CBT for Insomnia- Insomnia

Question 1

What is primary insomnia ?

Answer 1

Is the persistent problem with sleep lasting more than one month and may include:

• Onset insomnia (difficulties falling asleep)
• Middle insomnia (waking up on and off during the night)
• Waking up very early and not returning to sleep
• unsatisfactory sleep quality

Question 2

True or false?
Insomnia is the most common mental health complaint, affecting up to 30% of adults, and may require specific treatments even when it occurs as part of another disorder (e.g depression)

Answer 2

True

Question 3

What are the three types of insomnia ?

Answer 3

Transient insomnia
Short-term insomnia
Chronic insomnia

Question 4

Describe transient insomnia

Answer 4

Occurs in those that normally sleep well and may be due to extraneous factors such as:

• Noice
• Shift work
• Jet lag

Question 5

If a hypnotic is indicated for a patient who has transient insomnia what factors should be considered about the drug ?

Answer 5

• Rapidly eliminated

- Only one or two doses should be given

Question 6

Describe short-term insomnia

Answer 6

Usually related to an emotional problem or serious medical illness.

Usually lasts for a few weeks and may recur

Question 7

If a hypnotic is given, what factors should be considered ?

Answer 7

• Should not be given for more than three weeks (preferably only one week)
• intermittent use with omission of some doses
• Short acting drug usually appropriate

Question 8

Describe chronic insomnia

Answer 8

Usually caused by psychiatric disorders such as anxiety,d expression and abuse of drugs and alcohol. Can also be caused by mild dependence of i judicious prescribing of hypnotics

Question 9

Are hypnotics affective in managing chronic insomnia ?

Answer 9

No, rarely beneficial

Question 10

What is the usual keep pointer in depressive illnesses in terms of sleep ?

Answer 10

Sleep disturbances

Early wakening is often a useful pointer