Cindy Heller asked:


While insomnia prevails among a notable proportion of adults, children too suffer from sleep disorders. Insomnia in children is characterized by signs of wakefulness or restlessness daily at night, irritability or heaviness on waking from sleep, mood swings, lack of concentration, and unusual difficulty with remembering.

Causes of Insomnia in Children

In children, the causes of insomnia are generally more easy to work out that in grown ups. If your child suffers from any of the symptoms listed above, look for any one or more of these causes that usually cause sleep disorders in children: stress, diet, anxiety, fear, physical problems (constipation, pain etc.), and disturbed routine (watching TV late in the night, over use of computer, video games etc.)

Insomnia in Women

A good number of women suffer from sleep disorders in early pregnancy. Insomnia In Early Pregnancy Is Mostly Caused By Discomfort And Anxiety. Most people attribute the sleep disorders in early pregnancy to the hormonal imbalances – while in some cases this would be true, there are plenty instances where the insomnia in early pregnancy is caused by the excitement and anxiety of being pregnant. . To counteract the problem, you will have to consult a doctor since self medication would be contraindicated once you are confirmed to be pregnant.

Sleep disorders during Pregnancy

Studies have found that about 78 % of pregnant women suffer from insomnia for varying durations. However, physicians believe that sleep disorders during pregnancy is normal and not dangerous to the infant’s health. A number of reasons account for sleeping difficulties encountered during pregnancy. In many cases, the growing size of the abdomen is the main cause of sleeplessness. Pressure eon the bladder caused by increased size of the abdomen makes it necessary to urinate several times during the night. The pregnant woman feels trouble with finding a comfortable position for sleeping. Feeling the baby’s movement can also cause waking up at night. Heartburn and back pain are two main physical problems that cause insomnia during pregnancy. There might be aching in the hips, causing discomfort. Hormonal changes and psychological conditions like anxiety and/or depression are other main causes of sleeplessness.

Coping With sleep disorders during Pregnancy

The first thing to do is to prevent you from getting overly anxious, just looking at the time and worrying about sleep. Taking a warm bath, before going to bed, brings comfort and relaxes you to sleep. Relaxation exercises like yoga and meditation etc. are helpful in relieving anxiety and bringing sleep. You can also ask your partner for a massage. Take plenty of exercise during the day or in the evening but not too close to bedtime. Exercise will make you tired and hence drive you to sleep. Also try to avoid taking naps in the day. If you get up several times to urinate during the course of the night, take fewer fluids after 4 pm. Also avoid taking caffeine drinks in the evening. Their stimulating effect is a sleep antagonist. Keep the temperature of the bedroom at a comfortable level. Keep the window open for fresh air to reach you. Use additional blankets to keep you warm if the room feels cold.

Menopause and Insomnia in Women

Women going through their menopause frequently suffer from insomnia. Menopause and sleep disorders co-occur due to the reduction and imbalance of hormones associated with menopause. The resulting stress, anxiety, and depression deprive the menopausal woman of sleep. Accompanying these sleep disturbances are hot flashes and sweats that are the characteristic symptoms of menopause.

Treatment for Menopausal Insomnia

Insomnia is treated in a variety of ways like prescribed medications, herbal formulas, relaxation techniques, exercises, psychological treatment (if anxiety or depression are the main cause), lifestyle changes, home remedies and nutrition etc. For menopause and sleep disorders co-occurring, hormone replacement therapy is also used. However, it is not effective in all women and different women going through menopause respond differently to this therapy. When the body’s hormonal imbalance settles down by itself, the insomnia associated with it also disappears.

Various Prescribed Medicines for Insomnia

Trazodone is an antidepressant available in the drug market under the brand name Desyrel or Desyrel Dividose. Besides treating depression, loss of motivation for daily activities, and other symptoms, Trazodone is frequently prescribed for treating symptoms of insomnia.

Over the years, lexapro and sleep disorders have been connected together because of the fact that most people who have taken this drug ends up suffering from insomnia. According to experts, lexapro is one of the most effective drugs for treating depression especially in children and adolescents. Unfortunately, lexapro and insomnia seem to have become so closely associated that when you think of lexapro and insomnia, you immediately associate it with cause and effect where lexapro becomes the cause of insomnia.

Melatonin is a hormone that the body produces naturally. It is also a powerful antioxidant. Melatonin is reported to help to have a sedative effect on the body, helping to induce sleep in many. It is non-toxic and no side effects have been officially reported while using this therapy. Using melatonin for sleep disorders is a fairly well-known practice in society.

