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Sedative Hypnotics

Correspondence: Address correspondence to Milton Erman, M.D. Pacific Sleep Medicine Services, Inc. 10052 Mesa Ridge Court, Suite 101, San Diego, CA 92121 USA.

The treatment of insomnia has been a long-standing source of anxiety and discomfort for psychiatrists. Efforts to provide appropriate treatment are complicated by uncertainty as to whether insomnia is a symptom of another psychiatric disorder or a disorder unto itself. The question of what is appropriate therapy is also troublesome to psychiatrists. Is a behavioral approach better than pharmacological therapy; if a medication is to be given, what agents are most appropriate to promote sleep with greatest efficacy and lowest risk?

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