Treatment Guideline Chart

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.

Insomnia Management

Follow Up

Clinical reassessment should be done every few weeks and/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, dependence, tolerance and the need for continuing treatment
  • Repeated use of self-administered questionnaires and survey instruments help in assessing outcome and in determining the need for further treatment
    • Monitor sleep onset latency, sleep duration, sleep satisfaction and daytime functioning
  • Consider reevaluation for comorbid disorders when behavioral therapies, pharmacological therapies and combined treatments have been ineffective
  • Consider referral to a sleep specialist if without improvement
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