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.
Insomnia Cure
Juliet Cohen asked:
Insomnia is a sleep disorder. Sleep is a state of consciousnesses, which gives your body time to rest and build up your strength. It is characterized by an inability to sleep and/or inability to remain asleep for a reasonable period. Insomnia affects all age groups. Among older adults, insomnia affects women more often than men. The incidence increases with age. 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. It is often caused by fear, stress, anxiety, medications, herbs, caffeine, depression, bipolar disorder or sometimes for no apparent reason. An overactive mind or physical pain may also be causes. Insomnia may be classified by how long the symptoms are present. Transient insomnia usually is due to situational changes such as travel and stressful events. It lasts for less than a week or until the stressful event is resolved. Short-term insomnia lasts for 1-3 weeks, and long-term insomnia (chronic insomnia) continues for more than 3 weeks. Chronic insomnia often results from depression or substance abuse. It is important to know that nearly everyone has problems sleeping at some time or other and it is thought that a third of people in the UK have bouts of insomnia. 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, it’s normal to need less sleep. Most people over 70 need less than 6 hours sleep per night; and they tend to be light sleepers.
Three types of insomnia first is transient insomnia second is acute insomnia and last is chronic insomnia. It is not defined by the number of hours you sleep every night. Poor sleep quality can occur as a result of sleep apnea or major depression. 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. Chronic insomnia can lead to mental health problems such as depression, or misuse of alcohol or other medicines in order to gain sleep. Sleep apnea is a condition that occurs when a sleeping person’s breathing is interrupted, thus interrupting the normal sleep cycle. With the obstructive form of the condition, some part of the sleeper’s respiratory tract loses muscle tone and partially collapses. People with obstructive sleep apnea often do not remember any of this, but they complain of excessive sleepiness during the day. Central sleep apnea interrupts the normal breathing stimulus of the central nervous system, and the individual must actually wake up to resume breathing. Sometimes perimenopausal (the time leading up to menopause) women have trouble falling asleep and staying asleep; hot flashes and night sweats often can disturb sleep. Pregnancy also can affect how well a woman sleeps.
Treatment of insomnia should be individualized based on the nature and severity of symptoms. Most cases of insomnia inability to sleep or inability to sleep well at night. Lormetazepam, a short-acting benzodiazepine widely used for the treatment of insomnia. Rozerem is the very first insomnia treatment medication on the market that acts as a melatonin receptor agonist. Rozerem is just one of the many insomnia medications available on the market today. It is important that you discuss with your health care provider if prescription medications are right to treat your insomnia. Benzodiazepines drugs are relatives of diazepam (Valium) marketed as sleeping aids. Other drugs such as ethchlorvynol (Placidyl) are likely to produce neurologic side effects when taken. Barbiturates were formerly the standard sleeping pills, sold under such names as Seconal and Nembutal. Nonpharmacologic treatments for insomnia are considered effective if they decrease sleep onset latency or increase total sleep time by 30 minutes. Most treatment studies use patient-reported sleep diaries to measure outcome. Criteria used include total sleep time, sleep-onset latency, and number of nocturnal awakenings. A meta-analysis of 48 individual studies of behavioral therapy found stimulus control therapy to be effective and to be superior to progressive relaxation, imagery training, and paradoxical intention. Develop a regular sleeping schedule. Avoid daytime naps and stimulating activities just before bedtime. Avoid alcohol- it is a leading cause of poor sleep. Drink a cup of warm milk.
Insomnia is a sleep disorder. Sleep is a state of consciousnesses, which gives your body time to rest and build up your strength. It is characterized by an inability to sleep and/or inability to remain asleep for a reasonable period. Insomnia affects all age groups. Among older adults, insomnia affects women more often than men. The incidence increases with age. 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. It is often caused by fear, stress, anxiety, medications, herbs, caffeine, depression, bipolar disorder or sometimes for no apparent reason. An overactive mind or physical pain may also be causes. Insomnia may be classified by how long the symptoms are present. Transient insomnia usually is due to situational changes such as travel and stressful events. It lasts for less than a week or until the stressful event is resolved. Short-term insomnia lasts for 1-3 weeks, and long-term insomnia (chronic insomnia) continues for more than 3 weeks. Chronic insomnia often results from depression or substance abuse. It is important to know that nearly everyone has problems sleeping at some time or other and it is thought that a third of people in the UK have bouts of insomnia. 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, it’s normal to need less sleep. Most people over 70 need less than 6 hours sleep per night; and they tend to be light sleepers.
