Patient: Description of the condition (onset time, main symptoms, hospital visited, etc.): Long-term insomnia has not improved since its onset in 1993, and I have taken various insomnia and gloomy medicines.
The first time I ate a period of time there was improvement, but now I can not sleep for a while without medication How can I quickly cure my disease Insomnia is the most common kind of sleep disorder disease, is a variety of physical, mental and behavioral diseases have common clinical manifestations. Chronic sleep disorder is one of the most common clinical symptoms and complaints. The current treatment for chronic insomnia includes: 1. Arranging a suitable rest time, developing good sleep habits, and eliminating daytime activities that interfere with daytime wakefulness and nighttime sleep quality. For example: stop drinking coffee and tea 4-6 hours before bedtime; avoid smoking before bedtime and after waking up at night; alcohol can accelerate sleep, but it can make people wake up during the night; eat and drink properly before bedtime; do not exercise 3-4 hours before bedtime; avoid noise, light and excessive temperature during sleep as much as possible. 2, cognitive behavioral therapy, including only when there is sleepiness to go to bed; bed and bedroom only for sleep, not in bed to read, watch TV or work; no matter how long sleep at night, early in the morning should be on time to get up; do not doze off during the day to improve sleep efficiency. 3, drug treatment: under the guidance of a doctor. In recent years, the World Health Organization and many domestic and foreign experts on the treatment of insomnia put forward the “on-demand” and “small doses of intermittent” use of hypnotic sedative drug treatment principles. When patients with mood disorders have insomnia symptoms, tricyclic antidepressants with sedative effects, such as amitriptyline, doxepin, chlorpromazine, etc., can be added; small doses of new antipsychotic drugs, such as olanzapine, risperidone, etc., can also be used. Increasingly, clinicians are also using antidepressants to treat non-depressive insomnia.