Which specialist consultations are beneficial to women with sleep dysfunction?

Updated: Jan 31, 2019
  • Author: Gila Hertz, PhD, ABSM; Chief Editor: Selim R Benbadis, MD  more...
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Answer

Because of the multidisciplinary nature of sleep disorders, consultation with various specialists often is needed, including the following:

  • Psychiatrist - A psychiatric consultation often is needed when severe insomnia does not respond to behavioral treatment

  • Behavioral sleep specialist (board-certified in behavioral sleep medicine) - This is typically a psychologist trained in behavioral therapy for insomnia

  • Neurologist - In the differential diagnosis of parasomnias (eg, sleep terror, sleepwalking, REM sleep behavior disorder), consultation with a neurologist often is needed to rule out sleep-related seizure disorders

  • Pulmonologist - SDB is suspected in the presence of loud snoring and daytime sleepiness; occasionally, a pulmonologist is consulted to rule out related respiratory disease such as alveolar hypoventilation syndrome

  • Dentist - For patients who are unable to tolerate nasal CPAP, oral appliances may prove effective in the treatment of SDB


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