Karl Doghramji, MD, finds it fascinating that insomnia usually occurs prior to the emergence of major depressive disorder, reports Psychiatry & Behavioral Health Learning Network.

When insomnia occurs with a comorbid disorder, Dr. Doghramji usually recommends treating the comorbid disorder before the insomnia. Insomnia can be directly managed through cognitive behavioral therapy, pharmacotherapy, and sleep hygiene, he said. Nutraceuticals are popular among patients, but Dr. Doghramji said there is limited evidence of their efficacy.