Three types of insomnia first is transient insomnia second is acute insomnia and last is chronic insomnia. It is not defined by the number of hours you sleep every night. Poor sleep quality can occur as a result of sleep apnea or major depression. 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. Chronic insomnia can lead to mental health problems such as depression, or misuse of alcohol or other medicines in order to gain sleep. Sleep apnea is a condition that occurs when a sleeping person’s breathing is interrupted, thus interrupting the normal sleep cycle. With the obstructive form of the condition, some part of the sleeper’s respiratory tract loses muscle tone and partially collapses. People with obstructive sleep apnea often do not remember any of this, but they complain of excessive sleepiness during the day. Central sleep apnea interrupts the normal breathing stimulus of the central nervous system, and the individual must actually wake up to resume breathing. Sometimes perimenopausal (the time leading up to menopause) women have trouble falling asleep and staying asleep; hot flashes and night sweats often can disturb sleep. Pregnancy also can affect how well a woman sleeps.
Treatment of insomnia should be individualized based on the nature and severity of symptoms. Most cases of insomnia inability to sleep or inability to sleep well at night. Lormetazepam, a short-acting benzodiazepine widely used for the treatment of insomnia. Rozerem is the very first insomnia treatment medication on the market that acts as a melatonin receptor agonist. Rozerem is just one of the many insomnia medications available on the market today. It is important that you discuss with your health care provider if prescription medications are right to treat your insomnia. Benzodiazepines drugs are relatives of diazepam (Valium) marketed as sleeping aids. Other drugs such as ethchlorvynol (Placidyl) are likely to produce neurologic side effects when taken. Barbiturates were formerly the standard sleeping pills, sold under such names as Seconal and Nembutal. Nonpharmacologic treatments for insomnia are considered effective if they decrease sleep onset latency or increase total sleep time by 30 minutes. Most treatment studies use patient-reported sleep diaries to measure outcome. Criteria used include total sleep time, sleep-onset latency, and number of nocturnal awakenings. A meta-analysis of 48 individual studies of behavioral therapy found stimulus control therapy to be effective and to be superior to progressive relaxation, imagery training, and paradoxical intention. Develop a regular sleeping schedule. Avoid daytime naps and stimulating activities just before bedtime. Avoid alcohol- it is a leading cause of poor sleep. Drink a cup of warm milk.
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).
Insomnia – Causes, Symptoms and Treatment
May 10, 2011 by admin
Filed under Alternative Medicine
peterhutch asked:
Insomnia is a symptom of a sleeping disorder characterized by persistent difficulty falling asleep or staying asleep despite the opportunity. It is typically followed by functional impairment while awake. Insomniacs have been known to complain about being unable to close their eyes or “rest their mind” for more than a few minutes at a time. Both organic and non-organic insomnia constitute a sleep disorder.
Insomnia Causes
The most common psychological problems include anxiety, stress, and depression. In fact, insomnia may be an indicator of depression. Many people will have insomnia during the acute phases of a mental illness.
Many people have insomnia. People who have insomnia may not be able to fall asleep. They may wake up during the night and not be able to fall back asleep, or they may wake up too early in the morning.
Insomnia contributes to excessive daytime tiredness, which in turn may be responsible for accidents, recurrent infections, poor concentration, irritability, work and relationship problems and a general inability to cope.
Anxiety, a condition in which individuals feel increased tension, apprehension, and feelings of helplessness, fear, worry, and uncertainty. This may be due to the effects that other people at work have on us, financial worries, concerns over relationships outside work or numerous other causes.
Symptoms
Insomnia symptoms may include:
Difficulty falling asleep at night
Waking up during the night
Waking up too early
Daytime fatigue or sleepiness
Daytime irritability
It’s common for older adults to sleep less deeply and for less time than they did earlier in life, and to experience fragmented sleep. However, these normal changes in the sleep patterns of older adults do not mean that they should expect inadequate rest and to awaken feeling unrefreshed.8 Routine poor-quality sleep due to health problems, medication use, and major life changes can lead to chronic sleep problems.
Diagnosis of Insomnia
Surprisingly, a sleep study is not routinely recommended for those complaining of insomnia. The reason is that when a sleep study is performed in someone suffering from insomnia, it does not generally give any new information; it simply confirms that the patient is having trouble sleeping. The best way to find the cause for insomnia is by careful history taking. Assessment of recent onset insomnia should focus on acute personal and medical problems.
Treatment
The treatment of insomnia depends on its cause and severity. If insomnia results from another disorder, treatment of that disorder may improve sleep. For most people who have insomnia, some simple changes in lifestyle, such as following a regular sleep schedule and avoiding caffeine after lunch time, can improve sleep.
