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CME: Updates in the management of insomnia: Therapeutic updates and optimizing treatment


AN ACCREDITED UP-TO-DATE VERSION OF THIS TOPIC CAN BE FOUND AT: Insomnia: Updates from SLEEP 2022, (the 36th annual meeting of the APSS)

Activity Description / Statement of Need:

In this online, self-learning activity:

Insomnia is defined by the dissatisfaction of sleep quality or quantity characterized by having difficulty falling asleep, staying asleep, waking too early, or a combination of these. It is defined as chronic if the condition persists for three months, despite the opportunity for sleep or eradication of external stimulus. Insomnia affects people of all ages, though the likelihood of developing insomnia increases with age: reporting one-third of the adult population having been affected by at least one symptom of insomnia.

This learning activity has been designed to bring healthcare professionals’ knowledge of the strategies for treatment of insomnia up to date and to improve their competence and performance in treating it. The activity will also focus on the role of novel pharmacotherapies in the management of insomnia.

Target Audience:

The following HCPs: neurologists, psychiatrists, sleep medicine specialists, and primary care physicians; physician assistants, nurse practitioners, nurses, and pharmacists who practice in the aforementioned areas of specialty; and those who otherwise have an interest in or commonly care for or clinically encounter patients with insomnia.

Commercial Support Disclosure: This activity is supported by an educational grant from Eisai.

Learners may participate in this activity free of charge.

Release Date: October 18, 2019 -- Expiration Date: October 18, 2021

Faculty: Terese Hammond, MD



Faculty introductions, disclosures

Introduction content: cursory refresher and review of insomnia

  • Epidemiology
  • Pathophysiology and risk factors
  • Complications
  • Impact on quality-of-life (QoL)
  • Economic burden

Treatment of insomnia

  • Non-pharmacologic:
  • Sleep hygiene optimization
  • CBT
  • Present therapy: roles and limitations
  • Pharmacologic

– GABA agonists

– Selective melatonin receptor agonist

  • Emerging therapies

– Orexin receptor antagonists

  • First- and later-line therapies, including treatment-refractory cases
  • Clinical pearls and barriers to care
  • Patient case(s)

Conclusions, and best practice recap

Learning Objectives

By the end of the session the participant will be able to:

  • Describe the pathophysiology of insomnia such that it might inform treatment mechanisms
  • Identify the currently available and emerging pharmacotherapeutic treatments for management of insomnia and apply them to patient cases using evidence-based medicine
  • Evaluate a treatment plan for a specific patient with insomnia to optimize safety and efficacy, suggesting modifications for improvement
  • Describe barriers to care associated with treating patients with insomnia



Faculty Disclosure and Resolution of COI

As a provider of continuing medical education, it is the policy of ScientiaCME to ensure balance, independence, objectivity, and scientific rigor in all of its educational activities. In accordance with this policy, faculty and educational planners must disclose any significant relationships with commercial interests whose products or devices may be mentioned in faculty presentations, and any relationships with the commercial supporter of the activity. The intent of this disclosure is to provide the intended audience with information on which they can make their own judgments. Additionally, in the event a conflict of interest (COI) does exist, it is the policy of ScientiaCME to ensure that the COI is resolved in order to ensure the integrity of the CME activity. For this CME activity, any COI has been resolved thru content review ScientiaCME.

Faculty Disclosure: Terese Hammond, MD , has no relevant financial disclosures.

Disclosures of Educational Planners: Charles Turck, PharmD, BCPS, BCCCP, President of ScientiaCME, has no relevant financial disclosures.



  • Read the learning objectives above
  • Take the Pre-Test (optional). Completion of the pre-test will help us evaluate the knowledge gained by participating in this CME activity.
  • View the online activity. You may view this is in more than one session, and may pause or repeat any portion of the presentation if you need to.
  • Minimum participation threshold: Take the post-test. A score of 70% or higher is required to pass and proceed to the activity evaluation.
  • Complete the activity evaluation and CME registration. A CE certificate will be emailed to you immediately.

Cultural/Linguistic Competence & Health Disparities

System Requirements

Windows 7 or above
Internet Explorer 8
*Adobe Acrobat Reader
Mac OS 10.2.8
Safari or Chrome or Firefox
*Adobe Acrobat Reader
Internet Explorer is not supported on the Macintosh

*Required to view Printable PDF Version

Perform Pre-Test (optional)

Please take a few minutes to participate in the optional pre-test. It will help us measure the knowledge gained by participating in this activity.

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