Prozac is certain type of medicine that is commonly used to treat depression in people. As an anti-depressant, prozac is rather effective and is said to be very good in helping people with anxiety disorders and eating disorders. However, the bad news about prozac is that it can have some serious side effects including insomnia.

Dee Braun asked:


Insomnia is more common in women as opposed to men. Experts say that every woman will experience a certain degree of insomnia at least once in her life due to certain hormonal imbalances. This usually happens during perimenopausal stages while younger women suffer from insomnia caused by premenstrual syndrome. Insomnia, however, must not be mistaken for getting insufficient sleep as women differ when it comes to the amount of sleep they need. There is this big difference between needing less sleep and not being able to sleep whenever you need it.

To cure insomnia in women, you have to alleviate the causes of sleeping disorders. It is easy to blame it on hormones, but more often than not, it is not the sole culprit. Chronic stress, for example, is a huge contributor to insomnia in women. Stress causes adrenal exhaustion of the DHEA hormone which is an essential sleep regulator. Too much consumption of alcohol, caffeine and carbohydrates especially right before bedtime causes unnecessary alertness that keeps you from sleeping. Unresolved conflicts and anxieties also lead to lack of sleep which makes women prone to insomnia.

There is a large misconception about over-the-counter sleeping pills as being the cure for insomnia. Truth is, sleeping pills are a mere short-term reliever and a dependency on them can induce further sleeping problems. What is needed, then, is to remedy the causes of insomnia in women through natural methods that maintain hormonal balance and ensure a healthy lifestyle.

One thing that works wonders with insomniacs is keeping a sleep journal at your bedside table to track down what exactly is causing your insomnia. On a notebook, simply write down the time you went to bed, the time you awakened in the middle of the night, and the time you got up in the morning.

You may also want to take note of your premenstrual and postmenstrual experience to see if it has an effect on your sleeping habits. Try to maintain the journal in about three months and reread it to find out if there is some kind of pattern. If the journal seems to show you that you are having transitory insomnia during your menstrual cycle, then your hormones might be causing it.

There are measures you can follow in order to alleviate the symptoms of hormonal insomnia. The easiest way is to drink at least one glass of water before going to sleep. Avoidance of caffeine 6 hours before bed time or anything high in sugar content 2 hours before, also prevents insomnia as these chemicals cause mental and physical alertness.

Eating food that is high in magnesium is the way to go for insomniacs. Magnesium-rich foods are soybeans, almonds, lima beans and the likes. Food rich in estrogen has to be added in your diet as well especially if you are in a premenopausal stage. Phytoestrogens are apples, carrots, green beans, and potatoes.

Regular exercise also prevents the symptoms of insomnia in women whose tasks are not quite physically demanding. At least 30 minutes a day, thrice a week will do to avoid insomnia. Indulging yourself in physical activities especially those that allow you to socialize at the same time also discourage stress and fatigue that usually leads to insomnia.

Maintaining a positive outlook in life is essential in keeping a sound mind and body. Always remember that creating lasting relationships and keeping a fair conscience is the best way to ensure a good night’s sleep.

Rohit Chopra asked:

There are millions in this world today who suffer from insomnia. When sleeplessness moves beyond the normal range of a few days into weeks and months, you have a really serious problem afflicting you that requires express treatment. However, first you must have a basic understanding of insomnia and its different aspects.

How would you identify your problem as insomnia? For this you need to understand insomnia symptoms. The fundamental symptom that will plague you if you have insomnia is inability to sleep night after night for a long time at a stretch. You must understand that insomnia also refers to waking up in the night and not being able to get back to sleep again.

If this problem occurs regularly, you can call yourself an insomniac. As a consequence of these two basic symptoms you will suffer from other problems like, tiredness throughout the day, lack of concentration, headaches and heaviness in the mind. You may also feel like spending the daytime sleeping.

Once you are able to understand insomnia and identify it as the cause of your problems, you should look at the underlying sources of the trouble so as to get rid of the ones that afflict you. Stress is the number one cause of insomnia in todays world. Often people with trouble and anxiety on their minds keep awake thinking about it. These worrying recurring thoughts prevent them from falling asleep.

