![]() ![]() Sleep duration (total time spent asleep).the time it takes to transition from wakefulness to a sleep state) It has been shown through clinical study that CBT has significantly positive effects on: This therapy approach is tailored to help alleviate the perpetuating factors of chronic insomnia – like poor sleep habits and hygiene, irregular sleep routines or schedules, and hyperarousal, as well as address any notable sleep misconceptions a patient may have.Ĭonsidered most effective in the treatment of primary, a doctor may still recommend CBT as adjunctive therapy where co-existing conditions are present too. Options which are available include cognitive and behavioural therapies, as well as pharmacological treatments: Cognitive behavioural therapy (CBT) Such medical interventions are considered the correct initial therapeutic approach, along with educating an affected person about their sleep problem and what kinds of sleep hygiene methods are likely to help contribute to achieving better quality sleep.īehavioural / psychological (non-pharmacological) intervention does have highly beneficial long-term treatment results for insomnia and is considered a very well suited first-line treatment for insomnia, particularly primary insomnia – due to the combination of physiological, cognitive arousal and conditioning, and emotional influences on the condition. The general guideline in treating insomnia is that behavioural, psychological and pharmacological (medication) interventions are the most beneficial, particularly if insomnia is chronic. (21) (22)Professionally prescribed, medical management of insomnia during this process is therefore helpful in achieving recovery and a long-term resolution of the condition. While insomnia may remain a challenge during the initial stages of withdrawal and recovery from substance abuse and continue for a few months once the process is complete, it will generally resolve in the long term. Insomnia that is primarily triggered by a substance can be alleviated over the long term by initiating a withdrawal or tapering off of any medication, drug or other substance responsible for the condition in a controlled manner. Additional treatment measures will then be implemented to further reduce the persistency of insomnia symptoms, thus treating all related health problems. Variable degrees of insomnia can still occur even when a co-existing disorder receives effective treatment. If a psychiatric disorder is identified as an underlying or comorbid condition, treatment is likely to involve pharmacological interventions, as well as psychotherapy (and the affected person will be referred to an appropriate mental health specialist). For instance, if physical pain is determined as the primary reason for sleep disturbance, this condition will be treated first to see if insomnia resolves thereafter. The general rule of thumb is that if a person presents comorbid results, specifically related to a medical, psychiatric, neurological or other sleep disorder, a diagnosing doctor will generally direct primary care treatment at the co-existing condition. Typically, insomnia becomes a little trickier when it co-exists with other medical or psychiatric conditions. For the most part, treatment plans are dependent on the patient’s underlying issues, challenges or conditions. If underlying stressors contribute to poor daily functioning, medical interventions, even during the short-term, may be beneficial. If the condition is mild, sometimes all that is needed is an adjustment of sleeping habits. ![]() Improve a person’s ability to function sufficiently during the day.Ī doctor may not implement much medical treatment for acute insomnia.Improve a person’s quality of sleep (and thus help to create more sustainably healthy sleep patterns). ![]() Once insomnia is diagnosed, the primary goals of treatment will be to: Thus, a doctor may prefer to refer a patient to another physician or specialist with more experience in diagnosing and treating sleep disorders or sleep-related conditions, like insomnia. Knowledge of treatment efficacy may also be basic. Many physicians have only basic knowledge and training regarding certain sleep disorders and the overall impact they have on a person’s quality of life. Challenges may not only relate to the patient alone. The effective management of insomnia may involve various other challenges which could impact treatment. Effective treatment measures depend on the comprehensive detail which is acquired during the evaluation and / or testing process.
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