Chronic_Insomnia_Flashcards
How is chronic insomnia defined?
Chronic insomnia is defined as difficulty getting to sleep or maintaining sleep on 3 or more nights of the week for 3 months.
What tools may be used to investigate chronic insomnia?
A sleep diary and actigraphy may be used to investigate chronic insomnia.
What potential causes should be identified when assessing chronic insomnia?
Potential causes such as depression and anxiety should be identified when assessing chronic insomnia.
What advice should be given to individuals with chronic insomnia?
Individuals with chronic insomnia should be advised on sleep hygiene and not to drive when tired.
What is the recommended therapy for chronic insomnia?
Cognitive Behavioral Therapy for Insomnia (CBT-I) is the recommended therapy for chronic insomnia.
When should hypnotics be considered for chronic insomnia?
Hypnotics should be considered for chronic insomnia if there is major daytime impairment.
What types of medications can be used as hypnotics for chronic insomnia?
Short-acting benzodiazepines (e.g., lorazepam) or Z-drugs can be used as hypnotics for chronic insomnia.
What is the recommended duration and dosage for using hypnotics in chronic insomnia?
Hypnotics should be used at the lowest possible dose for the shortest possible time, with a review in 2 weeks and consideration of CBT.
