Insomnia: Personalized Diagnosis and Treatment Options

Kori A Porosnicu Rodriguez; Rachel Marie E Salas; Logan Schneider

doi:10.1016/j.ncl.2022.07.004

Insomnia: Personalized Diagnosis and Treatment Options

Neurol Clin. 2023 Feb;41(1):1-19. doi: 10.1016/j.ncl.2022.07.004. Epub 2022 Oct 31.

Authors

Kori A Porosnicu Rodriguez¹, Rachel Marie E Salas², Logan Schneider³

Affiliations

¹ Department of Medicine, Johns Hopkins Bayview Medical Center, 4940 Eastern Avenue, Baltimore, MD, USA; Department of Neurology, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Baltimore, MD, USA. Electronic address: https://twitter.com/KoriPoRodri.
² Department of Neurology, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Baltimore, MD, USA. Electronic address: https://twitter.com/RachelSalasMD.
³ Alphabet, Inc., 1600 Amphitheater Parkway, Mountainview, CA 94043, USA. Electronic address: logands@gmail.com.

PMID: 36400549
DOI: 10.1016/j.ncl.2022.07.004

Abstract

Chronic insomnia is a clinical diagnosis fulfilled by criteria: (a) difficulty initiating or maintaining sleep, (b) inability to sleep despite having adequate opportunities, (c) having negative daytime effects due to lack of sleep, and (d) sleep difficulty not explained by other disorder-with symptoms at least three times per week during a period of 3 months. Cognitive behavioral therapy is considered a first-line treatment but can be supported with pharmacologic or digital therapeutics. When developing a patient's care plan, we should consider a "personomics" approach in which we personalize care plans as a form of sleep precision medicine.

Keywords: Cognitive behavioral therapy; Insomnia; Personomics; Sleep; Somnomics.

Publication types

Review

MeSH terms

Cognitive Behavioral Therapy*
Humans
Sleep
Sleep Initiation and Maintenance Disorders* / diagnosis
Sleep Initiation and Maintenance Disorders* / therapy