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A 49-year-old male asked:

I have chronic insomnia and need treatment?

2 doctor answers3 doctors weighed in
Dr. Donald Jacobson
A Verified Doctoranswered
A US doctor answeredLearn more
There are many causes.: There are over 80 different types of sleep disorders. I am referring you to the mayo clinic website on causes of insomnia because there's not enough space here to answer the question. Best wishes and have a happy holiday season. www.mayoclinic.com/health/insomnia/ds00187/dsection=causes insomnia — comprehensive review covers symptoms, causes, treatment for this sleeping problem. See a sleep doc.
Dr. Paul Grin
Pain Management 36 years experience
Sleep study: Insomnia, defined as insufficient or inadequate sleep, is a common sleep complaint. It includes difficulty in falling or staying asleep at least three times per week for longer than one month, spontaneous awakenings and difficulty in returning to sleep, a lack of restorative sleep, and daytime sleepiness. Rec.: see neurologist/sleep specialist for sleep study investigation and treatment.
Dr. Donald Jacobson
A Verified Doctor commented
A US doctor answered Learn more
Or a psychiatrist or pulmonologist who is boarded in sleep medicine.
Dec 21, 2013
Dr. Paul Grin
Dr. Paul Grin commented
Pain Management 36 years experience
Provided original answer
agreed 100%
Dec 21, 2013

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A 36-year-old member asked:

What is the best treatment option for severe chronic insomnia?

2 doctor answers8 doctors weighed in
Dr. Pamela Pappas
Psychiatry 42 years experience
Begin with eval: The best treatment would begin with an evaluation -- probably with both a psychiatrist and sleep medicine specialist. Some physicians have both these qualifications, and you need careful consideration in both realms. If there are additional symptoms like movement & speaking problems you may need a neurologist in your team as well. Then, helpful treatment suggestions can be made.
A 31-year-old member asked:

I need to know what's an effective treatment for severe insomnia?

1 doctor answer4 doctors weighed in
Dr. Heidi Fowler
Psychiatry 25 years experience
Polysomnogram: Likley need a sleep study if symptoms are severe. 1. Maintain a regular bedtime and awakening time schedule including weekends. Get up about the same time every day, regardless of what time you fell asleep. 2. Establish a regular, relaxing bedtime routine. Relaxing rituals prior to bedtime many include a warm bath or shower, aroma therapy, reading, or listening to soothing music. >>>.
Dr. Heidi Fowler
Psychiatry 25 years experience
Provided original answer
3. Sleep in a room that is dark, quiet, comfortable, and cool; Sleep on comfortable mattress and pillows. 4. Use your bedroom only for sleep and sex. Have work materials, computers, and TVs in another room. 5. Finish eating at least 2-3 hours prior to your regular bedtime. 6. Avoid caffeine within 6 hours; alcohol & smoking within 2 hours of bedtime. 7. Exercise regularly; finish a few hours before bedtime. 8. Avoid naps. 9. Go to bed only when sleepy. Lay in bed only for sleeping, not for work or watching TV. 10. Designate another time to write down problems & possible solutions in the late afternoon or early evening, not close to bedtime. 11. After 10-15 minutes of not being able to get to sleep, go to another room to read or watch TV until sleepy. Consider chamomile tea before bed. Warm milk. Lavender oil in bath or lavender scent on pillow. Melatonin is very helpful.
Apr 18, 2013

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Last updated Oct 20, 2017

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