nocturia

But the fact is, a woman in her mid 40s is going to walk in to her provider office with insomnia, with anxiety.

Nocturia, which is getting up to pee a lot of times at night or urinary tract infections or pelvic floor dysfunction or bladder leakage or brain fog or anxiety, low libido, weight gain, joint pains, itchy ears, frozen shoulders, all the symptoms.

And at the end of the day, she's walking out with a prescription for an antidepressant and birth control pills.

Not because our providers are cruel, and I don't even want to say they're incompetent, but because her doctor was never taught.

What is the best management for interrupted sleep insomnia for a patient with nocturia? Does CBT-I work for these patients?

Yes.

Nocturia is, I'll answer from some of my work with OSA, obstructive sleep apnea.

Nocturia is one of the more common symptoms of obstructive sleep apnea, and we know that cognitive behavior therapy for insomnia is effective in the presence of these symptoms, so...

Yes, it will work, provided that it's chronic insomnia that we're treating.

So as long as there is insomnia there, comorbid with another condition, generally, yes, we can treat the insomnia.