Simple approaches including exercise, improved sleep hygiene, and self-help can improve symptoms and reduce the impact on quality of life, particularly for mild symptoms.
Most patients will also benefit from an element of psychological therapy, including counselling, cognitive behavioural therapy (CBT) and eye movement desensitisation and reprocessing (EMDR).
Medical management primarily involves the use of anti-depressants (e.g. paroxetine, mirtazepine). Benzodiazepines (e.g. diazepam) are occasionally used to reduce heightened anxiety states.
Medicinal cannabis can be considered when first line therapies have not achieved adequate benefit in symptoms or quality of life.