![]() ![]() This article emphasizes complexities related to the evaluation and management of patients with chronic insomnia disorder and describes alternative therapeutic options for patients with this common sleep disorder. It usually affects people as they age, when they hit around 40 and beyond. Its simple definition is this: when a person wakes up in the middle of the night and can't get back to sleep. Sleep maintenance insomnia is a common, irritating sleep pattern that affects millions of people. Although some of these devices and treatment options are still in the early stages of development, several are currently in clinical trials or will soon be available. Waking Up Frequently You May Have Sleep Maintenance Insomnia. New diagnostic and therapeutic options (eg, pharmacologic and behavioral therapies, at-home devices) have emerged to optimize and personalize the evaluation and management of sleep disorders such as insomnia. The American Academy of Sleep Medicine has updated clinical practice guidelines for the pharmacologic treatment of chronic insomnia in adults. The definition and criteria for insomnia were updated with the release of the International Classification of Sleep Disorders, Third Edition. Thus, the presence of a long sleep latency, frequent. Insomnia can be an independent disorder (primary insomnia) or attributed to another condition (secondary insomnia American Academy of Sleep Medicine, 2005 American Psychiatric Association, 1994 ). Most often, insomnia is defined by the presence of an individuals report of difficulty with sleep. Insomnia is defined as the subjective perception of difficulty with sleep initiation, duration, consolidation, or quality that occurs despite adequate oppor- tunity for sleep, and that results in some form of daytime impairment. ![]() Insomnia is one of the most common sleep disorders in patients with other neurologic disorders. Insomnia is a complaint of poor sleep that, for some people, reaches the level of a disorder worthy of treatment. In addition to discussing the latest recommendations regarding pharmacotherapeutic options for insomnia, this article also discusses the increased use of nonpharmacologic treatment approaches, including cognitive-behavioral therapy intervention, integrative medicine, mindfulness and meditation, and other therapeutic options in clinical practice. This article provides updated information regarding the diagnosis and treatment of chronic insomnia disorder. ![]()
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