A 45-year-old woman with fibromyalgia reports chronic insomnia. What strategies could be suggested to her to improve her sleep quality?
Good sleep hygiene is often recommended as a first step in managing chronic insomnia associated with fibromyalgia. This includes maintaining a regular sleep schedule, making the sleep environment comfortable and free from distractions, avoiding caffeine and other stimulants before bed, and establishing a relaxing pre-sleep routine. In some cases, cognitive-behavioral therapy for insomnia may be recommended. If these strategies don't help, a healthcare provider may suggest a trial of medication.