![]() ![]() ![]() All my life…I never was a good sleeper.” By definition chronic insomnia is having trouble sleeping 3 or more nights per week for 3 or more months. Any stressor-psychosocial, work related, family related, even anxiety or depression-may have started up.Ĭhronic insomnia is when somebody will come to me and say, “I haven’t been able to sleep for months.” Often times they come in complaining, “I haven’t been able to sleep for year. Typically, it’s been going on for a few days or few weeks. By definition it has to be less than 3 months. And it’s becoming an issue and that’s what we would call acute insomnia. There’s been some precipitating event, and I can’t sleep-I lost my job, my kids went to school, COVID-19 has hit.” They’re having trouble sleeping. Some people will come in saying, “Something happened in my life. Beagin, MD: In my practice, often times I’ll have people come in with 2 different complaints for insomnia. We rarely talk about comorbid conditions, but Erinn will discuss that. Also, I’m going to discuss the difference between primary and secondary insomnia, terms that we don’t use so much these days. I’m going to ask my colleague Erinn to talk a little about the symptoms of insomnia, what people suffer from, and what she sees in her office when people come in complaining about insomnia. The symptoms are a little different between when it occurs for the first time and when people who’ve had symptoms that began suddenly or for long time. We know that insomnia can occur suddenly for many people, and there are many people who have ongoing and chronic insomnia. ![]() Let’s get started.įirst, we’ll discuss the unmet needs in treating insomnia, and we’ll discuss acute and chronic insomnia. Today we’re going to discuss a number of topics pertaining to insomnia, including the diagnosis and clinical manifestations, nonpharmacological management, as well as pharmacological treatment options and the potential new drugs on the horizon. Joining me in this discussion are my colleagues Dr Karl Doghramji, a professor of psychiatry, neurology, and medicine at Jefferson Medical College of Thomas Jefferson University in Philadelphia Dr Erinn Beagin, an internal medicine practitioner specializing in general practice and preventive care in Princeton, New Jersey Dr Nathaniel Fletcher Watson, the director of the Sleep Medicine Clinic at Harborview at the University of Washington in Seattle, Washington and Dr Vikas Jain, chief executive officer of Dream Sleep Medicine in Frisco, Texas. Thorpy, MD: Hello, and welcome to this Neurology Live® Peer Exchange titled “Unmet Needs in Treating Insomnia.” I’m Dr Michael Thorpy, the director of the Sleep-Wake Disorders Center at Monefiore Medical Center and a professor of neurology at Albert Einstein College of Medicine in the Bronx, New York. ![]()
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