnea for cardiovascular disease. Several clinical and epidemiologic cohorts have established the relationship of various severities of sleep apnea with outcomes such as hypertension, cardiac events and stroke. The pattern that emerges is that increasing severity of sleep apnea increases the risk of cardiovascular outcomes, and that this is likely modified by adherence to treatment. Guidelines exist for diagnosis and the 2 major forms of current therapy, but adherence remains a problem. Psychologists are trained and able to help patients manage various phobias, and the practice of progressive desensitization can greatly help a patient with sleep apnea adapt to a CPAP mask, as well as the concomitant insomnia, which is present approximately 20% of the time in patients seen in sleep clinics.
Dr. Marcel Alexander Baltzan
Medical specialist physician and Fellow of the American Academy of Sleep Medicine. He has been working in the field of sleep disorders the last 24 years at 2 hospitals and one clinic all in Montreal. He has published research in the field since 1999. He continues leading educational sessions with students (as Adjunct Professor, Faculty of Medicine, McGill University), as well as the public and professional groups such as doctors, dentists, nurses, inhalation therapists and sleep technologists.
- To better understand the complexity of sleep, and its changes normally over the lifespan
- To better identify patients who are likely to be affected by a sleep disorder, as well the impacts in their health and relationships.
- To help patients affected by sleep disorders initiate carepaths to better management through psychological approaches and moving through the current medical system.
- To learn the role of psychologic techniques such as CBT-I, dream rehearsal and progressive desensitization in managing respectively insomnia, nightmares and adaptation to CPAP.