Andrew P Jones asked:


What is Insomnia? The Insomnia sleep disorder, also known as Wakefulness or Dysomnia, is an inability to sleep, or disturbed sleep preventing you from getting a proper night’s rest.

The main effect of insomnia is that you may feel constantly tired and irritable, with poor concentration and coordination.

There are two main types of Insomnia:

Primary Insomnia has no underlying medical cause for the difficulty in sleeping.

Secondary Insomnia has an underlying medical cause triggering disturbed sleep: any condition causing pain, discomfort, or directly causing mental disturbance or anxiety, or specific conditions such as Sleep Apnea or Seasonal Affective Disorder. If you suspect an underlying medical or mental condition seek medical advice.

Behavioral therapy to encourage sleep can be used in both cases, though for Secondary Insomnia you should liaise with your doctor if receiving treatment for an underlying cause.

A period of insomnia can vary from transient (a few nights) to short term (up to 3 weeks) to chronic, long term insomnia (over 3 weeks)

Transient or Short Term Insomnia can be caused by traumatic events such as acute illness, injury or surgery, bereavement, job loss or less serious events such as trouble at work, an exam, extreme weather change, traveling (including jet lag)

Statistics about Insomnia causes: 50% Psychological, 40% Behavioral: sleep environment (30%) stimulants or medication (10%), 10% Physical (pain, illness etc.)

30-40% of people report insomnia each year; 10-15% of people reporting insomnia say they have chronic insomnia.

The amount of sleep needed by people varies: Babies need about 17 hours sleep a day, a child nine to ten hours per night, and an adult seven to eight hours each night, though that typically decreases as you get older.

Chronic Child Insomnia can have even more serious effects than with adults. Getting enough sleep is much more important for young children than for fully grown adults, as a childhood growth demands a healthy sleep cycle.

Don’t send a child to bed as a punishment as this may lead to insomnia due to a fear of being sent to bed. Consider using a bedroom only for sleep, not play.

Never give a child sleeping medicine without proper medical consultation. Sleeping pills may seem to provide instant, even amazing insomnia relief compared to behavioral therapies, but their results are short term and they often have other side effects.

Adults do not all need eight hours every night! Some people manage on as little as four hours sleep a night. If you don’t need much sleep then get up early – spending too long in bed can help trigger insomnia.

People can also mistake the amount of sleep they are actually getting, because they tend to remember waking up as a longer period than it actually was.

After failing to sleep for a few nights, you may become anxious that you won’t sleep causing Fear or Anxiety Insomnia. A major step towards anxiety insomnia treatment can be to accept that you can cope with its effects, thus reducing the fear of not sleeping. You would then build upon this with behavioral therapy.

Three main areas where you can encourage sleep are:

Sleep Environment – a comfortable bed, a bedroom that is quiet, dark and the right temperature

Sleep Discipline – use your bed for sleeping (and sex) only, watch TV etc. elsewhere

Sleep Conditioning – creating a routine, going to bed and getting up at the same time

The results of behavioral therapy may take effect slowly but are long term – the creation of good habits which make you less prone to insomnia.

Sleep can be disrupted even by normal foods and behaviors: e.g. don’t consume coffee after 1pm – try decaffeinated coffee instead. Avoid consuming alcohol within two hours of going to bed, although it may make you drowsy initially it can inhibit sleep when you wake up in the middle of the night.

A warm drink, dairy, soy products, eggs, rice and grains aid relaxation; foods such as bread or crackers which are high in carbohydrate can reduce anxiety, thus aiding sleep. Do not eat sugary or spicy food or drink near bedtime.

Stress or a mind too active or anxious will hinder the relaxation necessary before sleep comes.

Regular physical exercise helps control stress physically and psychologically by breaking up the day after work to distance you from work problems. Early evening is the best time for exercise if you want to use it to help get to sleep.

A warm bath can help relaxation – but don’t stay there too long or have the water too hot.

Try meditation or other relaxation techniques. Continuous practice will help you do them more effectively, so practice during the day to reduce stress, then even when you are tired it’ll work better. If you are lying awake anyway, why not just do the relaxation exercises for fun!

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.