Treatment of Sleep-Onset Insomnia
By Liji Thomas, MD
Insomnia is a common condition which causes emotional and physical stress, and is also responsible for many workday losses and decreased productivity.
The management of insomnia starts with taking a detailed history to identify the exact nature of the sleep problem. The patient must also be evaluated for any past or present medical condition, for medication use, and for other psychiatric or psychological disorders which might cause or contribute to the insomnia. Each patient must be asked about sleep hygiene, to identify factors which may disrupt normal sleep onset.
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