11/08/2026
What happens when the machine is the therapy - and the therapy enables the machine?
Today's APS College of Health Psychologists peer supervision session tackled one of the most clinically vexing intersections I know: obstructive sleep apnoea and mental health.
What struck me most was how quickly our group moved from "interesting neurobiology" to "this is sitting in my caseload right now." Treatment-resistant depression that isn't responding. Cognitive fog that looks like ADHD. Panic symptoms that might not be panic disorder. For so many of us, OSA had been hiding in plain sight.
We explored a recent network analysis (Luo et al., 2025, BMC Psychiatry) that reframes the question entirely, not "does OSA cause depression?" but "which symptoms are driving the whole network, and where should we intervene?" The answer: sudden feelings of panic, psychomotor slowing, and anhedonia. Three nodes. One leverage triangle.
The conversation that stayed with me was around CPAP non-adherence. We so easily frame it as resistance or stubbornness, but for someone whose central symptom is sudden panic, putting on a mask that mimics suffocation is not non-compliance. It is an active trauma response. And that is squarely in our lane.
As always, our colleagues brought the richest insights - from real clinical cases, lived experience, and genuine reflective curiosity. That is what makes this group so special.
Thank you to everyone who joined, shared, and sat with the complexity.
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