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NURS 6630 Week 8 Assignment Pharmacologic Approaches to the Treatment of Insomnia in a Younger Adult Alicia Buck NURS 6630: Psychopharmacological Approaches to Treat Psychopathology Dr.Letterio January 24th, 2021 Pharmacologic Approaches to the Treatment of Insomnia in a Younger Adult ...

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  • February 25, 2023
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NURS 6630 Week 8 Assignment Pharmacologic Approaches to the
Treatment of Insomnia in a Younger Adult


Alicia Buck

NURS 6630: Psychopharmacological Approaches to Treat

Psychopathology Dr.Letterio

January 24th, 2021

, 2


Pharmacologic Approaches to the Treatment of Insomnia in a Younger
Adult

Insomnia is classified by difficulty initiating sleep, difficulty maintaining

sleep, sleep disturbances that cause significant distress (social, occupational,

educational, academic, or behavioral), and symptoms present for three months or

more (American Psychiatric Association, 2013). According to the DSM-IV,

insomnia is only diagnosed when the patient’s sleep disturbances cannot be better

explained by a medical condition such as narcolepsy, sleep apnea, substance abuse,

or be caused by a medication (American Psychiatric Association, 2013).

Research indicates that 10-15 % of the population suffers from insomnia. The

difficulty in diagnosing and treating insomnia is that it is often associated with

depression and anxiety (American Psychiatric Association, 2013 & Baglioni et al.,

2011). Drug therapy often must address both issues for the patient to be successful

and achieve remission.

The following paper aims to discuss the decision process used to formulate a

treatment plan for a 31-year-old male patient experiencing difficulty falling asleep

and staying asleep. The patient’s history indicates that he has always had trouble

with sleep but has seen an increase in sleep disturbances since the loss of his fiancé

six months ago. The patient has even fallen asleep on his job as a forklift operator.

The patient’s medical history also includes opiate abuse as well as his current

admission to using alcohol nightly. The patient has tried over the counter sleep aids

and has experienced unpleasant side effects. Some ethical considerations that will

, 3

be discussed for this patient are his drug and alcohol abuse history and his job as a

forklift driver. Both will impact what drug therapy is being prescribed. This paper

will discuss several different pharmacological options for treating the patient and

how each one is either appropriate or not.

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