Final answer:
Trazodone is generally recommended over benzodiazepines like Diazepam or Lorazepam for treating initial insomnia in the elderly due to a lower risk of dependence and less disruption to the sleep cycle. Cognitive-behavioral therapy is also an effective non-medication intervention for insomnia.
Step-by-step explanation:
Treating an 80-year-old, recently widowed man for initial insomnia during a period of bereavement needs careful consideration. Medications such as benzodiazepines can be prescribed, but they may not be the best choice for elderly patients due to the potential for dependence and compromised cognitive function. Among the options provided, Trazodone is often the preferred medication for older adults because it has a lower risk of dependence and does not affect the sleep cycle as significantly as benzodiazepines. Trazodone is also useful in treating depression, which may be beneficial during this man's bereavement.
Furthermore, cognitive-behavioral therapy (CBT) for insomnia is recommended as an effective intervention that can help improve sleep patterns without the side effects associated with medication. CBT focuses on changing the cognitive processes and behaviors that contribute to insomnia, such as spending less waking time in bed to reinforce the association between bed and sleep. This approach also prevents the risk of medication-related side effects, particularly important in the elderly population.