ABSTRACT

Numerous contributing factors may play a role in chronic insomnia, but there is no definitive model that establishes how these factors combine and interact to initiate and perpetuate the condition. With so many factors potentially playing a role, it makes sense for clinicians to be as inclusive as possible when considering treatment options for the diverse array of persons suffering with insomnia. Interventions such as prescription hypnotics and cognitive-behavioral therapy offer some heavily researched options for persons seeking treatment, but these conventional interventions do not address every potential contributing factor in every individual. They also may not be optimal in all situations because of associated costs and side effects. For example, patients may avoid cognitive-behavioral interventions because of their relatively high upfront costs and benzodiazepines because of dependence potential.