![]() Hypnotics generally should be prescribed for short periods only, with the frequency and duration of use customized to each patient's circumstances. Exercise improves sleep as effectively as benzodiazepines in some studies and, given its other health benefits, is recommended for patients with insomnia. There is good evidence supporting the effectiveness of cognitive behavior therapy. Treatment should begin with nonpharmacologic therapy, addressing sleep hygiene issues and exercise. However, if insomnia is severe or long-lasting, a thorough evaluation to uncover coexisting medical, neurologic, or psychiatric illness is warranted. Physicians may initiate treatment of insomnia at an initial visit for patients with a clear acute stressor such as grief, no further evaluation may be indicated. DOI: 10.4239/wjd.v6.i6.The frequency of sleep disruption and the degree to which insomnia significantly affects daytime function determine the need for evaluation and treatment. Effect of diabetes mellitus on sleep quality. Diagnosis and treatment of chronic insomnia. Management of chronic insomnia disorder in adults. Nonpharmacologic management of chronic insomnia. ![]() Hyperarousal and beyond: New insights to the pathophysiology of insomnia disorder through functional neuroimaging studies. diseases-conditions/insomnia/in-depth/insomnia-treatment/art-20046677
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