Health Expert Michael Rack, MD shares health management news and commentary at HealthCentral.com. HealthCentral.com is one of the top health destinations on the Web, with more than 35 condition-specific, wellness and general health Web properties. http://www.healthcentral.com/profiles/c/1191/index http://www.healthcentral.com/profiles/c/1191/rss self application/xml en-us 15 120 19 http://www.healthcentral.com/images/hc_logo_sm.gif http://www.healthcentral.com/profiles/c/1191/index http://www.healthcentral.com/sleep-disorders/c/1191/17756/therapy Mon, 12 May 2008 00:02:00 -0400 Michael Rack, MD Cognitive Behavioral Therapy for Insomnia (CBT-I) is an effective treatment for most cases of primary insomnia, and for selected cases of secondary insomnia. There are a variety of behavioral and psychological treatments that comprise CBT-I, including stimulus control therapy, relaxation training, biofeedback, paradoxical intention, sleep restriction therapy, sleep hygiene education, and cognitive therapy. Usually several of these treatments are... http://www.healthcentral.com/sleep-disorders/c/1191/17756/therapy http://www.healthcentral.com/sleep-disorders/c/1191/15630/treat Thu, 01 Nov 2007 10:50:00 -0400 Michael Rack, MD I previously posted about the diagnosis of insomnia, the difference between primary and secondary/comorbid insomnia, and the importance of evaluating for and treating any underlying causes of insomnia. I encourage you to read my Secondary Insomnia post before reading any more of this post. Today I will be talking more about medication treatment options for secondary (comorbid) insomnia. Although persons with primary insomnia (insomnia not... http://www.healthcentral.com/sleep-disorders/c/1191/15630/treat http://www.healthcentral.com/sleep-disorders/c/1191/14336/cpap Mon, 01 Oct 2007 16:15:00 -0400 Michael Rack, MD  Continuous Positive Airway Pressure (CPAP) is the most common treatment for obstructive sleep apnea (OSA). Except for tracheotomy, it is also the most effective treatment for OSA. CPAP is basically a computerized air pump that delivers pressurized air through a hose and then through a nasal interface into the patient's throat. The pressurized air splints open the upper airways, preventing the airflow pauses (apneas) and airflow... http://www.healthcentral.com/sleep-disorders/c/1191/14336/cpap http://www.healthcentral.com/sleep-disorders/c/1191/14178/insomnia Tue, 25 Sep 2007 16:23:00 -0400 Michael Rack, MD Insomnia is defined as difficulty falling or staying asleep, or the complaint of unrestorative/unrefreshing sleep. Most people experience short-term insomnia from time to time, but when insomnia lasts for more than several weeks, it is considered chronic and should be evaluated by a physician. Insomnia used to be classified by sleep specialists as either primary or secondary insomnia. Secondary insomnia was insomnia that was due to an... http://www.healthcentral.com/sleep-disorders/c/1191/14178/insomnia