2014
DOI: 10.1093/med/9780199383863.003.0007
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David L Brody

Abstract: You have to get this right; everything else hinges on it. The patient will get worse over time, not better, if they accumulate more and more sleep deficit from chronic insomnia. The hierarchy for sleep is as follows: Best is good quality natural sleep, second best is pharmacologically enhanced good quality sleep, worst is insufficient or poor quality sleep. The tools: sleep hygiene; pain control; psychological counseling and training, for example, cognitive behavioral therapy for insomnia; and sleep medication…

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