Soldiers' Perspectives of Insomnia Behavioral Treatment in a Primary Care Setting

Treatment of primary insomnia.

Ten percent to 40% of adults have intermittent insomnia, and 15% have long-term sleep difficulties. This article provides a review of the classification, differential diagnosis, and treatment options available for insomnia. We performed a MEDLINE search using OVID and the key words "insomnia," "sleeplessness," "behavior modification," "herbs," "medicinal," and "pharmacologic therapy." Articles ...

Current Perspectives on the Diagnosis and Treatment of Adolescent Depression in the Primary Care Setting

Depression is a major public health problem in the United States, affecting more than 18 million persons and costing more than $43 billion in treatment costs and lost productivity annually [1]. Historically, depression was considered a phenomenon that only adults experienced; however, research has shown that children and adolescents experience a range of depressive disorders [2] similar to adul...

Insomnia in primary care: overcoming diagnostic and treatment barriers. Introduction.

Treatment of bulimia nervosa in a primary care setting.

OBJECTIVE The authors' goal was to determine whether treatments known to be effective for bulimia nervosa in specialized treatment centers can be used successfully in primary health care settings. They examined the benefits of two treatments for bulimia: 1) fluoxetine, an antidepressant medication, and 2) guided self-help, an adaptation of cognitive behavior therapy. METHOD Ninety-one female ...

Behavioral health providers' perspectives of delivering behavioral health services in primary care: a qualitative analysis

BACKGROUND Co-located, collaborative care (CCC) is one component of VA's model of Integrated Primary Care that embeds behavioral health providers (BHPs) into primary care clinics to treat commonly occurring mental health concerns among Veterans. Key features of the CCC model include time-limited, brief treatments (up to 6 encounters of 30 minutes each) and emphasis on multi-dimensional function...