Sleep Disorder - General Principles of Treatment

General Principles of Treatment

Treatments for sleep disorders generally can be grouped into four categories:

  • Rehabilitation and management
  • Medication
  • Other somatic treatment

None of these general approaches is sufficient for all patients with sleep disorders. Rather, the choice of a specific treatment depends on the patient's diagnosis, medical and psychiatric history, and preferences, as well as the expertise of the treating clinician. Often, behavioral/psychotherapeutic and pharmacological approaches are not incompatible and can effectively be combined to maximize therapeutic benefits. Management of sleep disturbances that are secondary to mental, medical, or substance abuse disorders should focus on the underlying conditions.

Medications and somatic treatments may provide the most rapid symptomatic relief from some sleep disturbances. Some disorders, such as narcolepsy, are best treated pharmacologically. Others, such as chronic and primary insomnia, may be more amenable to behavioral interventions, with more durable results.

Chronic sleep disorders in childhood, which affect some 70% of children with developmental or psychological disorders, are under-reported and under-treated. Sleep-phase disruption is also common among adolescents, whose school schedules are often incompatible with their natural circadian rhythm. Effective treatment begins with careful diagnosis using sleep diaries and perhaps sleep studies. Modifications in sleep hygiene may resolve the problem, but medical treatment is often warranted.

Special equipment may be required for treatment of several disorders such as obstructive apnea, the circadian rhythm disorders and bruxism. In these cases, when severe, an acceptance of living with the disorder, however well managed, is often necessary.

Some sleep disorders have been found to compromise glucose metabolism.

Read more about this topic:  Sleep Disorder

Other articles related to "general, principles":

National Medal Of Technology And Innovation - Laureates
... advocacy to corporations and nations of a general management philosophy that has resulted in improved product quality with consequent betterment of products available to ... Industrial Engineering and Management Science, on the principles of technology commercialization." 1990 Fred W ... Reed "For his management risk-taking in continuous innovation leading General Electric Company to world-class production of advanced engineering materials." 1991 John Stapp "For his research on the ...
List Of Nikola Tesla Patents - American - Patents #1–#50
... Easier construction Rotating magnetic field principles ... energizing circuit and stator Construction and organization principles ... for Electric Machines - 1889 December 24 - Construction principles of the armature for electrical generators and motors Simple and economical Coils of insulated conducting wire (or ribbon) may be wound or formed into ...

Famous quotes containing the words treatment, general and/or principles:

    Our treatment of both older people and children reflects the value we place on independence and autonomy. We do our best to make our children independent from birth. We leave them all alone in rooms with the lights out and tell them, “Go to sleep by yourselves.” And the old people we respect most are the ones who will fight for their independence, who would sooner starve to death than ask for help.
    Margaret Mead (1901–1978)

    In former times and in less complex societies, children could find their way into the adult world by watching workers and perhaps giving them a hand; by lingering at the general store long enough to chat with, and overhear conversations of, adults...; by sharing and participating in the tasks of family and community that were necessary to survival. They were in, and of, the adult world while yet sensing themselves apart as children.
    Dorothy H. Cohen (20th century)

    His principles are like the bristles of a domesticated pig, they don’t pierce through the pork.
    Franz Grillparzer (1791–1872)