insomnia
INSOMNIA

Insomnia can be either having difficulty in initiating sleep, maintaining sleep or experiencing early morning awakening wherein returning to sleep is not easily attained.

These disturbances can cause significant distress and impairment in daytime functioning.

It is the most prevalent sleep disorder in the general population thus accurate diagnosis and effective treatment is necessary.

Follow Up

Clinical reassessment should be done every few weeks &/or every month until insomnia resolves, then every 6 months thereafter

  • Follow-up during early stages of treatment is important to assess effectiveness, possible adverse reactions & the need for continuing treatment
  • Repeated use of self-administered questionnaires & survey instruments help in assessing outcome & in determining the need for further treatment
  • Consider reevaluation for comorbid disorders when behavioral therapies, pharmacological therapies & combined treatments have been ineffective
Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Psychiatry - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
Dr. Joseph Delano Fule Robles, 26 Feb 2019

A recent meta-analysis showed that cannabis consumption in adolescence is associated with an increased risk of developing major depression, suicidality, and suicidal ideation in young adulthood.

Roshini Claire Anthony, 11 Feb 2019

Long hours spent on social media may increase the risk of depression in teenagers, with a particularly strong effect in girls, according to results of the UK Millennium Cohort Study.

06 Feb 2019
The severity, patterns over time and predictors of anxiety in children and adolescents undergoing chemotherapy or haematopoietic stem cell transplantation (HSCT) change with different instruments used, a new study has found.