Abstract
This chapter presents a 59-year-old woman with delayed sleep wake phase disorder complicated by obstructive sleep apnea, parasomnias and higher than recommended doses of benzodiazepines. Historical features, diagnostic tools, and treatments are discussed. Though the prevalence of delayed sleep wake phase disorder may peak in adolescence at 4%, this disorder may persist into adulthood. Many of these adults have adapted to this sleeping pattern with jobs that allow them to sleep on a later schedule. Some of these adults, however, are distressed at missing much of the day. Like the patient described in this chapter, affected patients often present with complaints of sleep-onset insomnia with difficulty awakening in the morning making this circadian rhythm disorder difficult to distinguish from sleep onset insomnia in individuals with decades of counterproductive adaptations to their circadian rhythm disorder the desire of the patient to change becomes essential to therapeutic success.
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Culp, M.K., Luong, S.R., Carter, G.S. (2023). Complicated Delayed Sleep Wake Phase Disorder in a 59-Year-Old Woman. In: Khan, S.S., Khawaja, I.S. (eds) A Clinical Casebook of Sleep Disorders in Women. Springer, Cham. https://doi.org/10.1007/978-3-031-24200-7_9
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DOI: https://doi.org/10.1007/978-3-031-24200-7_9
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