Insomnia is a prevalent and debilitating sleep disorder that significantly impacts individuals’ health, daily functioning, and quality of life. Characterized by chronic difficulties in initiating or maintaining sleep, or experiencing nonrestorative sleep, insomnia persists for at least three nights per week over 3 months or longer. This review provides a comprehensive overview of the assessment and management of insomnia, highlighting the importance of a detailed clinical interview, standardized assessment tools, and objective measurements. Cognitive Behavioral Therapy for Insomnia is emphasized as the cornerstone of treatment, offering sustained benefits through the modification of maladaptive sleep behaviors and cognitions. Pharmacotherapy serves as a valuable adjunct for short-term relief, with careful consideration of potential benefits and risks associated with various drug classes. Complementary and alternative therapies, such as Ayurvedic treatments, yoga, meditation, and acupuncture, offer additional management options, particularly in the Indian context. An integrated and stepped-care approach ensures personalized and progressively intensified treatment based on the severity and complexity of insomnia. Continuous monitoring, patient education, and culturally sensitive practices are crucial for achieving optimal outcomes. By integrating these strategies, healthcare providers can significantly improve the quality of life for individuals affected by insomnia.
Samajdar et al. (Thu,) studied this question.