Another reason that causes insomnia is depression. At the same time, you must also understand that insomnia too can cause depression. Some medical problems are at the root of insomnia like, diabetes, kidney troubles and sleep apnoea that is a very big contributor to sleeplessness. Similarly, pain and injuries can create havoc in your sleep pattern. Certain medications, especially anti-depressants, too have an adverse effect on the sleep of people so after consultation with your doctor you should consider taking it during the daytime. If you tend to work late and go to bed with your mind buzzing with office work, you stand a good chance of losing sleep. If this becomes a habit you must understand that insomnia is round the corner.

Modern lifestyle is a big culprit in causing insomnia. If you do not exercise, or eat hearty meals just before going to bed, or have stimulants like coffee, cola etc. late in the evening, insomnia could be a likely fallout along with other problems.

To effectively tackle insomnia you must also understand insomnia treatment methods that can be used. Firstly, have a complete check up done to rule out any other medical condition as a cause of your sleeplessness. Insomnia treatment would aim at striking at the root of the problem. So, you must make an attempt to understand the cause of insomnia in your case.

If stress is affecting you employ relaxation methods like, yoga, meditation or listen to soft music to calm your mind. You may also consider joining a stress management course where you will learn to control stressful conditions without letting it affect you too much. Bring about changes in your lifestyle. Eat healthy and ensure that you have a light meal at least a couple of hours before hitting the bed. Give up stimulants or at least restrict them. Make exercise an integral part of your life.

This is one factor that you should understand would not only treat insomnia but also have a positive effect on your health in general. Avoid working late and make your bedroom a comfortable and relaxing place.

If in spite of all these measures you are unable to get a good nights sleep you must understand that your insomnia problem requires medication. Apart from the conventional sleeping pills you can try out herbal medications in consultation with your doctor.

Insomnia is a sleeping disorder that unfortunately has steadily crept into our lives. However, remember that it is curable; all that it requires is for you to understand insomnia and accordingly deal with it.

james sameul asked:

Introduction

Nearly everyone has occasional sleepless nights, perhaps due to stress, heartburn, or drinking too much caffeine or alcohol. Chronic insomnia is defined when you have problems falling asleep, maintaining sleep, or experience nonrestorative sleep that occurs on a regular or frequent basis, often for no apparent reason.

Insomnia Overview

Most adults have experienced insomnia or sleeplessness at one time or another in their lives. An estimated 30-50% of the general population are affected by insomnia, and 10% have chronic insomnia.

Insomnia is a symptom, not a stand-alone diagnosis. By definition, insomnia is “difficulty initiating or maintaining sleep, or both.” Although most of us know what insomnia is and how we feel and perform after one or more sleepless nights, few seek medical advice. Many people remain unaware of the behavioral and medical options available to treat insomnia.

Insomnia techniques you’ve probably already tried but are still worth trying again.

·    See a Doctor

Insomnia can be a symptom of physical disorders, although for most of us it’s the result of tension, stress and anxiety—and of course the more anxious we get about our insomnia, the worse it gets. If your doctor pronounces you a “healthy” insomniac, he might suggest some of the techniques provided here. Or she might prescribe drugs to help you get to sleep.

We suggest you try all these methods first, and use drugs only as a last resort. The decision, of course, is yours.

·    Take a Warm Bath

It’s a great way to relax your body. Don’t overdo it, however. You merely want to relax your body, not exhaust it. Too long in hot water and your body is drained of vitality.

What causes insomnia?

Insomnia is the body’s way of saying that something isn’t right. Things that may cause insomnia include stress, too much caffeine, depression, changes in work shifts, and pain from medical problems, such as arthritis.

There are different kinds of insomnia:

·    Sleep Onset Insomnia (Delayed Sleep Phase Syndrome): A disorder in which the major sleep episode is delayed in relation to the desired clock time that results in symptoms of sleep onset insomnia or difficulty in awakening at the desired time.

·    Idiopathic Insomnia: A lifelong inability to obtain adequate sleep that is presumably due to an abnormality of the neurological control of the sleep-wake system. The insomnia is long-standing, commonly beginning in early childhood, sometimes since birth.

·    Psychophysiological Insomnia: A disorder of somatized tension (conversion of anxiety into physical symptoms) and learned sleep-preventing association that results in a complaint of insomnia and associated decreased functioning during wakefulness.

Symptoms

Symptoms of insomnia can be different for each individual, and people with insomnia might experience a variety of symptoms, such as:

·    Difficulty falling asleep, which can mean lying in bed for up to an hour or more, perhaps tossing and turning, wishing for sleep to begin.

·    Awakening during sleep and having trouble getting back to sleep.

·    Awakening too early in the morning.

·    Feeling unrefreshed upon awakening.

