Approach to Insomnia

Chronic insomnia disorder is a clinical diagnosis that in most instances does not require specific sleep testing. Daytime dysfunction is a requirement for diagnosis and can manifest with myriad symptoms. Address common associated comorbid conditions to ensure a successful treatment outcome. Additional treatment strategies include multicomponent cognitive-behavioral therapy for insomnia and pharmacotherapy. Typically, primary care providers can address chronic insomnia disorder and refer to a sleep specialist when initial treatment approaches are unsuccessful or if providers suspect comorbid sleep disorders.