Algorithms for the assessment and management of insomnia in primary care

Donald Hilty, Julie S. Young, James A. Bourgeois, Sally Klein, Kimberly A Hardin

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Insomnia is a leading cause of sleep disturbance in primary care practice affecting >30% of people in the United States and can result in psychological and physiological consequences. We aim for a focused discussion of some of the underpinnings of insomnia and practical tips for management (eg, algorithms). A PubMed search was conducted using English language papers between 1997-2007, with the terms "sleep," "insomnia"; "primary care" and "clinics"; "comorbid conditions"; "treatment" and "management." Sleep, psychiatric and medical disorders significantly affect sleep, causing patient suffering, potentially worsening of other disorders and increasing the use of primary care services. We provide an outline for practical assessment and treatment of insomnia in primary care, including the strengths and weaknesses of medications.

Original languageEnglish (US)
Pages (from-to)9-20
Number of pages12
JournalPatient Preference and Adherence
StatePublished - Apr 9 2009


  • Anxiety
  • Depression
  • Disorder
  • Insomnia
  • Primary care
  • Sleep

ASJC Scopus subject areas

  • Social Sciences (miscellaneous)
  • Medicine (miscellaneous)
  • Health Policy
  • Pharmacology, Toxicology and Pharmaceutics (miscellaneous)


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