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Abstract
The treatment of insomnia in a university health setting is discussed. Transient, stress-related insomnia is distinguished from chronic insomnia, and methods of treatment for each condition are presented. The causes of chronic insomnia include depression, conditioned-arousal insomnia, anxiety, chronic overwork or stress, the Delayed Sleep Phase Syndrome, and abuse of alcohol and drugs. The author reviews medications used for the treatment of insomnia, emphasizing the importance of communicating to the patient that medication use is to be short term and that the aim of treatment is to restore the ability to sleep without drugs. A list of suggestions designed to help patients encourage normal sleep is included.