In addition to daytime tiredness or fatigue, chronic insomnia can be associated with a complaint of compromised intellectual function, mood disturbance, or an increase in physical complaints (e.g., headaches and gastrointestinal problems). Beyond these outcomes, there is now considerable evidence that individuals with chronic insomnia have an increased risk of psychiatric illness (especially major depressive disorder) and substance abuse and there is mounting evidence that insomnia is associated with absenteeism from work, higher health care costs, and reduced quality of life.
Cognitive Behavior Therapy
Cognitive behavior therapy helps patients change thoughts and behaviors that interfere with sleep. Treatment methods are often used in combination for increased effect.
You may find that if you are unable to fall asleep or wake up in the night, you spend a lot of time in bed trying unsuccessfully to sleep. If so, you may benefit from a sleep restriction program that initially allows only a few hours of sleep during the night. Gradually this time is increased until a normal sleep period is achieved.
Antihistamines
Diphenhydramine (for example, Sominex, Nytol) and doxylamine (for example, Unisom) are antihistamines that are currently marketed as OTC sleep aids. Diphenhydramine is the only agent that is considered to be safe and effective by the Food and Drug Administration. The safety and effectiveness of doxylamine has not been evaluated adequately for FDA approval.
Insomnia is a symptom of a sleeping disorder characterized by persistent difficulty falling asleep or staying asleep despite the opportunity. It is typically followed by functional impairment while awake. Insomniacs have been known to complain about being unable to close their eyes or “rest their mind” for more than a few minutes at a time. Both organic and non-organic insomnia constitute a sleep disorder.
Insomnia Causes
The most common psychological problems include anxiety, stress, and depression. In fact, insomnia may be an indicator of depression. Many people will have insomnia during the acute phases of a mental illness.
Many people have insomnia. People who have insomnia may not be able to fall asleep. They may wake up during the night and not be able to fall back asleep, or they may wake up too early in the morning.
Insomnia contributes to excessive daytime tiredness, which in turn may be responsible for accidents, recurrent infections, poor concentration, irritability, work and relationship problems and a general inability to cope.
Anxiety, a condition in which individuals feel increased tension, apprehension, and feelings of helplessness, fear, worry, and uncertainty. This may be due to the effects that other people at work have on us, financial worries, concerns over relationships outside work or numerous other causes.
Symptoms
Insomnia symptoms may include:
Difficulty falling asleep at night
Waking up during the night
Waking up too early
Daytime fatigue or sleepiness
Daytime irritability
It’s common for older adults to sleep less deeply and for less time than they did earlier in life, and to experience fragmented sleep. However, these normal changes in the sleep patterns of older adults do not mean that they should expect inadequate rest and to awaken feeling unrefreshed.8 Routine poor-quality sleep due to health problems, medication use, and major life changes can lead to chronic sleep problems.
Diagnosis of Insomnia
Surprisingly, a sleep study is not routinely recommended for those complaining of insomnia. The reason is that when a sleep study is performed in someone suffering from insomnia, it does not generally give any new information; it simply confirms that the patient is having trouble sleeping. The best way to find the cause for insomnia is by careful history taking. Assessment of recent onset insomnia should focus on acute personal and medical problems.
Treatment
The treatment of insomnia depends on its cause and severity. If insomnia results from another disorder, treatment of that disorder may improve sleep. For most people who have insomnia, some simple changes in lifestyle, such as following a regular sleep schedule and avoiding caffeine after lunch time, can improve sleep.
In addition to daytime tiredness or fatigue, chronic insomnia can be associated with a complaint of compromised intellectual function, mood disturbance, or an increase in physical complaints (e.g., headaches and gastrointestinal problems). Beyond these outcomes, there is now considerable evidence that individuals with chronic insomnia have an increased risk of psychiatric illness (especially major depressive disorder) and substance abuse and there is mounting evidence that insomnia is associated with absenteeism from work, higher health care costs, and reduced quality of life.
Cognitive Behavior Therapy
Cognitive behavior therapy helps patients change thoughts and behaviors that interfere with sleep. Treatment methods are often used in combination for increased effect.
You may find that if you are unable to fall asleep or wake up in the night, you spend a lot of time in bed trying unsuccessfully to sleep. If so, you may benefit from a sleep restriction program that initially allows only a few hours of sleep during the night. Gradually this time is increased until a normal sleep period is achieved.
Antihistamines
Diphenhydramine (for example, Sominex, Nytol) and doxylamine (for example, Unisom) are antihistamines that are currently marketed as OTC sleep aids. Diphenhydramine is the only agent that is considered to be safe and effective by the Food and Drug Administration. The safety and effectiveness of doxylamine has not been evaluated adequately for FDA approval.
