NICE in the UK issues recommendation for Sleepio app, the digital cognitive behavioural therapy for insomnia by Big Health
Sleepio becomes first digital therapeutic to receive NICE guidance (MobiHealthNews): The National Institute for Health and Care Excellence (NICE) has recommended the Sleepio app as an effective alternative to sleeping pills. In its guidance, NICE states the app, created by digital therapeutics (DTx) firm Big Health, is a safe and effective treatment for people suffering from insomnia. … The Sleepio app uses an artificial intelligence (AI) algorithm to provide people with tailored digital cognitive behavioural therapy for insomnia (CBT‑I). Jeanette Kusel, acting director for med tech and digital, NICE, said: “Our rigo...
Source: SharpBrains - May 24, 2022 Category: Neuroscience Authors: SharpBrains Tags: Brain/ Mental Health Technology & Innovation cognitive behavioural therapy cognitive behavioural therapy for insomnia digital cognitive behavioural therapy insomnia symptoms National Institute for Health and Care Excellence NICE Sleepio Source Type: blogs

Doctor, why don ’t you care?
“Doctor, why don’t you remember when I was last hospitalized? I told you about that two months ago. You obviously don’t care if you can’t remember. Is all of psychiatry like this? Maybe I need to see someone else. Why won’t you prescribe Ambien for my insomnia during pregnancy along with all the other medicationsRead more …Doctor, why don’t you care? originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 26, 2022 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/post-author/anne-m-miller" rel="tag" > Anne M. Miller, DO < /a > < /span > Tags: Physician Psychiatry Source Type: blogs

If cannabis becomes a problem: How to manage withdrawal
This study is a meta-analysis — a study which includes many studies that are deemed similar enough to lump together, in order to increase the numerical power of the study and, ideally, the strength of the conclusions. The authors included studies that go all the way back to the mid-1990s — a time when cannabis was illegal in the US, different in potency, and when there was no choice or control over strains or cannabinoid compositions, as there is now. One of the studies in the meta-analysis included “cannabis dependent inpatients” in a German psychiatric hospital in which 118 patients were being detoxified from can...
Source: Harvard Health Blog - May 26, 2020 Category: Consumer Health News Authors: Peter Grinspoon, MD Tags: Addiction Marijuana Mental Health Source Type: blogs

Sleep driving and other unusual practices during sleep
Most people have talked or walked during sleep at some time in our lives. However, some people exhibit more unusual complex behaviors while asleep, including eating and driving. These types of behaviors, called parasomnias, come about when parts of our brain are asleep and other parts awake at the same time. Parasomnias, while generally considered normal in a healthy child, can be a cause for concern when they develop in adults. Earlier this year the FDA issued a “black box” warning for the sleep medications eszopiclone, zaleplon, and zolpidem, given reports of sleep behaviors that resulted in injuries from falls, car ...
Source: Harvard Health Blog - September 16, 2019 Category: Consumer Health News Authors: Suzanne Bertisch, MD, MPH Tags: Fatigue Sleep Source Type: blogs

Can digital Cognitive Behavioral Therapy (CBTi) become the universal first-line treatment for insomnia?
__________ Pear Therapeutics’ digital insomnia therapeutic will put FDA’s PreCert framework through its paces (MobiHealthNews): “Prescription digital therapeutics company Pear Therapeutics announced late last week that it has filed an FDA marketing authorization for Somryst, its digital cognitive behavioral therapy for the treatment of adults with chronic insomnia and depression. While an approval from the agency would mark the third authorized prescription digital therapeutic for Pear — behind reSET for substance use disorder and reSET-O for opioid use disorder — the Somryst application is also the first product...
Source: SharpBrains - August 13, 2019 Category: Neuroscience Authors: SharpBrains Tags: Cognitive Neuroscience Health & Wellness Technology CBT CBTi chronic insomnia cognitive-behavioral-therapy depression digital cognitive behavioral therapy digital therapeutics FDA Pear Therapeutics pharmacotherapies Precertificat Source Type: blogs

Zeev Neuwirth Reframes Primary Care …Brilliantly
By AL LEWIS I would urge THCB-ers to read Reframing Healthcare by Dr. Zeev Neuwirth. While much of the territory he covers will be familiar to those of us with an interest in healthcare reform (meaning just about everyone reading this blog), Chapter 5 breaks new ground in the field of primary care. Primary care is perhaps the sorest spot in healthcare, the sorest of industries. Primary care providers (PCPs) are underpaid, dissatisfied, and in short supply. (The supply issue could be solved in part if employers didn’t pay employees bonuses to get useless annual checkups or fine them if they don’t, of course.) ...
Source: The Health Care Blog - July 22, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Medical Practice Physicians Al Lewis primary care primary care physicians Reframing Healthcare Source Type: blogs

Here ’ s Why Your ’ s & Elon Musk ’ s Lack of Sleep is Bad
If you wonder what lack of sleep looks like, look no further than Elon Musk’s erratic behavior over the past few months. From believing that he alone had the time and unique resources to save the Thai boys trapped in a cave to prematurely tweeting that he had “funding secured” (when he didn’t) for a private buyout of Tesla, his embattled electric car company, Musk has shown a troubling pattern of ignoring his own self-care. So what does lack of sleep look like, and why is it so bad? Let’s take a look. Sleep is vital to our body’s functioning, our mental and cognitive abilities, and our ...
Source: World of Psychology - August 24, 2018 Category: Psychiatry & Psychology Authors: John M. Grohol, Psy.D. Tags: General Industrial and Workplace Psychology Research Sleep Stress ambien use Elon Musk Good Sleep Sleep Habits tesla Source Type: blogs

