January 10, 2023

How Would You Manage This Patient with Chronic Insomnia? – 12/27/2022

Annals of Internal Medicine- from Grand Rounds Discussion from Beth Israel  Deaconess Medical Center


What an important topic! I think thanks to Covid and politics and so much more, many of our patients ( and probably many of us) don’t sleep well.  Read about how several discussants would treat a 64-year-old patient with insomnia 90% of the time, which has been ongoing for decades. Table 1 is very helpful and details strategies used for Cognitive Behavioral therapy.  Monotherapy with focusing solely on sleep hygiene is often ineffective.  There is a discussion of meds that can be tried and possible side effects.