Sleep Tests for Middle of the Night Insomniacs
Posted on April 30, 2007 by Dr. Krakow |In this recent letter to the editor in the Annals of Clinical Psychiatry, we respond to Dr. Rosenberg’s critique, which outlines some of the weaknesses in medications for the treatment of sleep maintenance insomnia (middle of the night awakenings). As we continue to find in our research and clinical work, most of these patients suffer awakenings due to sleep-disordered breathing. Therefore, testing these patients with overnight sleep studies in the sleep lab often yields valuable insights into the patient’s underlying sleep fragmentation and may lead to dramatic treatment gains, if the insomniac chooses to treat the sleep breathing condition.
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