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Hypnotic Dependent Insomnia in an Older Adult with Addiction-Prone Personality

University of Mississippi Medical Center and G. V. (Sonny) Montgomery Veterans Affairs Medical Center

Kenneth L. Lichstein

University of Memphis, lichstein{at}mail.psyc.memphis.edu

R. Neal Aguillard

Methodist Healthcare

Despite the proliferation of safe, effective, and cost-effective behavioral treatments of insomnia, hypnotic medication remains the most common treatment of insomnia by primary care providers. Such treatment in many cases leads to a pattern of tolerance and dependence on sleep medication, as well as difficulty discontinuing treatment and subsequent rebound insomnia. Recent research suggests promise for behavioral interventions in the treatment of hypnotic dependent insomnia. In this article, the authors report on the treatment of a particularly challenging case: an older adult with a history of addictive behavior now dependent on hypnotics. The authors demonstrate the best possible outcome: elimination of sleep medication combined with sleep improvement.

Key Words: insomnia • hypnotic dependence • benzodiazepines • aged • behavior therapy

Clinical Case Studies, Vol. 2, No. 4, 247-258 (2003)
DOI: 10.1177/1534650103256300


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