The White Noise Podcast

The White Noise Podcast

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The White Noise Podcast episodes

  • Episode #3 Nightmare Disorder Part 2

    This episode was written and produced by John Barkham, MD, Mohan Dutt, MD, and Alok Sachdeva MD.

    Join The White Noise Podcast in part II of their discussion on nightmare disorder. In this episode we speak with Dr. Todd Favorite, an expert in the treatment of PTSD and nightmare disorders.

    Show Notes Season 1-Episode 3- Nightmare Disorder Part 2

    Time Stamps

    0:00 – Introduction

    0:30 – Get to know Dr. Favorite

    2:45 – Pick of the Month

    • Paths of Glory by Jeffery Archer

      • 5:00 – Clinical Case

      6:45 – Initial Evaluation

      8:00 – Nightmares in the setting of post-traumatic stress disorder

      16:00 – Dream rescripting

      22:00 – How to evaluate success

      28:00 – Choosing the right patient

      30:00 – How to

      address nightmares with patients

      38:00 – Scoring

      systems

      39:45 – More information on dream rescripting

      42:00 – Co-therapy with medication

      45:00 – How to be successful

      47:00 – Medication vs nightmare reduction therapy

      Dr. Favorites Recommended Reading List

      1. Davis, J.L., Treating Post-Trauma Nightmares : A Cognitive Behavioral Approach. Springer Publishing Co. NY
      2. Favorite, T.K., Conroy, D. (2018). Psychosocial Treatments for Trauma-Based Nightmares. Psychiatric Times, Sept 2018 
      3. Swanson, L., Favorite, T.K, Arnedt, T., Horin, E. (2009).A Combined Treatment for Nightmares and Insomnia in Combat Veterans: A Pilot Study. Journal of Traumatic Stress, 22(6): 639-642.
      4. Krakow,.B. , et.al. (2001). Imagery Rehearsal Therapy for Chronic Nightmares in Sexual Assault Survivors With Posttraumatic Stress Disorder A Randomized Controlled Trial. JAMA, August 1, 2001—Vol 286, No. 5
      5. Mysliwiec, V., O’Reilly, B., Polchinski, J., et.al. (2014). Trauma Associated Sleep Disorder: A Proposed Parasomnia Encompassing Disruptive Nocturnal Behaviors, Nightmares, and REM without Atonia in Trauma Survivors.Journal of Clinical Sleep Medicine, Vol. 10, No. 10

        6. Disclosures

        The authors of The White Noise Podcast do not have any financial disclosures.

        53 min
      6. Episode #2 Nightmare Disorder Part 1

        Episode written and produced by John Barkham, MD, Mohan Dutt, MD, and Alok Sachdeva MD.

        The White Noise Podcast discusses the medical management of nightmare disorders with our very own Dr. John Barkham, who is a clinical lecturer at the Ann Arbor VA. This is part one of our two part series on nightmare disorders.

        Show Notes Season 1-Episode 2- Nightmare Disorder Part 1 

        Time Stamps

        0:00 – Introduction

        4:51 – Guest Introduction

        8:10 – Picks of the month

        • Maps of Meaning by Jordan Peterson
        • 12 Rules for Life by Jordan Peterson
        • The Big Fella by Jane Leavy
        • Star Trek: Discovery

          • 11:29 – Clinical case begins

          11:40 – Evaluation of nightmares

          • The effect of continuous positive air pressure (CPAP) on nightmares in patients with posttraumatic stress disorder (PTSD) and obstructive sleep apnea (OSA).

            • 22:00 – Nightmares in the veteran population

            25:30 – Prazosin use for nightmare disorder

            • Clinical case series: the use of Prazosin for combat-related recurrent nightmares among Operation Iraqi Freedom combat veterans.

              • 28:00 – Diagnostic criteria for nightmare disorder

              • Position Paper for the Treatment of Nightmare Disorder in Adults: An American Academy of Sleep Medicine Position Paper

                • 32:05 – Disturbing dreams and nightmare severity index (DDNSI)

                • Nightmare complaints in treatment-seeking patients in clinical sleep medicine settings: diagnostic and treatment implications.

                  • 34:00 – Resumption of case

                  37:45 – Prazosin dosing

                  41:50 – Problems with the DDNSI

                  47:18 – Pharmacologic alternatives to prazosin

                  51:00 – Alternatives to pharmacotherapy

                  • Imagery rehearsal therapy for chronic nightmares in sexual assault survivors with posttraumatic stress disorder: a randomized controlled trial.

                    • Additional Information

                    From: Callen et al, Nightmare Disorders in Adults

                    From: Callen et al, Nightmare Disorders in Adults

                    Disclosures

                    The authors of The White Noise Podcast have no financial disclosures

                    55 min
                  • Episode #1 Delayed Phase Sleep Wake Disorder

                    Hi Join The White Noise Podcast in a discussion of the diagnosis and management of Delayed Sleep Wake Phase Disorder (DSWPD) with special guest Dr. Cathy Goldstein, an expert in circadian rhythm disorders in Ann Arbor, Michigan and Chair of the Artificial Intelligence in Sleep Medicine subcommittee of the American Academy of Sleep Medicine (AASM). CLICK HERE TO CLAIM CME CREDIT Show Notes – Season 1, Episode 1 – Delayed Phase Sleep Wake Disorder Definitions: 1. Dim light melatonin onset (DLMO): 2. Phase response curve 3. Phase angle 4. Tau Clinical Pearls Diagnosis of delayed phase sleep wake disorder starts with…

                    58 min

                  About The White Noise Podcast

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                  The aim of this sleep medicine podcast is to provide health care professionals who deal with sleep related issues with the most up to date clinical information when. We use expert interviews with…