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Showing posts from August, 2018

SAANS Insomnia protocol

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Insomnia is the commonest sleep disorder in the general population. 
Insomnia is defined as the subjective perception of difficulty with sleep initiation, duration, consolidation, or quality that occurs despite adequate opportunity for sleep, and that results in some form of daytime impairment. 
This is 74 year old male presented with chronic insomnia from past 3 decades. He was subjected to sleep study which revealed poor quality of Slow wave Sleep (SWS) and REM sleep. He was admitted for sleep re-education, which included Hypnotics orally and Benzodiazepene Intravenous administration with MVI infusion. While history taking it was clear that the insomnia was related to an underlying Anxiety about the fear of inability to sleep. History revealed that the patient had many traumatic situation in his life time which included the refuge during the partition of India. Patient underwent CBT and counselling, he was educated about sleep hygiene, Binaural sound waves were used to induce relaxati…