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- Title
Cognitive behavioral therapy aided discontinuation ofbenzodiazepine in chronic insomnia: COMMENTARY.
- Authors
Bradley, Colin P.
- Abstract
The conventional approach to benzodiazepine withdrawal is to wean the patient off using tapering doses. In patients treated for insomnia, recurrence of sleeplessness during withdrawal is probable. Hence, physicians usually suggest nonpharmacologic measures to encourage sleep during withdrawal. The study may seem slightly artificial because in the tapering alone group, the treating physician was not permitted to give such advice, although researchers would probably argue that this restriction was necessary to separate pharmacologic and nonpharmacologic treatment effects. The nonpharmacologic intervention was elaborate, involving 13.5 hours of group counseling with an experienced clinical psychologist comprising behavioral, cognitive, and educational components.
- Subjects
BENZODIAZEPINES; PHARMACOLOGY; INSOMNIA; SLEEP deprivation; CHRONIC diseases; PHYSICIANS
- Publication
ACP Journal Club, 2004, Vol 140, Issue 3, p70
- ISSN
1056-8751
- Publication type
Article
- DOI
10.7326/acpjc-2004-140-3-070