·    Daytime irritability, drowsiness, anxiety, and/or nonproductiveness.

John mathew asked:

Insomnia is a condition in which you have trouble falling or staying asleep. Some people with insomnia may fall asleep easily but wake up too soon. Other people may have the opposite problem, or they have trouble with both falling asleep and staying asleep. The end result is poor-quality sleep that doesn’t leave you feeling refreshed when you wake up.

Insomnia can affect any person, of any age, at any time in their life. While insomnia is often a fleeting or “transient” condition, many people experience chronic insomnia. When left untreated, insomnia can have many dramatic effects on the body, including physical, psychological and emotional.

Types of Insomnia

There are different classifications of insomnia: transient, intermittent, and chronic. Transient insomnia is short term insomnia. It can last from a single night to a few weeks. Intermittent Insomnia is insomnia that occurs on and off. Chronic insomnia is insomnia that occurs constantly, usually most nights and lasts for a month or more.

Symptoms

Insomnia symptoms can vary and may be different from person to person. Insomnia is a medical condition characterized by the inability to sleep. People who suffer from insomnia typically have a hard time falling asleep; they lie in bed for hours in frustration, tossing and turning. Because of the poor quality of sleep they are getting, insomniacs are tired for most of the day.

The following symptoms indicate possible insomnia:

•    difficulty falling asleep at night

•    inability to get adequate sleep at night

•    feeling tired after sleep

•    waking up at early hours

•    waking up through the night.

Causes

You might be surprised at the vast range of factors that can cause sleep problems. Health and lifestyle issues such as stress, illness, or sleep environment might be at play. Or you might have a sleep disorder that interferes with the quality of your sleep. Whatever the cause or causes of your insomnia, there are effective solutions.

Insomnia stems from 4 main causes:

1.    Psychological

2.    Lifestyle

3.    Environmental

4.    Insomnia as a secondary illness

Treatment

Treatment of insomnia often depends on the cause. If insomnia is a secondary condition or symptom to another problem, healthcare professionals prefer to treat the primary condition whether it be depression, long term anxiety, or a medical condition that is leaving the patient awake at night. Some antidepressants, such as SSRI’s, can cause insomnia, however, others have a sedating effect. These include: Elavil, mirtazapine, trazodone and doxepin.

The antidepressant trazodone (Desyrel) also may help with insomnia. Over-the-counter sleep aids contain antihistamines that can induce drowsiness. They’re OK for occasional sleepless nights, but they, too, often lose their effectiveness the more you take them. Many sleeping pills contain diphenhydramine, which can cause difficulty ********* and a drowsy feeling in the daytime.

David Stevens asked:


Insomnia is a sleeping disorder whereby the person has the inability to fall asleep or the inability to remain asleep for a normal amount of time. People suffering from insomnia have been known to complain about being unable to close their eyes for more than a few minutes at a time.

Insomnia means a poor-quality sleep because of one or more of the following: difficulty falling asleep, waking up frequently during the night with difficulty returning to sleep, waking up too early in the morning or unrefreshing sleep. It is a condition in which a person has trouble falling or staying asleep. Some people with insomnia may fall asleep easily but wake up too soon. Other people may have the opposite problem, or they have trouble with both falling asleep and staying asleep. The end result is poor-quality sleep that does not leave the person feeling refreshed when they wake up.

At least three types of insomnia exist: transient, acute, and chronic.

1. Transient insomnia lasts from one night to a few weeks. Most people occasionally suffer from transient insomnia due to such causes as jet lag or short-term anxiety. If this form of insomnia continues to occur from time to time, the insomnia is classified as intermittent.

2. Acute insomnia is the inability to consistently sleep well for a period of between three weeks to six months.

3. Chronic insomnia is regarded as the most serious; persists almost nightly for at least a month.

Insomnia can affect any person, of any age, at any time in their life. While it is often a transient condition, many people experience chronic insomnia. When left untreated, insomnia can have many dramatic effects on the body, including physical, psychological and emotional. It is a very common health problem. It can cause excessive daytime sleepiness and a lack of energy. Long-term insomnia can cause you to feel depressed or irritable; have trouble paying attention, learning, and remembering; and not do your best on the job. IT also can limit the energy you have to spend with friends or family.

Insomnia can be mild to severe depending on how often it occurs and for how long. Chronic insomnia means having symptoms at least 3 nights per week for more than a month. Insomnia that lasts for less time is known as short-term or acute insomnia.

