In the video Leah provides an overview of how insomnia and tinnitus are considered in the context of VA disability. She explains that insomnia, defined by the DSM-5, is a mental health condition rated according to the schedule of mental health ratings, with specific diagnostic criteria including dissatisfaction with sleep quality and issues like difficulty in falling or staying asleep. Leah emphasizes the possibility of insomnia being service-connected directly if diagnosed during service or secondarily due to other conditions like tinnitus. She cites several studies highlighting the link between tinnitus and mental health issues in veterans. Finally, Leah briefly discusses the VA’s rating system for mental health disorders, which ranges from 0% for mild symptoms to 100% for total occupational and social impairment. She advises veterans to consult legal professionals for claim filing and strategy, and suggests discussing these issues with healthcare providers for potential support in claims.

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🟦 Website : https://prestigeveteranmctx.com/

About:

At Prestige Veteran Medical Consulting, a veteran-owned company, we specialize in Independent Medical Opinions (IMOs) known as Nexus letters.

The purpose of this channel is to empower YOU, the veteran, to take charge of your medical evidence and provide you with valuable educational tools and research to guide you on your journey.

Understanding the unique challenges veterans face our commitment lies in delivering exceptional service and support.
Leveraging an extensive network of licensed independent medical professionals, all well-versed in the medical professional aspects of the VA claims process, we review the necessary medical evidence to incorporate in our reports related to your VA Disability Claim.

Prestige Veteran Medical Consulting is not a law firm, accredited claims agent, or affiliated with the Veterans Administration or Veterans Services Organizations. However, we are happy to discuss your case with your accredited VA legal professional.

⚠️ DISCLAIMER
This video is not medical or legal advice and should not be substituted for advisement from your VSO, accredited agent, or Attorney.

#vadisability #va #veteransbenefits
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Do depressed people need to sleep more? It would seem so, but when a depressed person stays awake, their depression resolves. The problem is it’s very temporary until the person goes back to sleep. Researchers have found that you can prolong the effect of the improvement if you combine sleep deprivation with light therapy.

In this video I show you how to do wake therapy for depression. This therapy has been used for both unipolar and bipolar depression. Although with bipolar depression the studies used lithium therapy along with the sleep deprivation and light therapy. But if at anytime during the therapy you start showing signs of mania like racing thoughts, impulsivity, irritability, you should stop the therapy and call your doctor. The early manic signs may resolve right after stopping the therapy, or you may need an adjustment to your mood stabilizer to get the mania to settle down.

I have guide that you can download that gives step by step instructions. You can download it here: http://markspsychiatry.com/wake-therapy/

References
Khalifeh AH. The effect of chronotherapy on depressive symptoms. Evidence-based practice. Saudi Med J. 2017;38(5):457-464.

Boland EM. Et al. Meta-AnalysiIts of the Antidepressant Effects of Acute Sleep Deprivation. J Clin Psychiatry 2017;78(8):e1020–e1034

Wirz-Justice, A., Benedetti, F., Berger, M., Lam, R., Martiny, K., Terman, M., & Wu, J. (2005). Chronotherapeutics (light and wake therapy) in affective disorders. Psychological Medicine, 35(7), 939-944.

Horne JA. and O. Ostberg. A self-assessment questionnaire to determine morningness-eveningness in human circadian rhythms. Int J Chronobiol. 1976;4(2):97-110.

Martiny K, Refsgaard E, Lund V, et al. The day-to-day acute effect of wake therapy in patients with major depression using the HAM-D6 as primary outcome measure: results from a randomised controlled trial. PLoS One. 2013;8(6):e67264. Published 2013 Jun 28.

Benedetti F, Riccaboni R, Locatelli C, Poletti S, Dallaspezia S, Colombo C. Rapid treatment response of suicidal symptoms to lithium, sleep deprivation, and light therapy (chronotherapeutics) in drug-resistant bipolar depression. Journal of Clinical Psychiatry 2014;75:133-40.

Disclaimer: All of the information on this channel is for educational purposes and not intended to be specific/personal medical advice from me to you. Watching the videos or getting answers to comments/question, does not establish a doctor-patient relationship. If you have your own doctor, perhaps these videos can help prepare you for your discussion with your doctor.

