New Approaches to Insomnia Management: Impact on Clinical Practice

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Presentation transcript:

New Approaches to Insomnia Management: Impact on Clinical Practice

Goals

Case Study

Functional Consequences of Insomnia

Potential Consequences of Chronic Insomnia

Insomnia and Quality of Life

Insomnia Comorbidities in the Primary Care Setting

DSM-5: Insomnia Disorder

Comorbid Psychiatric Disorders in Patients With Insomnia

Additional Causes of Sleep Problems

Hyperarousal in Patients With Insomnia

Assessment Tools

Assessment of Insomnia: Sleep History

Assessment of Insomnia Additional Considerations

Treatment Approaches Need to Treat on Several Levels

Nonpharmacologic Approaches

Pharmacologic Approaches: OTC

Rx Agents Used to Treat Insomnia

GABA Receptor Agonists

Advantages and Disadvantages of GABA Receptor Agonists

Doxepin Antidepressant and H1 Receptor Antagonist

Suvorexant Orexin Receptor Antagonist

Sedating Antidepressants Mirtazepine, Trazodone, Nefazodone, Amitriptyline, Trimipramine

Atypical Antipsychotics Quetiapine, Olanzapine

Periodic Reevaluations

Recommendations

Abbreviations

References

References (cont)

References (cont)

References (cont)

References (cont)

References (cont)

References (cont)

References (cont)

References (cont)

References (cont)

References (cont)

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