gc08-12 - Managing Insomnia and Anxiety In the Elderly...

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1 Managing Insomnia and Anxiety In the Elderly Francisco Fernandez, M.D. Professor and Chair USF Health Department of Psychiatry Insomnia - Objectives To review the new research findings of insomnia in the elderly To discuss the implications for improving clinical practice
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2 Barriers & Changes In Attitude Insomnia is associated with significant impairment in function and quality of life Chronic insomnia occurs in the context of med-psych disorders Other Treat insomnia as well as other disorder(s): improvements in insomnia may result in improvements in other disorder(s) Hypnotics should generally be used only for short-term treatment Chronic insomnia exists and merits treatment Treat the primary disorder Treatment Insomnia is a disorder, typically comorbid with other disorders Insomnia is a symptom, not a primary disorder Definition NIH – 2005 NIH – 1983 Myth 1: Insomnia is Sleep Deprivation Sleep deprivation – Adequate ability to sleep – Inadequate opportunity Insomnia patients – Inadequate ability to sleep – Adequate opportunity
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