Psychological Approaches for Improving OAT Outcomes-Psychological Approaches for Improving OAT Outcomes Lecture

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Video Summary

Dr. Baghero, a clinical psychologist specializing in orofacial pain and dental sleep medicine, explains the vital role of health psychology in dental sleep clinics. She differentiates health psychologists from other mental health providers, highlighting their specialized training in the biological, psychological, and social factors affecting health. Psychologists address common comorbidities in sleep patients, such as insomnia, anxiety, depression, clenching, and chronic pain, which can impact sleep disorder treatment compliance and outcomes.<br /><br />Dr. Baghero emphasizes cognitive behavioral therapy for insomnia (CBTI) as the first-line treatment, showing high effectiveness in improving sleep and reducing pain in patients with comorbid conditions. Due to workforce limitations, an abbreviated form called Brief Behavioral Therapy for Insomnia (BBTI) is also effective and can be delivered by non-mental health providers with appropriate training. Psychological interventions also improve CPAP tolerance and oral appliance compliance through relaxation techniques and physical self-regulation exercises targeting parafunctional habits like clenching.<br /><br />She urges dental sleep practitioners to screen for insomnia and psychological factors as part of their evaluation, recommending validated tools like the Insomnia Severity Index. Knowing one's referral network of psychologists or trained therapists is crucial for patients who do not respond to initial treatments or exhibit complex symptoms. Telehealth and interstate licensure expansion have increased access to psychological care.<br /><br />Motivational interviewing helps improve patient adherence to dental sleep devices by uncovering personal motivations. Dr. Baghero offers to provide training resources and referral guidance and stresses collaboration with mental health professionals for screening and management of complex cases. Overall, integrated psychological care enhances dental sleep medicine outcomes and patient quality of life.

Keywords

health psychology

dental sleep medicine

orofacial pain

cognitive behavioral therapy for insomnia

CBTI

Brief Behavioral Therapy for Insomnia

sleep disorder comorbidities

psychological interventions

CPAP tolerance

motivational interviewing