A clinician’s guide to recurrent isolated sleep paralysis

Brian A Sharpless Clinical Psychology Program, American School of Professional Psychology at Argosy University, Washington DC, Arlington, VA, USA Abstract: This review summarizes the empirical and clinical literature on sleep paralysis most relevant to practitioners. During episodes of sleep paralys...

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Autor principal:	Sharpless BA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	sleep paralysis isolated sleep paralysis recurrent isolated sleep paralysis parasomnia sleep-wake disorders narcolepsy Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/bec34b6a822542f898835a4ac32ba0ce
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spelling	oai:doaj.org-article:bec34b6a822542f898835a4ac32ba0ce2021-12-02T03:21:09ZA clinician’s guide to recurrent isolated sleep paralysis1178-2021https://doaj.org/article/bec34b6a822542f898835a4ac32ba0ce2016-07-01T00:00:00Zhttps://www.dovepress.com/a-clinicianrsquos-guide-to-recurrent-isolated-sleep-paralysis-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Brian A Sharpless Clinical Psychology Program, American School of Professional Psychology at Argosy University, Washington DC, Arlington, VA, USA Abstract: This review summarizes the empirical and clinical literature on sleep paralysis most relevant to practitioners. During episodes of sleep paralysis, the sufferer awakens to rapid eye movement sleep-based atonia combined with conscious awareness. This is usually a frightening event often accompanied by vivid, waking dreams (ie, hallucinations). When sleep paralysis occurs independently of narcolepsy and other medical conditions, it is termed “isolated” sleep paralysis. Although the more specific diagnostic syndrome of “recurrent isolated sleep paralysis” is a recognized sleep–wake disorder, it is not widely known to nonsleep specialists. This is likely due to the unusual nature of the condition, patient reluctance to disclose episodes for fear of embarrassment, and a lack of training during medical residencies and graduate education. In fact, a growing literature base has accrued on the prevalence, risk factors, and clinical impact of this condition, and a number of assessment instruments are currently available in both self-report and interview formats. After discussing these and providing suggestions for accurate diagnosis, differential diagnosis, and patient selection, the available treatment options are discussed. These consist of both pharmacological and psychotherapeutic interventions which, although promising, require more empirical support and larger, well-controlled trials.Keywords: sleep disorder, rapid eye movement, hallucinations, parasomnia, sleep–wake disorders, narcolepsySharpless BADove Medical Pressarticlesleep paralysisisolated sleep paralysisrecurrent isolated sleep paralysisparasomniasleep-wake disordersnarcolepsyNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2016, Iss Issue 1, Pp 1761-1767 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	sleep paralysis isolated sleep paralysis recurrent isolated sleep paralysis parasomnia sleep-wake disorders narcolepsy Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	sleep paralysis isolated sleep paralysis recurrent isolated sleep paralysis parasomnia sleep-wake disorders narcolepsy Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Sharpless BA A clinician’s guide to recurrent isolated sleep paralysis
description	Brian A Sharpless Clinical Psychology Program, American School of Professional Psychology at Argosy University, Washington DC, Arlington, VA, USA Abstract: This review summarizes the empirical and clinical literature on sleep paralysis most relevant to practitioners. During episodes of sleep paralysis, the sufferer awakens to rapid eye movement sleep-based atonia combined with conscious awareness. This is usually a frightening event often accompanied by vivid, waking dreams (ie, hallucinations). When sleep paralysis occurs independently of narcolepsy and other medical conditions, it is termed “isolated” sleep paralysis. Although the more specific diagnostic syndrome of “recurrent isolated sleep paralysis” is a recognized sleep–wake disorder, it is not widely known to nonsleep specialists. This is likely due to the unusual nature of the condition, patient reluctance to disclose episodes for fear of embarrassment, and a lack of training during medical residencies and graduate education. In fact, a growing literature base has accrued on the prevalence, risk factors, and clinical impact of this condition, and a number of assessment instruments are currently available in both self-report and interview formats. After discussing these and providing suggestions for accurate diagnosis, differential diagnosis, and patient selection, the available treatment options are discussed. These consist of both pharmacological and psychotherapeutic interventions which, although promising, require more empirical support and larger, well-controlled trials.Keywords: sleep disorder, rapid eye movement, hallucinations, parasomnia, sleep–wake disorders, narcolepsy
format	article
author	Sharpless BA
author_facet	Sharpless BA
author_sort	Sharpless BA
title	A clinician’s guide to recurrent isolated sleep paralysis
title_short	A clinician’s guide to recurrent isolated sleep paralysis
title_full	A clinician’s guide to recurrent isolated sleep paralysis
title_fullStr	A clinician’s guide to recurrent isolated sleep paralysis
title_full_unstemmed	A clinician’s guide to recurrent isolated sleep paralysis
title_sort	clinician’s guide to recurrent isolated sleep paralysis
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/bec34b6a822542f898835a4ac32ba0ce
work_keys_str_mv	AT sharplessba aclinicianrsquosguidetorecurrentisolatedsleepparalysis AT sharplessba clinicianrsquosguidetorecurrentisolatedsleepparalysis
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A clinician&rsquo;s guide to recurrent isolated sleep paralysis

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A clinician’s guide to recurrent isolated sleep paralysis