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Mood Disorders and Insomnia in the General Medical Setting 

Mood Disorders and Insomnia in the General Medical Setting
Mood Disorders and Insomnia in the General Medical Setting

Alin J. Severance

and Christopher R. Hope

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date: 24 October 2020

Mood disorders are more common in medically ill patients than in the general population, and contribute to overall morbidity and mortality. Numerous factors complicate diagnosis and place patients at risk of under- or over-treatment related to psychiatric symptoms that overlap with medical illness. We suggests approaching each consult with an eye toward identifying a broad array of potential etiological factors, and tailoring treatment to the most prominent symptoms. More than in other treatment settings, the optimal intervention for mood disorders in a general medical setting must balance drug interactions, potential treatment side effects, medical status, culture, social milieu, and spirituality. Sleep disturbances are found in the vast majority of hospitalized patients, and insomnia deserves special mention as a risk factor for and symptom of depression and mania. Interventions for insomnia are reviewed in detail.

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