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Psychiatry

Expert answers from Psychiatry physicians on health concerns and treatment options

Questions & Answers

169 articles

Q

Are there medications that should not be combined with sleep aids due to risk of confusion or wandering?

Some medications, when combined with sleep aids, can increase the risk of confusion or wandering, such as valproic acid with sleep aids or methamphetamine with zolpidem.

Q

Can anxiety medications reduce sleepwalking behaviors?

Anxiety medications might not help with sleepwalking and could even make it worse. It's important to talk to a doctor if you have concerns about sleepwalking.

Q

Can buspirone help if stress is preventing sleep?

Buspirone is not typically used to help with sleep problems caused by stress, as its effects on sleep are not well-defined.

Q

Can daytime stimulants influence nighttime sleepwalking?

Daytime stimulants might affect nighttime sleep behaviors, including sleepwalking, especially in children with certain conditions.

Q

Can sleep medications lose effectiveness over time?

Yes, sleep medications can lose effectiveness over time because the body can get used to them.

Q

How can sleep medications be tapered safely when stopping?

To safely stop sleep medications, it's important to gradually reduce the dose over time with guidance from a healthcare provider. This process, known as tapering, helps prevent withdrawal symptoms and can sometimes be supported with other treatments like melatonin.

Q

How does ramelteon differ from melatonin supplements in treating REM Sleep Behavior Disorder (RBD)?

Ramelteon and melatonin supplements are both used for sleep issues, but ramelteon is a prescription medication that may have specific benefits for REM Sleep Behavior Disorder (RBD).

Q

How does ramelteon help regulate circadian rhythm?

Ramelteon helps regulate the sleep-wake cycle by acting like melatonin, which is a hormone that tells the body when it is time to sleep.

Q

Is zolpidem known to trigger sleepwalking episodes in some people?

Yes, zolpidem can cause sleepwalking and other unusual behaviors while asleep in some people.

Q

Should sedatives like lorazepam be avoided in people prone to sleepwalking?

Sedatives like lorazepam might not be the best choice for people who sleepwalk, as they could make the problem worse.

Q

What is the difference in how zolpidem and eszopiclone work?

Zolpidem and eszopiclone are both sleep medications, but they work in slightly different ways in the brain to help people sleep.

Q

Which medications are reviewed first if sleepwalking becomes frequent?

If sleepwalking happens a lot, doctors first check medications like antidepressants and sedatives, as they might be causing it.

Q

Why are trazodone and mirtazapine sometimes used for sleep?

Trazodone and mirtazapine are sometimes used to help with sleep because they can make you feel drowsy, which can help you fall asleep.

Q

Why is clonazepam often prescribed in low doses for REM Sleep Behavior Disorder (RBD)?

Clonazepam is often prescribed in low doses for REM Sleep Behavior Disorder (RBD) because it is effective while minimizing potential side effects.

Q

Can stress or anxiety make sleep myoclonus worse?

The provided references do not directly address the impact of stress or anxiety on sleep myoclonus.

Q

Does caffeine increase the frequency of sleep myoclonus?

Caffeine may affect sleep, but its direct impact on sleep myoclonus isn't clearly established in the provided references.

Q

Can emotional trauma contribute to sleepwalking?

Emotional trauma can affect sleep, but the provided references do not specifically link it to sleepwalking.

Q

Can meditation or relaxation techniques reduce sleepwalking?

Meditation and relaxation techniques might help reduce sleepwalking by promoting relaxation and reducing stress, which can be triggers for sleepwalking.

Q

Can stress management reduce the frequency of sleepwalking?

Yes, managing stress can help reduce how often sleepwalking happens by using special treatments like behavioral therapy.

Q

How does cognitive behavioral therapy help with sleepwalking?

Cognitive behavioral therapy (CBT) can help manage sleepwalking by addressing behaviors and thoughts that contribute to the condition.

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