Page 30 - Complementary and Alternative Medicine Treatments in Psychiatry

30 | Complementary and Alternative Medicine Treatments in Psychiatry

manifestations, is overrepresented amongst psychiatric patients,
the diagnosis of subclinical or clinical hypothyroidism must be
considered in every patient with depression. This is particularly
critical in settings, such as outpatient clinics and non-MD
therapist offices where medical exams and lab testing are less
likely to occur.
Hyperthyroidism, though less common, should also be
suspected when a patient presents with chronic anxiety,
irritability, and other symptoms of this condition.

Sleep Disorders
One of the critical elements of good mental and physical health
is sufficient, quality sleep, as is discussed in detail in Chapter
Three. Common hidden parasites on sound sleep are obstructive
sleep apnea (OSA), restless leg syndrome, and other sleep
disorders.
OSA is characterized by heavy snoring and a continuous
disruption of breathing during slumber resulting in poor sleep
quality. Psychiatric symptoms include:
− Poor memory and concentration
− Changes in personality
− Depression (Schwartz 2007)
The American College of Physicians claims OSA:
− Occurs in about 4–9% of middle-aged men.
− Occurs in about 2–4% of middle-aged women.
− Goes undiagnosed in about 80–90% of those who have it.

Given that obesity is one of the most common contributors to
OSA, and that obesity is a common side effect of psychiatric
medication, OSA is not only likely overrepresented in psychiatric
populations, but may exacerbate existing psychiatric conditions,
thus retarding or preventing recovery for some.
OSA is simple to diagnose through a sleep study and is
considered highly treatable through lifestyle changes, weight
loss, avoidance of evening alcohol, and/or use of a CPAP