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Addictive Substances and Sleep: How Alcohol, Opioids, and Cannabis Impact Sleep

Activity Type:

  • On Demand

Release Date: 8/15/2020

Expiration Date: 8/15/2023

  • AMA PRA Category 1: 1
  • Participation: 1



Sleep-related complaints and disruption are extremely common in patients who use addictive substances such as alcohol, opioids, and cannabis. These substances can impact sleep-related breathing parameters during sleep, and sleep disruption in the context of substance use may continue into early abstinence and increase the risk of relapse. This presentation will discuss the interplay between sleep disorders and subtance use, specifically discussing the mechanisms whereby alcohol, opioids, and other commonly misused substances can affect sleep.

**This content was captured at the 2019 APA Annual Meeting and may reference information from various sources and terminology from previous editions of the DSM.


  • General Member - Free
  • Resident-Fellow Member - Free
  • Medical Student Member - Free
  • Non-Member - $25.00

This course is free to APA members through the Course of the Month program. Promotional pricing valid August 15 - September 30, 2020.

Course References

  1. Chakravorty S et al. Alcohol dependence and its relationship with insomnia and other sleep disorders. Alcohol Clin Exp Res. 2016 Nov;40(11):2271-2282.
  2. Kolla BP et al. The course of sleep disturbances in early alcohol recovery: An observational cohort study. Am J Addiction. 2014;23:21-26.
  3. Miller MB et al. Insomnia treatment in the context of alcohol use disorder: A systematic review and meta-analysis. Drug Alcohol Depend. 2018 Dec 1;181:200-207.

Learning Objectives

  • Identify sleep disorders in patients who are using prescription and illicit opioids
  • Correlate the impact of alcohol use on sleep disorders such as insomnia, apnea, and sleep-disordered breathing
  • Analyze the effects of cannabis use on sleep-disordered breathing, sleep disruption, and daytime sleepiness
  • Recognize the increased risk that sleep disorders contribute to substance use and relapse
  • Identify ways in which managed care can be provided to patients with comorbid substance use and sleep disorders

Target Audience

Psychiatrists, Residents/Fellows

Estimated Time to Complete

Estimated Duration: 60 minutes
Begin Date: August 1, 2020
End Date: August 1, 2023

How to Earn Credit

Participants who wish to earn AMA PRA Category 1 Credit ™ or a certificate of participation may do so by completing all sections of the course including the evaluation. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians) or certificate of participation (non-physicians) showing the completion date and hours earned. 

Continuing Education Credit

The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. 

The APA designates this enduring CME activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Faculty and Planner Disclosures

Program Presenters

  • Bhanu Prakash Kolla, M.D., MRCPsych, Associate Professor of Psychiatry, Mayo Clinic and Consultant, Division of Addiction Medicine, Department of Psychiatry and Psychology, Mayo Clinic. Reports no financial relationships with commercial interests.
  • Meghna Mansukhani, M.D., FAASM, Co-Director, Mayo Clinic - Rochester Center for Sleep Medicine and Associate Professor, Mayo College of Medicine. Disclosures - Grant Research: ResMed.

Program Planners

  • Tristan Gorrindo, M.D., Director of Education, American Psychiatric Association. Reports no financial relationships with commercial interests.
  • Katie Putnam, Membership Development Specialist, American Psychiatric Association. Reports no financial relationships with commercial interests.
  • Ally Brown, Senior Program Manager, Online Learning, American Psychiatric Association. Reports no financial relationships with commercial interests.

Accessibility for Participants with Disabilities

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Hardware/Software Requirements

This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration:

  • Flash Player: Adobe Flash Player 10.3+ 
  • Browser: Firefox (latest version), Internet Explorer 8.0+, Safari 7.0+, Microsoft Edge (latest version) or Google Chrome (latest version)
  • Operating System: Windows XP+ or Mac OS X 10.4+ 
  • Internet Connection: 1 Mbps or higher

Minimum Requirements:

  • Windows PC: 500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Macromedia Flash Player 10.3 or higher; Sound Card at least 16-bit; audio playback with speakers for programs with video content
  • Macintosh:Mac OS X 10.4+ or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit; audio playback with speakers for programs with video content

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