Good sleep is essential for mental and physical health, but for many people, it doesn’t come easily. While it’s tempting to reach for a quick fix, the best approach to insomnia isn’t just about medication—it’s about addressing the underlying causes and building better sleep habits.
The first step in treating insomnia is sleep hygiene—consistent sleep and wake times, limiting screen exposure before bed, managing stress, and creating a restful environment. These changes take time to work but can lead to long-term improvements without the risks of medication dependence. Cognitive Behavioral Therapy for Insomnia (CBT-I) is also highly effective and often more beneficial than medication alone.
When medications are necessary, they should be chosen carefully. Medications, like sedating antidepressants (like trazodone or mirtazepine), certain antihistamines, or melatonin receptor agonists, and even hypnotics like Ambien™ or Lunesta™ may be considered depending on the individual’s needs. Benzodiazepines are a last-line option due to their potential for dependence and disruption of natural sleep architecture.
For patients struggling with insomnia, we can work together to find a solution that prioritizes long-term sleep health over quick but temporary fixes.