How do you approach pharmacologic treatment of sleep disturbances in perimenopausal or menopausal patients with vasomotor symptoms?

CBT-I is still the gold standard approach in this population, and sleep hygiene, relaxation, and sleep efficiency would likely be helpful whether you are also addressing vasomotor or other contributing factors. But it can be so helpful to directly treat vasomotor symptoms. I use gabapentin 100-400 m...

This comes up a lot in my practice, especially with patients who already have longstanding problems with anxiety and sleep. Everything has to be individualized based on the person's age and prior history. Though hormones may relieve symptoms even in the absence of vasomotor symptoms, they aren't my ...