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A psychiatric perspective on insomnia.

W V McCall1

  • 1Department of Psychiatry and Behavioral Medicine, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA. vmccall@wfubmc.edu

The Journal of Clinical Psychiatry
|June 5, 2001
PubMed
Summary
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Insomnia often accompanies psychiatric disorders like depression. Effective treatment requires addressing the primary disorder and considering other causes before prescribing hypnotics like benzodiazepines or benzodiazepine receptor agonists (BzRAs).

Area of Science:

  • Psychiatry
  • Sleep Medicine

Background:

  • Insomnia is a key symptom in psychiatric disorders, particularly depression.
  • Untreated or inadequately treated insomnia can lead to adverse outcomes in depressed patients.

Purpose of the Study:

  • To review the management of insomnia in psychiatric patients.
  • To highlight the importance of identifying the cause of insomnia and promoting healthy sleep behaviors.

Main Methods:

  • Literature review on insomnia and its relationship with psychiatric disorders.
  • Discussion of pharmacological treatments, including benzodiazepines and nonbenzodiazepine benzodiazepine receptor agonists (BzRAs).

Main Results:

  • Treating the underlying psychiatric disorder can resolve insomnia.

Related Experiment Videos

  • Persistent insomnia may stem from inadequate primary treatment, medical conditions, or learned behaviors.
  • Benzodiazepines and BzRAs are effective hypnotics, but differ in residual side effects.

    • Conclusions:

    • Aggressive pursuit of persistent insomnia is crucial due to associated adverse outcomes.
    • Physicians should promote healthy sleep behaviors alongside any hypnotic medication.
    • While effective, hypnotics vary in their potential for residual side effects.