The treatment of severe insomnia in the elderly is as follows: 1, first maintain healthy sleep behavior habits, maintain a normal regular sleep, more activity during the day, more sunshine, promote sleep at night; 2, try to avoid napping at noon, try to reduce the time lying flat in bed during the day when not sleepy, not sleepy at night, usually mild insomnia can be relieved; 3, severe insomnia is not easy to relieve, can be given to promote sleep drugs, such as fast sleep The right zopiclone, zolpidem, can also be given to sleep maintenance drugs alprazolam, eszopiclam, clonazepam, but clonazepam must be used with caution. When using drugs for rapid sleep maintenance, try to have an escort to prevent dizziness or fall hazards when getting up at night. Medications to increase deep sleep can be used with trazodone to improve the patient’s deep sleep.