The Controversy On Treatment For Insomnia: Therapy or Medication?
PSY101: Introduction to Psychology
Instructor: Tolanda Marin
January 20, 2014
I can't sleep; I lay their awake for hours at time, my workday just drag on without being able to accomplish my work in a timely manor. My boss doesn't know and the lack of sleep is going to get me a poor review. I want to go out tonight but I’m just too tired, I need to sleep. This is the effect of insomnia, statements like these cause people to search out a solution to the problem. Some will turn prescription drugs others will turn to therapy to find the answer that will work for them. Insomnia is a condition that can cause serious problem in all areas of life not limiting it to only work related performance. Prescription drugs come with complications that result in unwanted side effects. Prescription Drugs and Cognitive Behavioral Therapy, both can treat insomnia, finding out which one is better creates a controversy for anyone seeking relief from insomnia. Cognitive Behavioral Therapy treatment finds and targets to cure the issues, which created insomnia in the first place. Insomnia can be caused from more than one problem. It can be medical from disease or physiological problems, and sometimes it can be both. Prescription drugs can assist in a good nights rest, but it only treats the symptoms. Leaving the cause of insomnia behind for possible rebound insomnia. Cognitive Behavioral Therapy the best way for insomnia to be treated; it may not be the fastest but it is more effective treatment due to resolving the root cause. Insomnia can affect anyone; all who are affected by it are not always able to carry out everyday tasked due to lack of sleep. Insomnia will stop some people from participating in regular activities and social events. Insomnia is a sleep disorder making it "difficult initiating or maintaining sleep, waking up too early, non-restorative sleep, or sleep difficulty despite appropriate opportunities for sleep (ONS Connect, 2011)." This is not a simple disorder because insomnia can have more than one cause. That would be considered a "secondary insomnia: also called comorbid insomnia, this type of insomnia is attributed to a medical condition (ONS Connect, 2011)." To get a handle on this issue many turn to prescription drugs, which may be a quick fix. The drugs may assist with sleep, but may not be the cure; drugs can only treat the symptom. This can leave the sufferer taking prescription drugs to sleep for a long time; prescriptions can be a quick fix for any kind of symptom. For insomnia it is not different. One of the popular prescribed drugs today is Zolpidem. It has reached the top of the list due to its effect of introducing sleep for insomniacs. Most patients do well on this medication, which is reflected in the studies that have been conducted. Zolpidem is prescribed for people who are suffering from insomnia. This prescription drug purpose is to assist patients with getting the sleep they need. There is no secondary use listed it's sole purpose is to induce sleep. The drug is taken for calming or sleep inducing. It's main use is to be given to those who have insomnia assisting them with what ever is preventing them from falling asleep or sleeping the whole night through. To give further define the use of the prescription drug "Zolpiderm it is a sedative hypnotic that binds selectively at the benzoliazene site (Kleykamp, B., 2012)." Zolpiderm use can be prescribed without any limitation. Zolpiderm has no "treatment duration limit (Kleykamp, B., 2012)." With the sedative people have gained the sleep they need to function everyday. Of course side effects need to be monitored, incase they cause some problems for the patient. The primary and only function for Zolpiderm is sleep inducing. The medication does need some trail and error for any particular patient so the dosage will be correct. This can take a few weeks for complete...
References: Ebben, M. R., & Narizhnaya, M. (2012). Cognitive and Behavioral Treatment Options for Insomnia. Mount Sinai Journal Of Medicine, 79(4), 512-523. doi:10.1002/msj.21320
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Mitchell, M. D., Gehrman, P., Perlis, M., & Umscheid, C. A. (2012). Comparative effectiveness of cognitive behavioral therapy for insomnia: a systematic review. BMC Family Practice, 13(1), 40-50. doi:10.1186/1471-2296-13-40
YOUR MEDICATION INFORMATION: Zolpidem extended release (generic)/AMBIEN CR (BRAND). (2011). Brown University Psychopharmacology Update, 22(4), 1-2.
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