How to treat insomnia

  The effect of insomnia medication is often limited because it does not address the root cause of insomnia. It is preferred to exclude the cause, develop good sleep habits and improve insomnia symptoms through behavioral therapy.  1, psychological counseling and behavioral therapy: psychological counseling to eliminate concerns and fears about insomnia symptoms, develop good sleep habits, prevent and correct poor sleep behaviors and concepts. Such as choosing a suitable environment for sleeping, reducing the time in bed, getting up immediately when you can’t sleep, developing the habit of getting up at the same time every day no matter what time you go to bed at night, reducing or eliminating daytime naps, etc. Choosing a suitable pillow, soaking your feet and relaxing your body before bedtime will also play an auxiliary role, as well as avoiding being too full or hungry before bedtime and reducing mood swings.  2, drug treatment: If behavior therapy fails, drug therapy can be used. Commonly used drugs are benzodiazepines (diazepam, eszopiclone, etc.) and non-benzodiazepines (such as pyrazolopyrimidines, GABA receptor agonists and their reuptake inhibitors, etc.) and other drugs that help sleep (such as depressants). However, it is important to pay attention to drug dependence and symptom rebound after stopping medication, and to follow the principle of individualized and on-demand medication with low-dose, intermittent, short-term administration.  Therefore, the treatment of insomnia also belongs to the ladder treatment, and the treatment includes two parts: behavioral treatment and medication, and the appropriate treatment and medication are selected according to the degree of insomnia in a step-by-step progression.