The article you requested is
The Changing Perspective on Chronic Insomnia Management
J Clin Psychiatry 2004;65(suppl 8):20-25
© Copyright 2014 Physicians Postgraduate Press, Inc.
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A particular challenge in the treatment of insomnia is management of chronic insomnia, which occurs
in a substantial portion of the population. A number of factors suggest the importance of identifying
this condition as distinct from short-term insomnia in clinical practice and treating these 2 entities
differently. Yet, there is no consensus about how to make this distinction or how to manage patients
beyond the short term. Clinicians have been without guidance as to how to address the significant
challenges associated with treating patients long term with any of the currently available treatments.
In recent years, however, new studies have suggested the emergence of a changing perspective on the
management of chronic insomnia. These studies have begun to provide an empirical basis for making
decisions in the treatment of patients with chronic insomnia. They suggest that clinical practice is
evolving toward an improved capacity to treat insomnia, with treatments that can safely lead to sustained