There are certain lifestyle habits that can lead to sleeplessness. Caffeine most commonly disrupts sleep. An estimated 10% of chronic insomnia cases result from substance abuse, especially alcohol, cocaine, and sedatives. One or two alcoholic drinks at dinner poses little danger of alcoholism and may help reduce stress and initiate sleep. But excess alcohol or alcohol used to promote sleep, however, tends to fragment sleep and can cause wakefulness a few hours later. It also increases the risk for other sleep disorders.

The good news is that there are different cures for insomnia these days that will help you to deal with this and eventually cure this. You will find various programs and courses online that you should be checking out so you can get help to start dealing with this disorder without delay.

Juliet Cohen asked:


Insomnia, defined as trouble falling asleep or staying asleep, is a common problem. Insomnia can occur in people of all ages. Most individuals just experience a night or two of poor sleep, but sometimes the sleep disturbance can last for weeks, months, or even years. Insomniacs typically complain of being unable to close their eyes or “rest their mind” for more than a few minutes at a time. Insomnia is most common among women and older adults. Transient insomnia lasts from one night to a few weeks. Most people occasionally suffer from transient insomnia due to such causes as jet lag or short-term anxiety. Acute insomnia is the inability to consistently sleep well for a period of between three weeks to six months. Chronic insomnia is regarded as the most serious; persists almost nightly for at least a month. Most adults have experienced insomnia or sleeplessness at one time or another in their lives. Insomnia is a common problem that may be temporary or chronic. An estimated 30-50% of the general population are affected by insomnia, and 10% have chronic insomnia. Stress most commonly triggers short-term or acute insomnia.

Most people over 70 need less than 6 hours sleep per night; and they tend to be light sleepers. Insomnia is a common problem that may be temporary or chronic. As many as one in 10 Americans have chronic insomnia, and at least one in four has difficulty sleeping sometimes. But that doesn’t mean you have to just put up with sleepless nights. Some simple changes in your daily routine and habits may result in better sleep. Insomnia affects all age groups. Among older adults, insomnia affects women more often than men. The incidence increases with age. Stress most commonly triggers short-term or acute insomnia. Chronic insomnia can lead to mental health problems such as depression, or misuse of alcohol or other medicines in order to gain sleep. Newborn babies can sleep for 16 hours a day, while children of school age need an average of 10 hours. Adults usually need, on average, 7 to 9 hours sleep a night. As we get older, its normal to need less sleep.

Insomnia that lasts for less time is known as short-term or acute insomnia.Insomnia affects all age groups. Among older adults, insomnia affects women more often than men. The incidence increases with age. Insomnia is the perception or complaint of inadequate or poor-quality sleep. Insomnia may cause problems during the day, such as tiredness, a lack of energy, difficulty concentrating, and irritability. Insomnia can be classified as transient (short term), intermittent (on and off), and chronic (constant). Insomnia lasting from a single night to a few weeks is referred to as transient. Insomnia may be a symptom of magnesium deficiency, or lower magnesium levels. A healthy diet containing magnesium, can help to improve sleep in individuals without an adequate intake of magnesium. Short-acting benzodiazepines or the newer hypnotic ‘Z medicines’ are the current preferred medicines for insomnia and are only available on prescription. Benzodiazepines are tranquillisers and are designed to reduce anxiety and promote calmness, relaxation and sleep.

Insomnia Treatment Tips

1. Using aromatherapy, including jasmine oil, lavender oil, Mahabhringaraj and other relaxing essential oils, may also help induce a state of restfulness.

2. Relaxation techniques such as meditation have been shown to help people sleep.

3. Traditional Chinese medicine has included treatment for insomnia.

4. A healthy diet containing magnesium, can help to improve sleep in individuals without an adequate intake of magnesium.

5. Melatonin has proved effective for some insomniacs in regulating the sleep/waking cycle.

6. Avoid or limit your use of caffeine (coffee, tea, sodas, chocolate), decongestants, alcohol and tobacco.

7. Exercise more often, but don’t exercise within a few hours before going to bed.

8. Behavioral treatments teach you new sleep behaviors and ways to make your sleeping environment more conducive to sleep.

