Insomnia disorder: management strategies

摘要

In a previous article 'Insomnia disorder: diagnosis and prevention' (part 1), naturalistic sleep was examined as a physiological process and insomnia was discussed as a pathophysiological disordering of diis process, influenced by psychiatric, somatic and environmental factors. This article focuses on die clinical management of insomnia, presenting pharmacological and psychological strategies as different, yet not necessarily mutually exclusive, means of treating die disorder. Sleep disturbances have become increasingly common during the COV1D-19 pandemic owing to changes in work schedules, travel and exercise routines, as well as the concern and anxiety it may cause in some individuals. As a frontline profession in the pandemic, it is important that pharmacists understand how sleep disturbances should be managed and how to best counsel patients in this regard.