CBT-I
Most effective long-term treatment for insomnia — sleep restriction, stimulus control, sleep hygiene.
Sleep Disorders
Insomnia — Causes & Treatment in Maryland
Insomnia affects 30% of adults — causing difficulty falling or staying asleep with significant daytime impairment. Both the psychiatric root causes and primary insomnia are treated.
Schedule a Consultation →Common Signs & Symptoms
- !Difficulty falling asleep
- !Frequent night waking
- !Waking too early
- !Non-restorative sleep
- !Daytime fatigue and impaired functioning
- !Irritability and mood changes from sleep deprivation
What Causes This?
- •Anxiety and depression (most common psychiatric drivers)
- •Poor sleep hygiene
- •Irregular sleep schedule
- •Caffeine and alcohol use
- •Medical conditions: pain, sleep apnea, restless legs
- •Primary insomnia — conditioned arousal
Treatment Approaches
Sleep-Promoting Medications
Trazodone, mirtazapine, low-dose doxepin — non-addictive options.
Root Cause Treatment
Treating depression, anxiety, or PTSD dramatically improves sleep.
Frequently Asked Questions
Are sleep medications safe long-term?▾
Non-benzodiazepine options (trazodone, mirtazapine, doxepin) are safe long-term. Benzodiazepines and Z-drugs have dependence risk with chronic use.
Related Topics
Think This Could Be Your Issue?
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