9. Antidepressant trazodone (Desyrel) also may help with insomnia.

8. Avoid or limit tea, coffee, chocolate, and cold remedies containing caffeine.

9. Avoid drinking alcohol and smoking as these are also stimulants.

Cindy Heller asked:


Insomnia or sleeplessness as it is commonly known is a little understood affliction. In fact, you will find that sleep disorder is both a symptom and a malady by itself – and hence, its diagnosis is a bit troublesome. There have been so many myths and fables connecting to insomnia. If you are suffering from this condition, it is really very important to get the right information on insomnia to understand and treat your condition well. If you have been suffering from lack of sleep and do not have any idea what to do about your situation, it would be a good idea to seek information on sleep disorder from reliable sources such medical journals, your doctor or from websites of reputable organizations.

When you consult your doctor about your sleeping problems, you should ask him or her to discuss the different aspects of this disorder. When discussing information on insomnia with your doctor, you should also ask about the different options of treating the disorder. Note that natural treatments are generally preferred over the sleeping drugs available in the market. The natural treatments do not have the unwanted side effects like those of the pharmaceutical drugs. The natural treatment process is cost effective too. Another way of getting reliable information on sleep disorder is to go online and browse through some websites. When you do this, make sure that you only use websites of organizations that are authoritative on the topic.

Insomnia or lack of sleep can be of two types, i.e. (i) transient and (ii) intermittent. The former is when one experiences sleeplessness for a period of maximum 2-3 weeks; while the intermittent insomnia is when this gets repeated every now and then. This will mostly be a projection of an underlying problem, such as anxiety, depression, drug abuse, etc.

Childhood Insomnia

Sleep disorder is something that affects the old and young alike. Studies have shown that childhood insomnia has continuously risen all over the United States in the past few years. Experts attribute the increase in cases of childhood sleep disorder to many factors at home, school and the neighborhood. If you have a child who is struggling with childhood insomnia, you should try to help your child get some sleep. The first thing that you need to do to help your child get some sleep is to find out what is keeping him or her awake at night. If your child could not sleep because of some unfounded fear, you should try to be patient with him.

Children have very rich imaginations and the things which you think are so unreasonable and unreal, could be very real for them. Never for one moment belittle your child’s fear. One of the best ways to put a child to sleep is to read them some gentle and soothing bedtime stories. The soothing sound of your voice actually helps cure childhood insomnia. The human body responds well to schedules and rhythm. To help your child overcome childhood insomnia, you should set a specific time for your child to go to bed.

Hyper Insomnia

Generally speaking, there are two major types of insomnia, i.e. acute sleep disorder and chronic insomnia or hyper insomnia. You will know that you are suffering from acute insomnia when you cannot sleep because of some apparent reason like noise, bright light, too much of heat or cold, incoming illness, recovering from illness, uncomfortable bed, and so on. The other causes of acute sleep disorder are erratic sleeping schedules, i.e. working on night shifts, working late night, watching TV which interferes with the body’s normal biological clock. Normally, removing the irritants and minor home remedies would be sufficient to cure this type of insomnia.

The hyper insomnia or chronic insomnia is quite difficult to manage or cure. This is usually the result of a serious underlying problem, or a disease by itself triggered by some anxiety or serious health problem (which could be neurological, medical and/or psychiatric). Most of the times, the hyper insomnia would be connected with some psychiatric problem or other and hence would require long and careful tests for proper diagnosis. Reports show that hyper insomnia accounts for more than 45 percent of the cases.

The other major cause for hyper insomnia is drug abuse, not necessarily narcotics. There are many drugs some as innocent as decongestants and antidepressants that can cause long term insomnia. The other culprits could be coffee (and any caffeine consisting drinks), steroids (prescribed by the doctor), beta blockers, and even sleeping pills (withdrawal symptoms when they are discontinued). It is best to take medical advice and treatment for hyper insomnia.

Chronic Insomnia

Chronic sleep disorder is a complicated condition in which the patient has difficulty in sleeping or getting refreshing sleep for more than a month. Depression is a major cause of chronic insomnia. Other causes include diseases like arthritis, heart problems, kidney problems, respiratory diseases, Parkinson’s disease, hyperthyroidism, sleep apnea, and several other conditions. Constant experience of mental stress and excessive use of stimulants like caffeine (coffee, tea etc.) are also responsible for causing chronic insomnia.

Treatment of chronic sleep disorder consists of diagnosing and eliminating the underlying medical/psychological disorders. Stopping or minimizing behaviors that aggravate sleep disorder are also part of the treatment plans. Sleeping pills may be prescribed by the physician for temporary use but they are not allowed for long-term use. Different behavioral techniques are employed to treat chronic insomnia. These include techniques like relaxation therapy, sleep restriction therapy, reconditioning, and using bright light.

