Tackling insomnia in everyday practice: Part 2: Management

In our last issue, sleep specialist Professor Gaby Badre looked at the various types of insomnia and described best practice in assessment and diagnosis. Here, he explores the various approaches to treatment and discusses how this should be tailored to the patient. Gaby Badre Consultant at the London Clinic; Medical Director SDS Kliniken; Associate Professor, Gothenburg University The initial step in managing insomnia management is to identify and address any underlying cause:  Any health condition, pain or disease  Consistent irregularities in the sleep – wake (circadian) pattern, such as shift work or social jet lag  Work, family, social situation, stress,