I find myself not infrequently suggesting a sleep study these days.
Good for you, but I am a little concerned about using the term "not infrequently". It seems to me this indicates a shyness about making recommendations for sleep studies.
Comprehensive education on medical conditions that can cause mental health symptoms is not part of most mental health professionals' formal training
Now there is the crux of the problem. Licensed professionals tend to do what they are trained to do and in this case there is no training.
I had a discussion some time ago with an MD friend about an acquaintance of mine who spent a year with a therapist with things only getting worse. After I insisted she get a sleep study, she was found to have severe OSA and after starting CPAP improved dramatically and stopped seeing the therapist.
I told the MD it was very disappointing that the therapist wasted a year. To my surprise and shock the MD told me his wife was a therapist. And quickly added that she would have made the same mistake because that is the way therapists are trained.
This problem is not confined to therapists. Most GPs are clueless.
VVV, I also think Robin should have undergone a sleep study. In addition to apnea there are many other things that could have been detected. We will probably never know.
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