Cindy Heller asked:


In broad terms, insomnia refers to difficulty experienced in falling asleep or maintaining restoring/refreshing sleep. It is a topic of great debate whether insomnia is a symptom or disorder. Whether disorder or symptom, different kinds of insomnia have been recognized and are described here.

Kinds of Insomnia

Sleep Onset Insomnia is also called Delayed Sleep Phase Syndrome because the patient delays the major sleep episode and this delay causes sleeplessness and difficulty in getting up at the desired time. Psycho-Physiological Insomnia is caused due to anxiety or psychological problem which creates physical symptoms and prevents sleep. In Idiopathic type of insomnia, the nervous system becomes incapable of controlling the sleeping and waking mechanism of the body. The result is a lifelong failure to get proper sleep. It usually starts in early childhood.

Childhood insomnia in children is of two types- Limit- Setting Sleep Disorder and Sleep-Onset Association Disorder. Altitude Insomnia is an acute version of insomnia, short-lived but intense, accompanied by symptoms of headache, fatigue, and loss of appetite, all occurring when you move to high altitudes. Insomnia that results as an allergic response to certain foods is called Food Allergy Insomnia. Toxin-Induced Sleep Disorder is insomnia caused due to poisoning with toxins like heavy metals or certain organic compounds. Environmental Insomnia is sleep difficulty caused by the presence of certain environmental factors in the surrounding e.g. noise, smell, smoke etc. Stimulant-Dependent Sleep Disorder is insomnia resulting from using substances (drugs for example) that stimulate the nervous system. The person becomes addicted to their use and fails to get sleep when abstinence from the drug is practiced.

Alcohol and Insomnia

Many people believe that alcohol and insomnia are not related since alcohol actually puts a person to sleep when it is consumed in excess. Yes, it is true that initially a person who consumes large amounts of alcoholic drinks would fall asleep or pass out as it is popularly known. However, if such binges are happening often enough, the effect will be drastically reversed and the person is bound to have a very fitful sleep. People who suffer from diseases such as blood pressure, indigestion and gastric or kidney or heart problems, and the like are prone to develop insomnia if alcohol is introduced in the diet on a regular basis. It would be good to stay away from alcoholic beverages at least 3-4 hours before bedtime

Anxiety and Insomnia

Anxiety and insomnia have been found as causally related in people who remain excessively worried about some problem or coming event. While sleeplessness on account of mild anxiety for a couple of nights is normal in many cases, prolonged sleeplessness accompanied by constant worrying is clearly a case related to the causal relation between anxiety and insomnia. Anxiety is not a single disorder but a group of psychological disorders called Anxiety Disorders. These include generalized anxiety, panic and phobias, post-traumatic stress disorder, and obsessive-compulsive disorder. Different approaches treat anxiety and related insomnia differently. These include psychological counseling, psychotherapy, prescribed medication, nutritional treatment, herbal formulas, and alternative treatments like acupuncture.

Stress Related Insomnia

There are so many people all over the world who are so stressed out during the day that they find it almost impossible to sleep at night. If you are one of those people who have been losing sleep because of stress, you should try to find some solutions to your stress and insomnia problems. Studies show that stress and insomnia are so closely related that when one is present, the other is more likely to follow. For instance, if you have some emotional problems that have been bugging you for sometime, you will find it difficult to take your mind off of your problem. There are many prescription drugs that can help you with your stress and insomnia problem. There are many natural cures for treating stress related insomnia. Most cases of stress related insomnia can be cured by simply taking a break from your daily routine. Taking a walk in the park and breathing some fresh air can help you relax and calm your nerves.

Depression and Insomnia

Depression and insomnia seem to feed off on one another. A person becomes depressed and cannot stop worrying, living in fear, or having anxiety attacks. This does not end when the day does, and the night only continues the barrage of voices that carry over from the day. Insomnia then sets in, and the physical strain on the body weakens the mind and body further until depression sets in again. Relief comes when one identifies the source of the insomnia, whether it is clinical depression or something altogether different. Counseling may prove to be quite helpful in dealing with cases of depression and anxiety. It is important to know that options are available in the form or medications, herbs and supplements in order to help someone suffering from depression and insomnia.

Depression Anxiety Insomnia

One of the most common causes for sleeping disorders is depression and anxiety. In most cases, depression anxiety and insomnia would go hand in hand that people often find themselves dealing with two types of disorders at the same time. According to experts, depression anxiety and insomnia usually go together because the more stressed out and disturbed the person, the more he or she will find it difficult to sleep at night. There are so many people who experience depression anxiety and insomnia for a long period of time simply because they refuse to admit the real cause of their problems. If you really want to help yourself cope with depression anxiety and insomnia, learn to be honest with yourself.

