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Issues on sedating mental patients

In fact, despite not getting adequate sleep, patients with insomnia often have difficulty falling asleep even for daytime naps.Insomnia can also be a risk factor for depression and a symptom of a number of medical, psychiatric, and sleep disorders.

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Furthermore, insomnia is associated with higher health care use, including a 2-fold higher frequency of hospitalizations and office visits.In fact, insomnia appears to be predictive of a number of disorders, including depression, anxiety, alcohol dependence, drug dependence, and suicide.The annual cost of insomnia is not inconsequential, with the estimated annual costs for insomnia being $12 billion for health care and $2 billion for sleep-promoting agents.This insomnia typically resolves when the stressor is no longer present or the individual adapts to the stressor.Chronic insomnia lasting more than 1 month can be associated with a wide variety of medical and psychiatric conditions and typically involves conditioned sleep difficulty.) makes no distinction between primary and comorbid insomnia.

This previous distinction had been of questionable relevance in clinical practice and a diagnosis of insomnia is made if an individual meets the diagnostic criteria, despite any coexisting conditions. It is often referred to as adjustment insomnia because it most often occurs in the context of an acute situational stress, such as a new job or an upcoming deadline or examination.

Sedative-hypnotics are the most commonly prescribed drugs for insomnia.

Though not usually curative, they can provide symptomatic relief when used alone or adjunctively.

In primary care medicine, approximately 30% of patients report significant sleep disturbances.

Despite inadequate sleep, many patients with insomnia do not complain of excessive daytime sleepiness, such as involuntary episodes of drowsiness in boring, monotonous, nonstimulating situations.

The American Academy of Sleep Medicine (AASM) guideline consensus is that, at a minimum, patients with insomnia should complete the following evaluations The AASM guidelines recommend including at least one behavioral intervention in initial treatment.