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CONTINUING PROFESSIONAL DEVELOPMENT
COUNSELLING IN PRACTICE
Where can I find more information?
Examples of sources of information that may be helpful for those experiencing insomnia or taking antidepressants include the NPS MedicineWise,11 beyondblue,16 as well as from allied healthcare professionals (e.g. psychologist).13
Insomnia can be an exhausting experience, as can living with a mental illness.Patients who require extra home support while waiting for appointments with other allied healthcare professionals should be encouraged to contact crisis support services such as Lifeline Australia (Phone: 13 11 14) as and when required.13
KEY LEARNING POINTS
• Insomnia can be managed using non-pharmacological and pharmacological treatment options.
• Insomnia can be associated with other medical conditions and medicines.
• Optimising dosage times of SSRIs may reduce symptoms of insomnia.
• A holistic view of the person and their lifestyle may give insight into the best treatment options for insomnia.
References
1. Doghramji K. Insomnia and excessive daytime sleepiness (EDS). In: MSD manual. 2014. At: www.merckmanuals.com/professional/neurologic- disorders/sleep-and-wakefulness-disorders/insomnia-and-excessive-daytime- sleepiness-eds
2. Australasian Sleep Association. Insomnia. 2016. At: www.sleep.org.au/ professional-resources/health-professionals-information/insomnia
3. Insomnia [revised Jul 2013]. In: eTG complete. Melbourne: Therapeutic
Guidelines; 2016.
4. Allen C. Healthy sleep. Inpharmation 2015.
5. Sansom LN, ed. Australian pharmaceutical formulary and handbook. 23rd edn.
Canberra: Pharmaceutical Society of Australia; 2015.
6. Rossi S, ed. Australian medicines handbook. Adelaide: Australian Medicines
Handbook; 2016.
7. eMIMS cloud. Sydney: MIMS Australia; 2016.
8. Depression in adults [revised Feb 2015]. In: eTG complete. Melbourne:
Therapeutic Guidelines. 2015.
9. Better Health Channel. Sleep hyigene. 2014. At: www.betterhealth.vic.gov.au/
health/conditionsandtreatments/sleep-hygiene
10. Pharmaceutical Society of Australia. Sleeping problems Self Care fact card.
Canberra: PSA; 2014.
11. NPS MedicineWise. Sleep diary. 2010. At: www.nps.org.au/__data/assets/
pdf_file/0004/239476/Sleep-diary.pdf
12. NPS MedicineWise. Sleep right sleep tight: natural sleep before medicines
fact sheet. 2010; At: www.nps.org.au/__data/assets/pdf_file/0020/84341/
Factsheet__Sleep_Right_Sleep_Tight.pdf
13. Kitchener BA, Jorm AF, Kelly CM. Mental health first aid manual. 3rd edn.
Melbourne: Mental Health First Aid Australia; 2013.
14. Chellappa SL, Steiner R, Oelhafen P, et al. Acute exposure to evening blue-
enriched light impacts on human sleep. J Sleep Res 2013;22(5):573–80.
15. Bray K. Sleep aids and gadgets. Choice. 2015. At: www.choice.com.au/health-
and-body/conditions/trouble-sleeping/articles/sleep-gadgets-and-apps 16. beyondblue. The facts. 2016. At: www.beyondblue.org.au/the-facts
1
CPD CREDIT
GROUP 2
3. Selective serotonin re-uptake inhibitors (SSRIs):
a) Can cause insomnia as a common side effect.
b) Are not associated with sleep disturbance. c) Can be taken any time of day or night as
they have no impact on sleep.
d) Can be safely combined with St John’s
Wort to optimise sleep.
4. Sleep restriction involves:
a) Notsleepingfor3daysatalltogetback into a desired sleeping pattern.
b) Restrictingsleeptominimalhoursthen progressively increasing sleeping time.
c) Taking caffeine and other stimulants before bedtime to stay awake all night.
d) Sleepingduringthedayhoursinsteadof the usual night hours.
Western Australia
11 Provide Advanced First Aid – Subiaco
12 Provide Basic Emergency Life Support (CPR) – Subiaco
30 PSA Immunisation Training – Subiaco (Exclusive TerryWhite Chemmart)
31 PSA Immunisation Training – Subiaco
QUESTIONS
Each question has only one correct answer.
1. Which of the following statements is an example of sleep hygiene measures?
a) Watching TV if you can’t sleep at night.
b) Havingaglassofwineorbeerifyoucan’t
sleep.
c) Avoiding bright screens or light for several
hours before bedtime.
d) Staying in bed no matter how hard it is for
2. Which of the following statements is CORRECT about the use of over-the- counter (OTC) sedating antihistamines to assist sleep?
a) Doxylamine and diphenhydramine are appropriate to use continuously for long- term insomnia management.
b) First-line treatment of insomnia in the elderly is the use of doxylamine at night.
c) Sedating antihistamines should be avoided in those who also use sleep hygiene measures.
d) Continuoususeofsedatingantihistamines for more than 7–10 days is not recommended.
you to get to sleep.
Queensland
22 Provide Advanced First Aid – Brisbane
25 PSA Immunisation Workshop – Brisbane
31 PSA Immunisation Workshop – Sunshine Coast
Victoria
14 Vic Program of Study For Immunisers – Parkville
15 Vic Program of Study For Immunisers – Parkville
21 Vic Program of Study For Immunisers – Parkville
22 Vic Program of Study For Immunisers – Parkville
JANUARY 2017
CONTINUING EDUCATION EVENTS
Australian Pharmacist January 2017 I ©Pharmaceutical Society of Australia Ltd. 41
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