Bharat Bista asked:


Insomnia is the most common sleep problem reported by adults. Approximately one-half of all adults have occasional sleep problems during the course of any year. Insomnia is characterized by the inability to fall asleep or to maintain sleep, usually due to an underlying condition or cause. Both men and women of all ages suffer from insomnia, but it is more common in females and older adults. Individuals suffering from insomnia may experience any or all of the following symptoms:



Difficulty falling asleep

Difficulty staying asleep

Waking too early in the morning



Typically, insomnia is associated with feelings of restlessness, irritability, anxiety, unrefreshing sleep, and daytime fatigue. Medical or psychiatric conditions that are sometimes associated with insomnia include depression, anxiety, substance abuse disorders, obstructive sleep apnea, restless legs syndrome, and chronic medical conditions. Medications and other substances, such as caffeine, alcohol, or nicotine, can also play an important role in the development or persistence of insomnia. Some commonly used medications, such as antidepressants, antihypertensive, antihistamines, and decongestants, have been known to cause insomnia and sleep disruption. Before discontinuing any medication, however, it is very important to discuss your concerns with your doctor first.

For most people with insomnia, the symptoms last a few days to weeks, and then resolve spontaneously. In many of these cases, the underlying cause of insomnia may be a transient life stress or change in the daily routine of an individual. However, for those who have chronic insomnia, lasting for three months or longer, the effects of poor sleep can take a significant toll on quality of life and general well-being. The effects of chronic insomnia include reduced quality of life, impaired social functioning, diminished work productivity, missed work days, impaired memory and concentration, and depression. In essence, chronic insomnia can deprive individuals of their ability to function both socially and professionally, which can then lead to increasing problems in these areas of life.

In addition to decreased job performance, insomnia is associated with increased absenteeism. People with insomnia are at increased risk for various kinds of accidents, both at work and while operating motor vehicles.

Managing Insomnia

Chronic insomnia is characterized by its chronicity. Thus, individuals with chronic insomnia can expect that the problem may be life-long. However, there are successful treatments available that can help to control the severity and to minimize the long-term effects of insomnia.

Scientific research has demonstrated that the most successful treatment protocol for chronic insomnia is a combination of medication and cognitive behavioral therapy (CBT). CBT is a series of behavioral interventions used to improve one’s ability to initiate and to maintain sleep. Specifically, CBT is a group of techniques that can be learned to help one sleep better. Generally, CBT is conducted in individual or small group formats, over a period of several weeks. As mentioned earlier, CBT is most successful in conjunction with medication for the treatment of chronic insomnia. However, treatment with medication is not required in every case.

So what exactly is CBT?

CBT encompasses several different techniques, which may be used all together or individually. These various techniques include sleep hygiene training, relaxation therapy, stimulus control therapy, sleep restriction, and cognitive therapy. Sleep hygiene training refers to re-learning habits that encourage and promote sleep. Maintenance of a quiet sleep environment may mean excluding a pet from the bedroom or getting a bed partner to seek help for a snoring problem. Relaxation therapy helps to reduce physiologic and cognitive arousal at bedtime. Some people may be unaware of how tension and stress affect their sleep. Stimulus control therapy works by limiting the presence of external stimuli or factors that may bring anxiety or stress into the bedroom environment. Implementation of this technique can help to establish the bedroom as a place to relax and unwind, away from the stresses of the world. Sleep restriction limits the amount of time spent lying awake in bed. This technique requires close oversight by a physician or psychologist, using sleep diaries, to ensure successful treatment. Cognitive therapy works to refute an individual’s thoughts about sleeplessness and the fear and anxiety related to these thoughts. Cognitive therapy has the potential to provide patients with good tools to deal with insomnia.

CBT is generally conducted by psychologists or physicians with specialized training in these techniques. Unfortunately, CBT for chronic insomnia is not readily available everywhere; however, by doing some research through internet resources or by contacting the National Sleep Foundation (www.sleepfoundation.org) or the American Academy of Sleep Medicine (www.aasmnet.org), you may be able to find someone in your area. At the Dallas Center for Sleep Disorders, we offer Insomnia Workshops with CBT for chronic insomnia. You can contact us for more information (www.dallas-sleep.com or 972-473-7300).