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Previous Volume 353:803-810 August 25, 2005 Number 8 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 46-year-old woman has difficulty in falling asleep and staying asleep. The problem started after the birth of her second child 15 years earlier in association with mild postpartum depression. Despite having had no recurrence of depression and no major psychosocial stressors, the patient requires two hours to fall asleep most nights, and on the occasions that she falls asleep rapidly, she . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Cognitive Behavioral Therapies

Pharmacologic Therapies

Pharmacologic Therapy vs. Cognitive Behavioral Therapy

Areas of Uncertainty

Guidelines from Professional Societies

Summary and Recommendations

Source Information

From the Sleep Disorders Center and the Department of Neurology, Mayo Clinic College of Medicine, Rochester, Minn.

Address reprint requests to Dr. Silber at the Mayo Sleep Disorders Center, Mayo Clinic College of Medicine, 200 First St. SW, Rochester, MN 55902, or at msilber@mayo.edu.

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