Addressing Sleep Disorders Related to Trauma: New Guidelines and Treatment Approaches

Sleep disorders are common symptoms of acute stress reactions and post-traumatic syndrome, leading to a decline in mood, concentration, cognitive ability, and physical health. Studies show that around 35% of trauma victims experience nightmares while approximately 58% struggle with sleep difficulties within a day of the trauma.

Treatment for sleep disorders related to trauma remains a topic of debate within the medical community. Dr. Daniel Warsman Berkovich and Dr. Yoel Reiter from the Israeli Sleep Research Society have developed new guidelines outlining recommendations for drug therapy. They emphasize a multidisciplinary approach that focuses on behavioral and psychological therapies such as sedation techniques, sleep hygiene education, and avoiding substances like caffeine and screens before bed.

Experts caution against the use of antidepressants and anti-anxiety medications from the SSRI and SNRI classes as they can negatively affect sleep quality. Instead, they recommend specific medications that can improve certain stages of sleep, such as certain antipsychotic drugs. Beta-blockers like propranolol and benzodiazepines are also discouraged due to their potential to worsen insomnia and post-traumatic symptoms.

Nightmares are highlighted as a particularly distressing symptom for trauma survivors, impacting their quality of life and daily functioning. Dr. Yoel Reiter, a sleep medicine specialist, stresses the importance of addressing nightmares as part of the overall treatment plan for trauma victims. He urges individuals experiencing nightmares to seek help from their primary care physician and consider consulting with sleep specialists for targeted treatments that can significantly improve their quality of life.

In conclusion, it is essential to address sleep disorders related to trauma promptly with proper treatment plans that focus on behavioral and psychological therapies rather than relying solely on medication options that may worsen symptoms or have negative side effects on overall well-being.