DrLullaby

Wearables - do you wear one? Sleep clinicians have come a long way since being incredibly skeptical with Fitbit's initial popularity in 2009 - when patients first started showing up in our clinic with wearable printouts - to present day where groups like ours are actually integrating wearable findings into clinical practice. We are now seeing strong validity - especially with Fitbit, Oura and Withings - and especially with total sleep time and light sleep - when comparing wearable data to PSG. Wake after sleep onset continues to be the toughest data point for wearables to get accurate. Nonetheless, we are seeing impressive updates in tech on improved accuracy in several key metrics. See a graph from a nice peer-reviewed 2024 publication in the comments, and take a look at my summary in the article. Withings Fitbit (now part of Google) Fitbit Health Solutions EMEA Fitbit health ōURA DrLullaby

Do you, or your loved ones take a sleeping pill? You’re certainly not alone. Use of sleeping pills are sadly on the rise, and in my opinion, mirroring many of the opioid crisis elements. Prevalence of US patients taking sleeping pills: 2005-2010: 4% 2020: 8% 2023: 19% In looking back to the first publications in the 1800’s on insomnia, the treatment focus was on choral hydrate. This old-school benzodiazepine was found to be unsafe and effectively banned (!) for outpatient use due to side effects and dependency issues. What will people say about the current benzo’s used for sleep, years from now? Will we look back and say “I can’t believe such heavy medications were taken by such a large portion of the population”? How many incidents of senior falls, addiction, sleep driving, and cognitive challenges do we need to see before prioritizing the actual first-line treatment for insomnia - Cognitive Behavioral Treatment for Insomnia? One day at a time, I’ll keep getting on my soap box, and reminding everyone that the American College of Physicians, and American Academy of Sleep Medicine continue to recommend CBT-I before sleeping pills should be considered.

Our team has been swamped this week with exacerbations and relapses of insomnia. DrLullaby is seeing a combination of fearing the “uncertainty of the future”, agitation about the “other side”’s perspective, and worry thoughts filling in “what if” blanks contribute to increased sleep challenges at this time. We utilize a combination of CBT-I interventions - improving control over the mind racing and elevated emotions, combined with more firm boundaries on cut-off times from triggering phone calls, texts, social media and news - especially the hour before bedtime. Customized treatment from Behavioral Sleep Medicine specialists not only involves addresssing comorbidities and “unique person” components, but also knowing when our patient population typically experiences exacerbations and relapse. #insomniatreatment #sleepboundaries #electionsleep

I had a patient once say to me, "How do they expect me to wear CPAP when I can't sleep"? 29%–83% of OSA patients use CPAP for fewer than the minimum recommended 4 h per night. 27% and 85%?of patients with sleep apnea, also have insomnia. This paper does a beautiful job of highlighting the solve - my team at DrLullaby knows this well - when we treat the insomnia, patients wear CPAP more! Since I was an RPSGT (sleep technician) before turning into a DBSM (insomnia specialist), it's incredible to see the progress in masks and equipment available for patients. That said, sometimes our patients are our best teachers - how can we get them to wear CPAP to sleep, if they aren't even sleeping !! #comisa #behavioralsleepmedicine #societyforbehavioralsleepmedicine #cpap https://lnkd.in/e6fxFF4a

Board of Behavioral Sleep Medicine is not just CBT-I, it's way more!

GLP-1 drugs and sleep!

DrLullaby is hosting Remote Patient Monitoring with Cognitive Behavioral Treatment for Insomnia. Make sure to attend it on September 5 at 12:00 PM EST.

Remote Patient Monitoring Alongside Cognitive Behavioral Treatment for Insomnia (CBT-I) - Insurance Covered Services Webinar! If your patients could benefit from Cognitive Behavioral Treatment for Insomnia (CBT-I) paired with objective progress tracking through Remote Patient Monitoring, join our upcoming webinar presented by DrLullaby and Sleepiz AG! Discover how these services, covered by insurance, can be seamlessly integrated into your practice. Who Should Attend? - Clinicians in Sleep Medicine/Sleep Disorders Centers: MDs, DOs, PAs, NPs, APNs - Sleep Clinic Support Staff: MAs Webinar Aims: 1. Review the current options for collecting data on insomnia and behavioral cases. 2. Describe the use cases for Remote Patient Monitoring. 3. Discuss ongoing needs for Behavioral Sleep Medicine support in Sleep Disorders Centers. Register now to learn how to enhance patient outcomes with cutting-edge techniques and support.