Nonpharmacologic strategies in the management of insomnia.
Many psychiatric patients have significant sleep disturbance. Insomnia should be addressed directly even when comorbid with a psychiatric disorder. Nonpharmacologic treatments are effective and especially well suited for long-term management of sleep problems. Although the techniques themselves are fairly straightforward, they work best when applied with the kind of clinical insight and experience that psychiatrists regularly draw on in their practices. This article briefly reviews the evaluation of insomnia, with the aim of eliciting clinical material sufficiently comprehensive to inform the choice of treatment, and provides a practical overview of the basic nondrug approaches to insomnia, emphasizing what the clinician and the patient may expect from their application.
Yang
Chien-Ming
CM
Department of Psychology and Research Center for Mind, Brain and Learning, National Chengchi University, Taipei, Taiwan 116, Taiwan. dryangcm@gmail.com
Spielman
Arthur J
AJ
Glovinsky
Paul
P
D015928:Cognitive Behavioral Therapy / Q000379:methods*; D006801:Humans; D010789:Phototherapy / Q000379:methods*; D007319:Sleep Initiation and Maintenance Disorders / Q000628:therapy*