Медицинский совет (Dec 2015)
Treatment of insomnia in patients with neurotic disorders. Demyelinating diseases
Abstract
The relevance of the study of insomnia associated with neurotic disorders is explained not only by its high incidence (65--100%). Traditionally insomnia is classified as one of the most frustrating and deconditioning neurotic disorders. Insomnia and neurotic disorder are closely related. On the one hand, sleep disorder associated with neurotic disturbance can be seen as a typical manifestation in a neurotic clinical pattern; on the other hand, if primary insomnia progresses and treatment is delayed, it can often trigger other neurotic disorders. In this regard, the treatment of insomnia associated with neurotic disorders is realized in two aspects: treatment of the underlying disease and insomnia as a leading syndrome. According to the results of numerous studies, in most cases combination therapy uniting drug-based treatment with psychotherapy proved to be the most effective.
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