Full Text Full Text (PDF) CME: Take the course for this article: Disorders of Sleep, Eating and Sex Citation Map Email this article to a Colleague Similar articles in this journal Alert me to new issues of the journal Add to My Articles & Searches Download to citation manager Articles by Doghramji, K. Articles by Markov, D. Articles by Doghramji, K. Articles by Markov, D.

Evaluation and Management of Insomnia in the Psychiatric Setting

Correspondence: Corresponding author: Karl Doghramji, M.D., Professor of Psychiatry and Human Behavior Professor of Medicine, Associate Professor of Neurology, Medical Director, Jefferson Sleep Disorders Center, Program Director, Fellowship in Sleep Medicine, Thomas Jefferson University, 211 South Ninth St., Suite 500, Philadelphia, PA 19107; e-mail: Karl.Doghramji{at}jefferson.edu

Insomnia is experienced by nearly one-third of the population over the course of a year. It affects many dimensions of daily human function. Although its pathophysiology is poorly understood, it is felt to be the final product of excessive arousal in multiple neurophysiological and psychological systems. Because it can coexist with a wide variety of medical and psychiatric disorders, the first task of the clinician in the management of this condition is to engage in a comprehensive evaluation to identify comorbid disorders. Once these are identified, specific treatment can be conducted with confidence. A variety of cognitive/behavioral and pharmacological management techniques are also available for primary insomnia.

Get information about faster international access.

Privacy Policy

Copyright © 2009 American Psychiatric Association. All rights reserved.

Home | Search | Current Issue | Past Issues | Subscribe | All APPI Journals | Help | Contact Us