Psych Congress Family & Friends Podcast, Episode 7: Sleep is the Foundation of Mental Health

Sleep–wake disorders are common, clinically significant, and too often overlooked in psychiatric practice. In this episode, Drs. Rakesh Jain and Craig Chepke share practical strategies for recognizing and treating conditions such as insomnia, hypersomnia, and obstructive sleep apnea. They review key screening tools, pharmacologic options, and emerging therapeutics like orexin agonists, while underscoring why psychiatrists must take an active role in managing sleep. This is a clinically rich discussion that connects evidence-based knowledge with day-to-day patient care.

Episode Highlights:

• The APA’s guidance on routinely screening all psychiatric patients for sleep–wake disorders
• Why a simple “How are you sleeping?” isn’t enough — more effective questions to ask in practice
• Using the Epworth Sleepiness Scale and STOP-BANG questionnaire to guide clinical decision-making
• The strong link between obstructive sleep apnea and psychiatric disorders including depression, PTSD, bipolar disorder, and ADHD
• Clinical strategies for managing residual excessive daytime sleepiness when airway therapies fall short
• FDA-approved pharmacologic options for excessive daytime sleepiness due to obstructive sleep apnea
• Emerging treatments for narcolepsy and idiopathic hypersomnia, including orexin agonists now in late-stage development
• Why psychiatrists must take responsibility for diagnosing and treating sleep–wake disorders rather than defaulting to specialists

Rakesh Jain, MD, MPH, attended medical school at the University of Calcutta in India. He then attended graduate school at the University of Texas School of Public Health in Houston, where he was awarded a “National Institute/Center for Disease Control Competitive Traineeship”. His research thesis focused on impact of substance abuse. He graduated from the School of Public Health in 1987 with a Masters of Public Health (MPH) degree.

Dr Jain served a 3-year residency in Psychiatry at the Department of Psychiatry and Behavioral Sciences at the University of Texas Medical School at Houston. He followed that by obtaining further specialty training, by undergoing a two-year fellowship in Child and Adolescent Psychiatry. In addition, Dr Jain completed a postdoctoral fellowship in Research Psychiatry at the University of Texas Mental Sciences Institute, in Houston. He was awarded the “National Research Service Award” for the support of this postdoctoral fellowship.

Craig Chepke, MD, DFAPA, is a Board-Certified psychiatrist in clinical practice as the medical director of Excel Psychiatric Associates in Huntersville, NC, and is an Adjunct Associate Professor of Psychiatry for the Sandra and Leon Levine Psychiatry Residency Program at Atrium Health. He attended NYU School of Medicine and completed his psychiatry training at Duke University. As part of an interdisciplinary treatment team in his practice, he employs a person-centered care model to tailor treatments to each individual's needs, integrating traditional pharmacotherapy with psychotherapeutic and physical health and wellness interventions. His clinical and academic interests include serious mental illness, movement disorders, ADHD, and sleep medicine. Dr Chepke is the Scientific Director for the Psych Congress portfolio of CME conferences, and he has been recognized as a Distinguished Fellow of the American Psychiatric Association.