Depression: Common medication side effect?
This study is especially thought-provoking, given that more and more people are taking medications with depression or suicidal thoughts as possible side effects. The CDC just released updated data showing a troubling recent rise in suicide rates, and that 54% of those who die from suicide do not have a known mental health disorder, so this is an important public health issue. That said, it is important to note: in this study, people who used these medications were more likely to be widowed and have chronic health problems, both of which are associated with a higher risk of depression. And many (but not all) of these medica...
Source: Harvard Health Blog - July 16, 2018 Category: Consumer Health News Authors: Monique Tello, MD, MPH Tags: Anxiety and Depression Drugs and Supplements Health Source Type: blogs

Assessing problems with sleep and pain – ii
Last week I wrote about my approach to assessing sleep problems in those with persistent pain. As an ex-insomniac I’ve spent a while learning about sleep so I can understand what’s going on, and why sleep can be such a problem. In this week’s post I want to dig a little deeper into what’s going on with poor sleep, as well as some of the unique features of sleep in people experiencing persistent pain. Having reviewed the five main areas that are fundamental (and can/should be assessed by anyone working with people who experience persistent pain), the next area I want to look at with people is mood. T...
Source: HealthSkills Weblog - June 17, 2018 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Assessment Chronic pain Clinical reasoning Health Pain conditions Research biopsychosocial coping disability function pain management treatment Source Type: blogs

Might Depression Be Linked to One of These Popular Medications?
If you’re taking beta blockers, certain kinds of anxiety drugs, certain types of painkillers (including ibuprofen), proton pump inhibitors (PPIs) (used to treat acid reflux), ACE inhibitors (used to treat high blood pressure), or anti-convulsant drugs, you may be at greater risk for depression. That’s according to a new, large-scale study published earlier this week in JAMA. However, this was a correlational study, so it can’t say that these medications actually cause depression or not. It may be that people with greater health problems are more likely to take one of these medications and be depressed abo...
Source: World of Psychology - June 15, 2018 Category: Psychiatry & Psychology Authors: John M. Grohol, Psy.D. Tags: Depression General Medications Psychiatry Research Drugs cause depression popular medications Source Type: blogs

Can Mental Health Conditions and Medications Be Blamed for Racist Comments?
Here is a controversial question: What do you think of people using mental health diagnoses, medications or other substances as a rationale for making racist or otherwise hateful statements or endorsing violent action? If someone has underlying beliefs that emerge when under the influence, it doesn’t let them off the hook. Perhaps substances diminish inhibitions, but they are not a free pass to spew vitriol. It is like Flip Wilson’s famous line, “The devil made me do it.”  How can we, as a society, get people to accept responsibility for prejudice? Amidst a media storm, comedian Roseanne Barr’s ...
Source: World of Psychology - June 5, 2018 Category: Psychiatry & Psychology Authors: Edie Weinstein, MSW, LSW Tags: Ethics & Morality Personal Technology Violence and Aggression Source Type: blogs

Sleep Medications for Alzheimer's and Dementia Patients
I often have family caregivers request medications to help people living with Alzheimer's and related dementia to sleep.By Rita JablonskiAlzheimer's Reading RoomMedications have their place in Alzheimer's care, but only AFTER all of the suggestions listed below have been followed.It may seem exhausting to the caregiver to have to engage in all of these activities; but, the resultscould lessen exhaustion, frustration, and stress in a manner of days.Subscribe to the Alzheimer's Reading - This is a Free Service - Join NowRule Out Physical Problems FirstThere are many medical conditions that contribute to problems sleeping.Som...
Source: Alzheimer's Reading Room, The - February 19, 2018 Category: Neurology Tags: alzheimers dementia connect alzheimers sleep alzheimers symptoms alzheimers treatment care of dementia patients dementia sleep not sleeping sleep medication Source Type: blogs

What can you do? 6 Ways to Solve Problems with Sleep
Statistics indicate as many as 24 percent of Alzheimer's patients wake up caregivers at night and have trouble sleeping.By Bob DeMarcoAlzheimer's Reading RoomRecently I received several emails about sleeping problems.Specifically, about Alzheimer's patients staying up at night, or Alzheimer's patients waking up the caregiver at night.Some doctors recommend antipsychotic medications for this problem.This is completely inappropriate and should be avoided. See -Antipsychotic Medications Linked to Increased Risk of Pneumonia in Alzheimer ’s Patients.Sleep Medications for Alzheimer's and Dementia PatientsStatistics indicate a...
Source: Alzheimer's Reading Room, The - February 19, 2018 Category: Neurology Tags: alzheimer's care Alzheimer's Dementia alzheimer's sleep dementia care dementia help for caregivers family caregiving help alzheimer's help with dementia care memory care Source Type: blogs

Wellbeing: The Interdependencies of the Body, Mind & Spirit
By JIM PURCELL In 1891, Dr. Luther Gulick proposed a red triangle as the YMCA symbol. In his words, the equal sides of the triangle stood for “man’s essential unity– body, mind and spirit– each being a necessary and eternal part of man, being neither one alone but all three.” True then, and equally true today, it highlights what is missing from most traditional approaches to wellness–the mental, emotional, and spiritual components. Hardly surprising given the remarkable resistance mental illness treatments encounter. The term “mental illness” usually refers to recognized mental illnesses in acco...
Source: The Health Care Blog - February 27, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs