Delayed Sleep Phase

When You Can’t Fall Asleep, Maybe it’s Your Clock That’s Broken

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CME Information

Learning Objectives:

After participating in this educational activity, participants should be better able to

  1. Recognize and diagnose delayed sleep phase disorder (DSPD) by taking a sleep history and using a sleep log if necessary
  2. Communicate with patients and educate them about the underlying nature of their unique circadian rhythm and disorder and what they need to do to remedy it
  3. Manage DSPD patients for treatment with melatonin, light and dark therapy, chronotherapy, and patient education

Delayed sleep phase disorder (DSPD) is the most common circadian rhythm sleep disorder and may be present in as many as 10% of adolescence though the numbers decline in older cohorts. It is under recognized, misdiagnosed as insomnia, and too often mistreated resulting in excessive daytime sleepiness,  social, work, and scholastic dysfunction, and even depression.

It is easily diagnosed with a focused sleep history and/or sleep log and usually can be successfully treated with a combination of patient education, melatonin, light and dark therapy, and occasionally chronotherapy.

Published on July 5, 2011