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Sleep Disorders: Sleep and Psychiatric Disorders

Sleep and psychiatric disorders such as schizophrenia and depression are closely related. Psychiatric disorders are the leading cause of insomnia, the inability to sleep. In addition to insomnia, people with psychiatric disorders have other sleep problems, including sleepiness during the day, fatigue and nightmares.

Lack of sleep can also cause psychiatric problems such as paranoia and hallucinations. Difficulties with sleep can make psychiatric disorders worse by making the person confused or frustrated, as well as more sensitive to pain and other medical problems.

People who are depressed have a tendency to wake up early, and then cannot fall asleep again. This can make their depression worse, since the amount of sleep a person gets has an effect on his or her illness. People who don't have a psychiatric illness but suffer from insomnia are more likely to develop a disorder like depression later in their life.

Insomnia can also have a negative impact on treatment of psychiatric disorders. The treatment itself can cause sleep problems; for instance, some medications used to treat these disorders have side effects that can make it difficult for patients to fall or stay asleep.

It's important for people who have a psychiatric disorder to work closely with their doctor for a proper diagnosis and treatment that will allow them to get the sleep they need.

Sleep Disorders:
Sleep and Psychiatric Disorders

There is no evidence that sleep disorders are a cause of psychiatric disorders.  But sleep and psychiatric disorders such as schizophrenia and depression are closely related. Psychiatric disorders are the leading cause of insomnia, the inability to sleep. In addition to insomnia, people with psychiatric disorders have other sleep problems, including sleepiness during the day, fatigue and nightmares.

Difficulties with sleep can make psychiatric disorders worse by making the person confused or frustrated, as well as more sensitive to pain and other medical problems.

People who are depressed have a tendency to wake up early, and then cannot fall asleep again. This can make their depression worse, since the amount of sleep a person gets has an effect on his or her illness. People who don't have a psychiatric illness but suffer from insomnia are more likely to develop a disorder like depression later in their life.

Insomnia can also have a negative impact on treatment of psychiatric disorders. The treatment itself can cause sleep problems; for instance, some medications used to treat these disorders have side effects that can make it difficult for patients to fall or stay asleep.

It's important for people who have a psychiatric disorder to work closely with their doctor for a proper diagnosis and treatment that will allow them to get the sleep they need.

WebMD Medical Reference provided in collaboration with the Cleveland Clinic

Edited by Leonard J. Sonne, MD on January 01, 2007
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TOPAMAX is approved for migraine prevention in adults only.
TOPAMAX is not used to stop a migraine after it starts.

IMPORTANT SAFETY INFORMATION

Serious risks associated with TOPAMAX include lowered bicarbonate levels in the blood resulting in an increase in the acidity of the blood (metabolic acidosis). Symptoms could include hyperventilation (rapid, deep breathing), tiredness, loss of appetite, irregular heartbeat or changes in the level of alertness. Call your doctor immediately if you get these symptoms. Your doctor may want to do simple blood tests. Chronic, untreated metabolic acidosis may increase the risk for kidney stones or bone disease.

Other serious risks include decreased sweating, increased body temperature, kidney stones, sleepiness, dizziness, confusion, difficulty concentrating, and increased eye pressure (glaucoma). Call your doctor immediately if you have any decrease in vision or eye pain. These problems can lead to blindness if not treated right away.

More common side effects are tingling in arms and legs, loss of appetite, tiredness, nausea, diarrhea, taste change and weight loss.

Tell your doctor about other medications you take. Please see full U.S. Prescribing Information.

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