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Original Articles

Insomnia

Use of a ‘decision tree’ to assess and treat

Pages 66-85 | Published online: 17 May 2016
 

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“I couldn't sleep last night” is an often-heard comment. Such transient insomnia, often the result of stress or overstimulation, usually cures itself. However, long-term insomnia can impair daytime function and requires treatment. The authors provide a “decision tree” for assessing possible causes and offer recommendations for good sleep hygiene and stimulus control. They also review behavioral and pharmacologic therapy and indicate when each is appropriate.

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