Behavioral Treatments for Insomnia in Primary Care Settings

Joshua Fogel, PhD


Topics in Advanced Practice Nursing eJournal. 2003;3(4) 

In This Article

Summary and Implications for Advanced Practice Nursing

APNs in primary care settings are often called upon to deal with patients with insomnia. Patients may often share more of their sleeping difficulties when a clinician takes the time to inquire. Even after the assessment and diagnosis of insomnia, the APN can take the initiative to begin treatment rather than referring to others. Many patients will not want a referral to a mental health professional because of a perceived stigma associated with this referral, a delay in treatment waiting for another appointment, and perhaps increased cost. By taking the initiative to treat these patients in the primary care setting, APNs can make a big impact on the morbidity of insomnia with resulting patient satisfaction.

In this paper, varying options for behavioral treatment for insomnia were reviewed. A 2-session treatment approach has been explained that can be used in the busy primary care setting. Some patients may need more than 2 treatment sessions, based on their sleep efficiency results. For those who do, additional techniques have been described. APNs have the opportunity to help the large number of primary care patients experiencing insomnia and make an impact on the health of these individuals.


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