The National Center on Sleep Disorders Research defines insomnia as an experience of inadequate or poor quality sleep characterized by difficulty falling asleep, difficulty

maintaining sleep, waking up too early in the morning, or having nonrefreshing sleep (NCSDR, 1998, pg. 7). Inherently, insomnia can also involve many daytime consequences. Tiredness, lack of energy, difficulty concentrating, irritability-insomnia can have a strong impact on a persons quality of life. About thirty to forty percent of adults indicate that they suffer from some level of insomnia, and about ten to fifteen percent indicate that the insomnia is chronic and/or severe (NCSDR, 1998, pg. 7).

Insomnia is not defined by the number of hours of sleep a person gets, or how long it takes them to fall asleep. Individuals vary normally in their need for, and their

satisfaction with, sleep (NIH, 1995. Pg 1). Ever

Pharmacological treatment is usually the treatment that most physician implement. This can involve the use of hypnotic medications, anti-depressants, anti-histamines, melatonin, and other drugs. Hypnotic medications are primarily used for the short-term management of insomnia-either as the sole treatment, or as adjunctive therapy until the true cause is discovered (NCSDE, 1998, pg. 13). The most common hypnotic drugs that are used are

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