Tag Archives: Desyrel

Current Therapies for Insomnia

Most individuals who suffer from insomnia either self-treat with nonprescription sleep aids (e.g., antihistamines, herbal remedies), use alcohol as a sedative, or take no drug therapy at all. For those who do seek professional help (approximately one-third of insomniacs), the majority receive physician-prescribed benzodiazepine or non-benzodiazepine sedative hypnotics to treat their insomnia. Such hypnotic agents… Read More »

Sedating Antidepressants

Given the high comorbidity of insomnia and depression and / or anxiety, sedating antidepressants have considerable relevance for treating insomnia. (Note: Sedating antidepressants can effectively treat both depressive and anxious symptoms.) The sleep-promoting properties of the sedating antidepressants, as well as their lack of abuse potential or propensity to induce tolerance, make these agents viable… Read More »

Chronic Illness: Current Therapies

The main goal of bipolar disorder drug treatment is to establish euthymia (stable mood with a persistent sense of well-being) without inducing mania or rapid cycling (i.e., four or more mood episodes in a 12-month period). For this reason, drug treatment usually consists of an agent or, more frequently, combinations of agents that exert both… Read More »

Sleep Disturbance

Surveys of patients with Alzheimer’s disease in a hospital setting and in the community have emphasised the degree of disturbance of sleep accompanying dementia. Rates vary from 67% of patients with some sleep disturbance () to 20% or less (). One long-term study of nursing-staff observations over 12—18 months found that 24% of nights of… Read More »

Eating Disorders

Concern with eating disorders is relatively new and is found primarily in countries where abundance of food creates options of self-starvation or excessive eating. The media in the United States have stressed the desirability of thinness for women, as models, ballet dancers, and actresses are invariably very thin. Author Tom Wolfe, in The Bonfire of… Read More »

Eating Disorders: Etiology

The etiology of eating disorders appears to be multifactorial, with no single event or factor identifiable as the cause. Dieting, or difficulty in controlling overeating, can lead to acquiring an eating disorder. Factors that may influence the development of an eating disorder include society’s emphasis on the desirability of thinness; adolescent concerns with attractiveness, self-concept,… Read More »

Eating Disorders: Intervention

Although eating disorders are potentially life-threatening, people with these disorders usually do not seek out mental health professionals for intervention unless they have been urged to do so by their internists or concerned family and friends, or if they are experiencing related problems of anxiety, depression, or low self-esteem. Most people with eating disorders like… Read More »

Eating Disorders: Psychotherapy

If a person seeks intervention, an immediate goal — whether treatment is provided on an inpatient or an outpatient basis — is to stabilize weight, and since people with eating disorders express a range of feelings related to their eating habits, an initial approach may be cognitive-behavioral, in which the person is asked to keep… Read More »

Mood disorders: Intervention

As has been indicated, assessment of a primary mood disorder, especially depression, is difficult and involves exploration of many factors, since the mood disorder may be masked by physical problems and other mental disorders. Social workers are trained to look at all of the factors that are impinging on the individual, but they must be… Read More »