When first published in 2003, this indispensable handbook fulfilled a critical need for information about the various causes of insomnia. Updated and expanded, this new edition of the Clinical Handbook of Insomnia offers healthcare providers the latest diagnostic and treatment strategies, as well as research developments, in the field of insomnia.

With contributions from an expanded team of leading researchers from 5 different countries, this important resource includes new chapters on insomnia in special populations such as children, in adolescents, in the geriatric population, in menopausal women, and during pregnancy. The first edition chapter on insomnia in other sleep disorders has been divided and expanded into three comprehensive chapters addressing insomnia in sleep-related breathing disorders, in circadian rhythm disorders, and in sleep-related movement disorders and other parasomnias. The chapter on insomnia in neurological and medical disorders has also been split into two; an expanded one on neurological illness and another on medical disorders. There is also a new chapter on the association between insomnia and pain disorders, and, crucially, a practical 'how-to' chapter aimed at mid-level clinicians.

The Clinical Handbook of Insomnia 2nd edition also includes state-of-the-art discussion of important developments made in recent years. Along with an overview of significant advances in the treatment of insomnia, including four new medications granted FDA approval and a number of others in the pipeline, the text offers a wealth of of new data regarding the pathophysiology of insomnia. Complete with a host of case studies, charts, and graphs to illustrate the material, the Clinical Handbook of Insomnia 2nd edition continues to fill an important niche in the literature by addressing the issue in its multiple forms and by presenting the information to clinicians in an easilyaccessible format.

Zusammenfassung
It has been 5 years since publication of the first edition of Dr. Attarian's Clinical Handbook of Insomnia which at the time was the first significant cl- ical textbook dedicated to insomnia, an often overlooked but important me- cal problem. The book was very well received. There has now been sufficient new information on the subject to warrant a second expanded edition of this very useful volume. Then, as now, the approach is to emphasize the frequent biological causes of insomnia rather than to attribute it primarily to underlying psychological and emotional factors. This new edition is an impressive major effort, having been expanded from 14 to 23 chapters including an extensive revision and updating of previous chapters with new references and the ad- tion of many new authors. An entirely new section of the book deals with insomnia in special populations including teenagers, pregnancy, menopause, and the geriatric population. Other new topics include insomnia as enco- tered in primary care practice, the role of circadian rhythms, the contribution of sleep related movement disorders to insomnia, insomnia in pain disorders, and the interesting entity of paradoxical insomnia, in which there is a large d- crepancy between the objective and subjective estimation of quantity of sleep. This collection within a single volume of practical information concerning a common but often neglected disorder remains a very useful addition to the armamentarium of the general or specialty physician who wishes to properly address insomnia in an informed and responsible manner.

Inhalt
Overview.- Defining Insomnia.- Epidemiology of Insomnia.- Physiological Basis of Insomnia.- Differential Diagnosis of Insomnia.- Insomnia in Primary Care Practice with a Special Focus for the Midlevel Practitioner.- Insomnia in special populations.- Puberty Is Starting Earlier in the 21st Century.- Behavioral Insomnias of Childhood: Assessment and Treatment.- Insomnia in Teens.- Insomnia During Pregnancy.- Menopausal Insomnia.- Sleep and Aging: Insomnia in the Geriatric Population.- The Primary Insomnias.- Premature Thelarche.- Gynecomastia.- Psychophysiological Insomnia.- Idiopathic Insomnia.- Paradoxical Insomnia.- Sleep Hygiene.- The Secondary Insomnias.- Premature Adrenarche.- Pubertal Consequences of Being Born Small for Gestational Age.- Congenital Adrenal Hyperplasia.- Polycystic Ovary Syndrome in the Peripubertal Period.- Psychological and Social Problems in Children with Premature Adrenarche and Precocious Puberty.- Insomnia Caused by Medical Disorders.- Insomnia in Neurological Diseases and Disorders.- Insomnia in Psychiatric Disorders.- Circadian Rhythms and Insomnia.- Insomnia Secondary to Sleep-Related Breathing Disorders.- Insomnia as a Presenting Symptom of Sleep-Related Movement Disorders, Hypersomnias and Parasomnias.- Insomnia and Pain Disorders.- Treatments.- Etiology of Gonadotropin-Dependent Precocious Puberty.- Treatment of Gonadotropin-Dependent Precocious Puberty.- Cognitive-Behavioral Therapy for Insomnia.- Pharmacological Treatment of Insomnia.- McCuneAlbright Syndrome.- Familial Male-Limited Precocious Puberty.- Gonadal and Adrenal Tumors.- Contents/Directory.- Environmental Effects on Puberty.- The Role of Endocrine Disruptors in Pubertal Development.- Precocious Puberty in Internationally Adopted Girls.