Advice about management

General perspective

Non-pharmacological treatment using cognitive-behavioural therapy procedures should be preferred over pharmacological treatment, in cases of severe persistent insomnia. Hypnotic agents should be recommended only for short-term or occasional use. The practitioner should be aware of morning-after effects, and potential problems of withdrawal and dependency. There is also increasing evidence that psychological intervention may facilitate reduction or discontinuation of medication in hypnotic-dependent insomniacs when a supervised taper is integrated into treatment (33,34) There is very limited support for the use of melatonin or exercise as treatments of choice, although light therapy seems effective for circadian disorders.

Using cognitive-behavioural therapies

Brief descriptions of effective management strategies are presented in T.able.2 and T.able .3. The following text provides explanation of underlying psychological models and further information on implementation.

t D-nnpancpiE k ai ilccp cducitliin

TM-rtirftiW Llrtp lifJ^IIMl ilDDp panrcmi jcrDhi LhE I^Eip-a»-ll^pp il i firnr^r wirh VKÏDFI id-Eric^ i^iir'"^ hkcp

4^1-til dF lIdd.3 Ian Tf>* i'lrt^frt -■ b■>■ mdiuj'-Tç iiioop ind I'vip probJvnvi i-am|HAMH vYiLaap tvpglan* tnuliiimt

(kdraoin [ti'l-ji labj ku ilccp, hffiiliF nvnrfiw i immj jM Fimpqi. ^UUlt-Ud i(l('l in> ilLt

Lhrltvibli ohi^ti it e3^diii* bnd irfh-r' tI ■■¡■■.■I jnK MiJfiKHi at rfcahal CDfiHTiphin C-lKir 'del' hàlp-' tl>

Table 2 Summary description of sleep hygiene and education components for the treatment of chronic insomnia

Table 3 Summary description of cognitive-behavioural components for the treatment of chronic insomnia

Super Serenity Sleepers

Super Serenity Sleepers

Do You Have Problem Getting A Good Night Sleep? Learn To Sleep Like A Cat At Night And Run Like A Lion When You Wake Up.

Get My Free Ebook


Post a comment