Insomnia Clinical Case: Pharmacologic and Non-Pharmacologic Treatments

Summary of a Clinical Case
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Summary of the Clinical Case
The patient is 36 years old, female, and Asian American. She recently started working in an advertising firm. She complains of difficulty relaxing before getting to bed, and mild insomnia, making her experience racing thoughts. She has no history of anxiety or depression and has never seen a therapist before. No sleeping problem in the past until the start of the new job. No health rated issues were reported before the hospital visit. There is no money problem, and she enjoys her work together with her colleagues. Some medical checks - up were performed to determine if there was undetected chronic illness, but none was found. There is no family history of people suffering from chronic illness either. Due to the lack of any underlying medical conditions, the symptoms she is experiencing could be due to the excitement of getting a new job as she wants to be perfect. She may also be experiencing some insecurity, which is why she is using the time before sleeping to plan what to do at the office the next day. She is anxious due to expectations that come with the new job, hence, the lack of relaxation and experience of mild insomnia.
List of Patients Problem
The patient has mild insomnia, anxiety, and a lack of relaxation before bedtime. The cause of insomnia includes stress from work and poor sleeping habits due to changes in the schedule associated with the new job. She does not get home until quite late, which has interfered with her previous sleeping schedule. It may also be due to unhealthy routines and habits related to lifestyle, for example, keeping the brain stimulated until in the evening by working late. Being anxious makes her feel nervous, restless, and tense; thus, she is not relaxed when going to bed. All these problems induce her to have racing thoughts at night, which is unhealthy. The patients need treatment that will help her with mild insomnia, anxiety and come up with methods to relax her body and mind while at home before sleeping.
Pharmacological Treatment
Since it is mild insomnia, the pharmacological treatment to prescribe includes sleeping pills that will help the patient sleep and stay asleep. Such pills include eszopiclone, ramelteon, and zaleplon. Being anxious can cause sleeping disorders; the treatment to be prescribed is benzodiazepines such as Xanax, Ativan, and Klonopin, which work quickly by bringing relief within 30 minutes to 1 hour (Schweitzer, & Feren, 2017). These drugs work ...