Medical exam?: There may be a need to perform more indepth medical and/or sleep testing for possible physical issues. Have hormones such as thyroid been tested? I think that a sleep study may offer some clues as to sleep patterns and information that could help understand and treat her problem. Does she have nightmares or sleep apnea? Again, sleep studies can "see" those types of things.
Answered 3/23/2015
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Behavioral therapy: For 13 years old with chronic insomnia for 1 and 1/2 year behavioral therapy is often recommended first. It can include sleep hygiene education, relaxation, biofeedback, stimulus control, Alternative treatments might help such as acupressure, tai chi, yoga and massage. If these measures fail then consult expert for medication
Answered 4/28/2020
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