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How to manage sleep disorders in the clinic – beyond sedation

jnnp · 2025-09-15 · canonical JSON source

23 visible annotations · policy: published · automated confidence ≥ 75.00%

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I work as a consultant neurologist within the Department of Neurology and Sleep Disorders Centre at Guy’s and St Thomas’ Hospitals, and at London Bridge Hospital, the Cromwell Hospital, and One Welbeck. I was clinical lead for the Sleep Disorders Centre, Guy’s Hospital, one of Europe’s largest sleep units, for over a decade. I am also Professor of Neurology and Sleep Medicine at the Institute of Psychiatry, Psychology and Neuroscience, King’s College London.I completed medical school at Magdalen College, Oxford, and Imperial College at St Mary’s. After general medical training, I went on to complete a PhD in the genetics of epilepsy and drug management at Imperial College London and the Wellcome Trust Sanger Institute, Cambridge. I undertook neurological training at Guy’s and St Thomas’, Charing Cross Hospital & the National Hospital for Neurology and Neurosurgery, Queen Square.After a fellowship in epilepsy and sleep medicine at St Thomas’ and Queen Square, I joined Guy’s and St Thomas’ as a consultant in 2010. I lecture regularly and have ongoing research interests in narcolepsy, epilepsy, sleepwalking, Kleine-Levin syndrome and restless legs syndrome. I have been or am currently principal investigator or collaborator in several multi-centre studies involving seizures, Alzheimer’s disease, Parkinson’s disease, narcolepsy, non-REM parasomnias, REM sleep behaviour disorder and insomnia.I also have an interest in public education. I am author of ‘The Nocturnal Brain – Nightmares, Neuroscience and the Secret World of Sleep’, and ‘The Man Who Tasted Words’. I have presented three series on BBC Radio 4 and BBC World Service, on neuroscience – ‘Mysteries of Sleep’, ‘The Senses’, on the neurology of our sensory world, and ‘Phantoms in the Brain’, on the links between physical and mental illness. I have also filmed ‘The Secrets of Sleep’ for Channel 4 Television, and co-presenter of the podcast series ‘Sleeping…with David Baddiel’, for Audible. I am recipient of the 2019 Ellison-CliffeSleep disorders are extremely common comorbidities in individuals with psychiatric or neurological disorders. However, their presence often complicates treatment, and can sometimes generate a range of symptoms that are frequently mistaken for other neuropsychiatric disorders.This talk aims to provide a pragmatic framework for the recognition and management of these sleep disorders, and highlight the intersection between sleep medicine and neuropsychiatry. Topics covered will include the management of insomnia, restless legs syndrome, narcolepsy, and Kleine-Levin syndrome, as well as discuss the interplay between OSA, cognition and psychological and neurological health.