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Managing these challenges requires a personalized plan that often includes the following: Behavioral therapies: Implementing sleep hygiene practices to help the brain and body prepare for rest Environmental changes: Adjusting the bedroom setting to minimize disruptions throughout the night Medical management: Treating contributing conditions like GERD or scoliosis that may be causing physical discomfort Clinical interventions: Using medications or devices when behavioral changes alone are not enough Behavioral approaches to improve sleep hygiene are the first line of defense against insomnia