Cures for Insomnia
May 10, 2011 by admin
Filed under Diseases And Conditions
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.
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.
Treatment for Chronic Insomnia
May 10, 2011 by admin
Filed under Diseases And Conditions
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).
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).




