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  • Print publication year: 2008
  • Online publication date: August 2009

6 - Insomnias



Insomnia is amongst the most frequent complaints seen in medical practice, due to its high prevalence rate as a chronic medical condition and its high incidence as an acute condition. This chapter provides an overview of the development of insomnia, information required to make a diagnosis of insomnia, the various recognized insomnia diagnoses, and the pharmacologic, cognitive, and behavioral treatments available. The most important component involved in the diagnosis of insomnia is a thorough and in-depth sleep history. Insomnia due to a mental disorder is the most common diagnosis among people presenting to a sleep center with a complaint of insomnia. Mood disorders such as depression, dysthymia, bipolar disorder, as well as anxiety disorders can be associated with a complaint of insomnia. Aside from progressive muscle relaxation, data are lacking to demonstrate efficacy in insomnia treatment. The most intriguing treatment for insomnia is paradoxical intention.
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