Successful treatment of insomnia is a great opportunity for physisicians to improve patients\u2019 quality of life. CManagement of chronic insomnia should be inter-professional, holistic and evidence-based. The initial steps in treatment of chronic insomnia
\nshould involve nonpharmacologic strategies like proper sleep hygiene, behavioural modifications, and CBT (cognitive bahavioral
\ntherapy). It is also important to emphasize that in most cases chronic insomnia can be evaluated and managed in a primary care setting and referral to a sleep specialist is usually not required.
\nCBT is an effective way to treat chronic insomnia, but it is not always available or sometimes it is not effective enough. In case pharmacologic treatment is indicated, patients\u2019 symptoms, chronic health conditions and drugs` side effects and interactions should be considered. The goal of pharmacologic treatment is to reduce the psychologic and physical influence of insomnia on patients\u2019 life and to avoid dysfunctional cognitive and behavioural response to insomnia symptoms. Sleep medications should be used short-term, in the smallest effective dose and patients should always be informed about the drugs` side effects and interactions. Drugs with shorter half-life should be preferred.
\nThe effectiveness of insomnia treatment can be assessed using the ISI scale and the parameters like duration and quality of sleep, sleep onset time, patient\u2019s satisfaction with sleep quality and daytime symptoms.<\/p>\n","protected":false},"excerpt":{"rendered":"
Successful treatment of insomnia is a great opportunity for physisicians to improve patients\u2019 quality of life. CManagement of chronic insomnia should be inter-professional, holistic and evidence-based. The initial steps in treatment of chronic insomnia should involve nonpharmacologic strategies like proper sleep hygiene, behavioural modifications, and CBT (cognitive bahavioral therapy). It is also important to emphasize …<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[1538],"class_list":["post-12919","post","type-post","status-publish","format-standard","hentry","category-articles","tag-review","authors-jeva-skarlet","authors-katrin-pold"],"acf":[],"_links":{"self":[{"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/posts\/12919","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/comments?post=12919"}],"version-history":[{"count":1,"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/posts\/12919\/revisions"}],"predecessor-version":[{"id":12920,"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/posts\/12919\/revisions\/12920"}],"wp:attachment":[{"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/media?parent=12919"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/categories?post=12919"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/tags?post=12919"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}