Assessing your use of insomnia standards and guidelines.
When Sarah, a 52-year-old, nonobese woman sought a second opinion
for her severe insomnia, our sleep lab inquired about previous workups.
Two sleep centers offered her sleep hygiene instructions,
cognitive-behavioral therapy, prescription sedatives, and
recommendations for OTC sleep aids including antihistamines and
melatonin. She embraced all these strategies to the best of her
ability, but 5 years later she had little to show for her efforts. The
last piece of advice she received—"you're probably depressed and should
start antidepressants"—sent her scrambling through the Internet where
she found our Web site, and then traveled 600 miles to our sleep
medical center in Albuquerque, NM. More...