I upload every Wednesday at 9am, and sometimes have extra videos in between. Subscribe to my channel so you don’t miss a video https://goo.gl/DFfT33

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Chapters

0:00 Introduction
0:50 causes of Hypersomnolence
1:42 symptoms of Hypersomnolence
2:34 diagnosis of Hypersomnolence
3:03 Treatment of Hypersomnolence

• Hypersomnolence is a condition where a person experiences significant and extended episodes of sleepiness, even after getting around 7 hours of good sleep.
• It causes excessive sleepiness and somnolence during the daytime, as well as hypersomnia.
• Often, hypersomnolence indicates the presence of another underlying condition.
• The condition can interfere with a person’s daily activities and can prove to be dangerous while driving.
• Symptoms of hypersomnolence typically arise when people are between 17 and 24 years old.
• The condition has to be treated quickly as otherwise, it can negatively affect a person for their entire life.
• Let’s look at hypersomnolence in detail and find out how you can deal with it:
Causes
• The exact cause of hypersomnolence is not currently known, with experts continuing research into how changes in the brain could be responsible.
• An increase in brain chemicals that cause sleepiness is generally believed to be responsible for the condition.
• The key chemical here is y-aminobutyric acid (GABA), which is also present in sedatives.
• Further risk factors associated with hypersomnolence are:
1. Family history of hypersomnolence
2. Excessive stress
3. Excessive alcohol consumption
4. History of viral infection
5. History of head trauma
6. History of depression, bipolar disorder, substance abuse, Parkinson’s disease, or Alzheimer’s disease
Symptoms
• Excessive sleepiness or sleeping is the primary symptom of hypersomnolence.
• You will tend to feel sleepy even if you get around 7 hours of sleep daily.
• Other symptoms you might experience are:
1. Napping to deal with the sleepiness not working
2. Unknowingly falling asleep several times during a day
3. Finding it difficult to wake up
4. Not feeling rested even after 9 hours of sleep
5. Feeling aggressive or confused after waking up
• Symptoms of hypersomnolence are similar to another sleeping disorder known as narcolepsy.
• However, bouts of sleepiness caused by narcolepsy tend to show up suddenly – whereas they occur more gradually in hypersomnolence.
Diagnosis
• A hypersomnolence diagnosis starts by testing for other sleep disorders.
• All other disorders are ruled out before settling on hypersomnolence as the condition causes excessive sleeping in a patient.
• A doctor will review your medical history, any medication you are taking, your sleep and work environment, and carry out a sleep study.
• All of this will help them categorically rule out other sleep disorders and confirm a hypersomnolence diagnosis.
Treatment
• Hypersomnolence is treated with stimulants, such as:
1. Methylphenidate
2. Amphetamine
3. Modafinil
• Along with this, you might have to take other medications, such as antidepressants, levodopa, clonidine, and bromocriptine.
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“IH and Disability: What You Need to Know” – Anjel Burgess, a disability attorney, discusses her work advising clients, including idiopathic hypersomnia patients, on their rights and obligations with respect to long-term disability.

Attorney Anjel Burgess boasts impressive academic credentials and has developed a wealth of knowledge in the area of disability law. Attorney Anjel Burgess received her BA from North Carolina State University, an MA from the University of South Florida and her JD from Georgia State University. Prior to joining Burgess & Christensen, Attorney Burgess practiced civil litigation with an emphasis on insurance defense. Known for her excellence in representation, Attorney Burgess specializes in the areas of Social Security Disability Law for adults and children, Veterans Disability and Guardianships.

Attorney Burgess has been the featured speaker for several organizations, support groups, and the local bar association. She serves on the Board of Directors for PLAN of Georgia, an organization devoted to optimizing life for adults with mental illness and developmental disabilities. She is also a member of the Georgia & Cobb County Bar Associations, the National Organization of Social Security Claimant’s Representatives (NOSSCR) and the National Organization of Veterans’ Advocates (NOVA).

Get the PPP slides and all our videos and podcasts here: https://www.hypersomniafoundation.org/videos/.

If this video is helpful to you, please consider donating to HF. Your donation makes these resources possible! https://www.hypersomniafoundation.org/donate.
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