I went to a presentation on treatment of insomnia by a pdoc who specializes in sleep disorders, and what i took away is that there really isn't much that works. There is all the sleep hygiene that we have probably all been taught, but it only works in people who are really motivated, which isn't most people. There's cbt for it, online program called cbt-i, and it's supposed to be good, but again only for people who are motivated. Then there's all the different meds, but most of them have a lot of side effects and don't work all that well anyway. The lecture was sponsored by the drug company that makes zolpidem, so the pdoc was really pushing that as the best solution, but it's a little hard to trust with the conflict of interest. She basically explained all of these things, but said a lot of the time they don't work and insomnia can be chronic and affect daytime functioning.

I used to be a total insomniac, and the only thing that worked was zopiclone (never tried zolpidem because we didn't have it yet in canada at the time). I sleep better as a side effect of saphris, but if i miss a dose i don't sleep at all. I wish i could have natural sleep.

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