Instructions: Please write a response to the post below in 200 words. Please find something that stands out to you that you can elaborate on or use as a teaching method. Tell the writer something they did not mention in their post. Please use Gaskin, 2021 as a citation.
Hoolu, E., & Hergner, S. (2016). Childhood sleep terror and mirtazapine. Journal of Child and Adolescent Psychopharmacology, 26(6), 568. doi:http://dx.doi.org.tcsedsystem.idm.oclc.org/10.1089/cap.2016.0071
(Links to an external site.)
I found this weeks discussion interesting, as it talked about my favorite topic–sleep. By now, we all know that one-third of our life is spent sleeping. Gaskin (2021) described the various stages of sleep along with what occurs. For example, stage 1 is the transition between wakefulness and entering stages of sleep. Stage 2 is a light form of sleep from which a person is easily awakened (Gaskin, 2021). Such an individual can awake at the sound of their name or essentially something familiar. Though I do not know if this too may apply, an example of this is the transition between sleep and wakefulness. A sibling of a client I work with enjoys going outside to either go for a walk or run around the grass. Now my client and I were having a simple conversation where the term walk came up, to which his younger sibling opened his eyes, got up, and asked to go outside.
For this discussion, I chose to examine the DSM-5 parasomnia of sleep/night terrors. The DSM-5 indicates that the prevalence of Sleep terror disorder is unknown (American Psychiatric Association, 2013). However, sleep terrors occur in about 37% of children at 18 months and about 20% at age two and a half (Hoolu & Hergner, 2016). Sleep terror events last 1 to 10 minutes on average, and typically, only one event occurs per night and rarely occurs during naptime (APA, 2013). According to the DSM-5, sleep terrors are partial, abrupt awakening from a deep sleep during the first third of the night, or the first third of the major sleep episode, accompanied by inconsolable screaming and crying and autonomic arousal.
Hoolu and Hergner (2016) characterized sleep terror (ST) by intense fear, motor agitation, and screaming. The article discussed a 7-year-old boy who, after 1-2 hours of falling asleep he would scream, cry and vomit. While in the morning, I had no recollection as to what happened the following morning. The authors also stated that the young child was diagnosed with having ST and functional vomiting, and to help treat both, and he was given mirtazapine– an antidepressant. It is thought to positively affect communication between nerve cells in the central nervous system and/or restore chemical balance in the brain. On the childs hospital visit a month later, there were no complaints of ST, and vomiting improved completely. However, at the 6-month follow-up, he had only two episodes of ST and no episode of vomiting (Hoolu & Hergner, 2016). Based on this article, this had been the first case of ST that was responsive to mirtazapine.
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders. (5th Edition). Washington, DC.
Gaskin, S. (2021). Behavioral Neuroscience: Essentials and Beyond. Sage Publications, Inc.
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