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Clinical research has demonstrated that insomnia is often related to medical conditions but also related to psychological disorders, including substance abuse and dependence. This article will discuss some of the most commonly used medications for the treatment of insomnia in a chemical dependency setting, as well as the more commonly used cognitive and behavioral techniques used to treat insomnia. This article is not intended to cover every medication available for insomnia, such as hypnotics (e.g. Ativan), nor is this article intended to address the more common side effects of the medications discussed. This article is intended to provide an overview of real life practice in a residential treatment program. The number one complaint that I hear from clients is insomnia, and the number one concern is how I will treat their insomnia. 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