PHRM 211 Lecture Notes - Lecture 10: Cognitive Behavioral Therapy, Sleep Hygiene, Jet Lag
Document Summary
Promote subjectively restorative sleep when external (e. g. , stress, noise, jet lag) or internal (e. g. , pain, anxiety) factors disrupt natural sleep. Reduce subjective daytime impairment (e. g. , dysphoria, fatigue, decreased alertness) associated with sleep loss. Potentiate the effectiveness of behavioural interventions in managing patients with chronic insomnia. Discuss the relevant mechanism of action, dosage, adverse drug reactions, drug interactions, evidence, benefits, dosing strategy, and monitoring parameters for the non-pharmacologic and pharmacologic therapy for a patient with insomnia. Optimize management of comorbid medical and psychiatric conditions. Reduce behaviors that interfere with sleep drive or increase arousal. Best used in combination insufficient evidence that sleep hygiene alone is effective in the treatment of chronic insomnia. First-line intervention for insomnia in adults of any age. Delivered in 6-8 sessions by a specially trained behavioral therapist. Modify overvalued beliefs and unrealistic expectations about sleep. Reconstruct cognitive pathways with positive concepts about sleep. Arousal in sleep environment and promote association between bed and sleep.
