C-L Case Conference: Insomnia Disorder

Vanessa Aversa; Raed Hawa; Elliott K Lee; Michael S B Mak

doi:10.1016/j.jaclp.2023.11.684

C-L Case Conference: Insomnia Disorder

J Acad Consult Liaison Psychiatry. 2023 Nov 26:S2667-2960(23)00845-5. doi: 10.1016/j.jaclp.2023.11.684. Online ahead of print.

Authors

Vanessa Aversa¹, Raed Hawa², Elliott K Lee³, Michael S B Mak⁴

Affiliations

¹ Department of Psychiatry, University of Toronto, Toronto, ON, Canada; Centre for Addiction and Mental Health, Toronto, ON, Canada.
² Department of Psychiatry, University of Toronto, Toronto, ON, Canada; University Health Network, Toronto Western Hospital, Toronto, ON, Canada.
³ Department of Psychiatry, University of Ottawa, Ottawa, ON, Canada.
⁴ Department of Psychiatry, University of Toronto, Toronto, ON, Canada; Centre for Addiction and Mental Health, Toronto, ON, Canada; Department of Medicine, McMaster University, Hamilton, ON, Canada; Department of Psychiatry, Western University, London, ON, Canada. Electronic address: Michael.Mak@camh.ca.

PMID: 38016579
DOI: 10.1016/j.jaclp.2023.11.684

Abstract

We present the case of a 67-year-old male with a history of major depressive disorder, panic disorder, treatment refractory hypertension, dyslipidemia, benign prostatic hypertrophy, and environmental allergies who was initially brought to medical attention following an unwitnessed fall. He subsequently developed symptoms of insomnia disorder. Experts in consultation-liaison psychiatry and sleep medicine provide guidance for this clinical scenario based on their experience and a review of current literature, exploring the epidemiology of insomnia disorder and comorbidities in relation to this case. Furthermore, we offer a review of current treatment for insomnia disorder, including non-pharmacologic methods such as cognitive behavioral therapy for insomnia and pharmacotherapy.

Keywords: CBT-i; COMISA; cognitive behavioural therapy for insomnia; insomnia disorder; sedative-hypnotic; sleep.

Publication types

Review