May 7, 20121
Sleeping Without The Pills
At first I was curious why Mary, a lovely lady in her early 60s, had come to see me. She described her problem as “being sleepy all the time.” As an internist practicing addiction medicine for the past 24 years, I have become sensitive to the significance of sleep disturbances and what they might represent (substance abuse) as well as the importance of a good night’s sleep to eliminate anxiety.
After interviewing her, my concern was justified: Mary had addictive disease as well. She was abusing Ambien, a prescription sedative for the short-term treatment of insomnia. She didn’t remember exactly when she first began taking it, but recalls why: her 401k had taken a huge hit at the outset of the Wall Street crisis several years ago. She suspected she had “a problem” when she failed to recall a very long and detailed phone conversation with her sister about their upcoming vacation together.