(Also Known As: Dysomnia Treatments, Sleep Disorder Treatments, Anxiety Treatments, Sleep Problems Treatments, Sleeping Insomnia Treatments, Sleep Difficulty Treatments)
(Reviewed by: Paul Peterson, Licensed Therapist)
What Kinds of Dyssomnia Treatments are Available?
In the usual course of the condition, sleep medicine specialists reckon two extensive manners of treatment which may be coalesced. The psychological or cognitive-behavioral method and the pharmacologic method may be used collectively to yield more efficient results. Pharmacologic measures may be deemed most appropriate in conditions of acute distress, such as a grief reaction or depression. On the contrary, with primary insomnia, preliminary remedy should be based on a cognitive-behavioral approach. Specific treatments appropriate for other disorders include intake of melatonin hormone, while bright light therapy remedies circadian rhythm disorders. In cases of hypersomnia, no specific drug treatment has been proven effective yet. Stimulants, such as amphetamine, methylphenidate, and modafinil, may be prescribed as well as clonidine, levodopa, bromocriptine, antidepressants, and monoamine oxidase inhibitors, all of which generally treat hypersomnia symptoms only. Moreover, in cases of narcolepsy, pharmacologic approach through intake of CNS stimulants such as protriptyline, REM sleep suppressants and venlafaxine are proven more effective. Antidepressants, which blocks serotonin and norepinephrine reuptake, help manage the symptoms of cataplexy, while gammahydroxybutyric acid (GHB) acts specifically as treatment of cataplexy which in effect, reduces narcoleptic symptoms and accordingly improves quality of nocturnal sleep.
Because an assortment of factors may aggravate a patient’s condition, obtaining a thorough patient history, which includes psychosocial stress, symptoms of depression, alcoholism or drug use, will facilitate diagnosis of the disease as well as easy manageability of the patient. Additionally, various medical and psychological disorders may cause other complications; therefore a detailed mental status examination must be performed. Patients with an underlying psychological or psychiatric ailment should be first attended to by a psychologist or psychiatrist before appropriate therapy should be offered. Pharmacologic therapy or drug treatments should always be the last route to take as drug medications usually entails side-effects.
Practicing good sleep hygiene will help alleviate the condition: rising at the same time daily, limiting daily in-bed time to the usual amount present before the sleep disturbance, discontinuing CNS-acting drugs such as caffeine, nicotine alcohol and other stimulants (unless otherwise advised by the physician), avoiding daytime naps (except when sleep chart shows they induce better night sleep), establishing physical fitness by means of a graded program of vigorous exercise early in the day, avoiding evening stimulation; substitute radio or relaxed reading for television, avoiding large meals before bedtime, practicing evening relaxation routines such as progressive muscle relaxation or meditation, trying a body-temperature-raising bath 20 minutes before bedtime and maintain comfortable sleeping positions.
Could You Have Dyssomnia?
|Hypersomnia – Recurrent Episodes of Daytime Sleepiness, Insomnia, Sleep Disorder, Excessive Sleepiness|
|Narcolepsy – Chronic Sleep Disorder, Excessive Daytime Sleepiness, Insomnia, Inability to Sleep|
|Parasomnia NOS – Arousal Disorders, Sleep-Wake Transition Disorders, Parasomnias Usually Associated with REM Sleep|
|Primary Sleep Disorder – Impaired Sleep Wake Cycles, Hypersomnia, Excessive Daytime Sleepiness, Inability to Sleep|