It is not uncommon for a patient to appear at a therapist's practice and describe experiencing chronic pain together with difficulties sleeping. Sufferers often report high levels of continuous pain, daytime sleepiness, difficulties concentrating, negative mood states, difficulties with daily functioning and a general dissatisfaction with their lives. This article discusses the current state of sleep and pain therapies, looks at three clinical cases in which patients suffered from primary insomnia and chronic pain, and proposes a treatment protocol.

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