What is Insomnia and What are It’s Main Causes?
peterhutch asked:
What is insomnia?
Insomnia is the inability to get high-quality sleep. It can last a day or two, a month, or even months on end. Because different individuals need different amounts of sleep, insomnia is not defined by the number of hours you sleep or by how quickly you fall asleep. Instead, it depends on the quality of your sleep, and how you feel after sleeping. Even if you are sleeping eight hours a night, if you’re still feeling drowsy and fatigued during the day, you may be experiencing insomnia.
Insomnia may be classified by how long the symptoms are present.
Transient insomnia usually is due to situational changes such as travel, extreme climate changes, and stressful events.
Short-term insomnia usually is due to ongoing stressful events, medication side effects, medical conditions, and lasts for one to three weeks
Chronic insomnia (long-term insomnia) often results from depression or substance abuse and continues for more than three weeks.
Insomnia affects all age groups. Among older adults, insomnia affects women more often than men. The incidence increases with age.
Insomnia is also a problem that is prevalent among people with HIV/AIDS.
What are the main causes of insomnia?
psychological health problems such as stress or anxiety
physical health problems such as asthma or pain
medicines like those taken for asthma, vertigo and depression
jet lag (for more information see Related topics)
A number of other diseases and conditions can cause secondary insomnia
environmental factors such as noise, an uncomfortable bed or being too hot or cold
lifestyle habits, eg eating late at night, drinking alcohol or using stimulants such as nicotine
Exposure to stress may contribute to the development or worsening of insomnia. Relationship problems, a chronically ill child, or an unrewarding career may contribute to sleep problems. If you suffer from these types of stresses, you should seek counseling to gain a new outlook on your troubles and more control in your life.
People who work alternating shifts may develop insomnia because of a continually fluctuating sleep-wake schedule. For example, if a person works five nights a week and then works a day schedule for the next days, insomnia may result from changes in circadian rhythm.
Caffeine most commonly disrupts sleep. While a drink or two before bed may help a person relax, more than that can lead to fragmented sleep and wakefulness a few hours later.
The levels of melatonin, the hormone that helps control sleep, decrease as a person ages. By age 60, the body produces very little melatonin.
Long-term use of sleep medications. If you need sleep medications for longer than several weeks, talk with your doctor, preferably one who specializes in sleep medicine.
Stimulants. Prescription drugs, including some antidepressants, high blood pressure and corticosteroid medications, can interfere with sleep.
Heavy, spicy, or high-sugar foods eaten at night can cause indigestion strong enough to wake you.
Depression and sleep problems are closely linked: insomnia can be an early sign of depression.
What is insomnia?
Insomnia is the inability to get high-quality sleep. It can last a day or two, a month, or even months on end. Because different individuals need different amounts of sleep, insomnia is not defined by the number of hours you sleep or by how quickly you fall asleep. Instead, it depends on the quality of your sleep, and how you feel after sleeping. Even if you are sleeping eight hours a night, if you’re still feeling drowsy and fatigued during the day, you may be experiencing insomnia.
Insomnia may be classified by how long the symptoms are present.
Transient insomnia usually is due to situational changes such as travel, extreme climate changes, and stressful events.
Short-term insomnia usually is due to ongoing stressful events, medication side effects, medical conditions, and lasts for one to three weeks
Chronic insomnia (long-term insomnia) often results from depression or substance abuse and continues for more than three weeks.
Insomnia affects all age groups. Among older adults, insomnia affects women more often than men. The incidence increases with age.
Insomnia is also a problem that is prevalent among people with HIV/AIDS.
What are the main causes of insomnia?
psychological health problems such as stress or anxiety
physical health problems such as asthma or pain
medicines like those taken for asthma, vertigo and depression
jet lag (for more information see Related topics)
A number of other diseases and conditions can cause secondary insomnia
environmental factors such as noise, an uncomfortable bed or being too hot or cold
lifestyle habits, eg eating late at night, drinking alcohol or using stimulants such as nicotine
Exposure to stress may contribute to the development or worsening of insomnia. Relationship problems, a chronically ill child, or an unrewarding career may contribute to sleep problems. If you suffer from these types of stresses, you should seek counseling to gain a new outlook on your troubles and more control in your life.
People who work alternating shifts may develop insomnia because of a continually fluctuating sleep-wake schedule. For example, if a person works five nights a week and then works a day schedule for the next days, insomnia may result from changes in circadian rhythm.
Caffeine most commonly disrupts sleep. While a drink or two before bed may help a person relax, more than that can lead to fragmented sleep and wakefulness a few hours later.
The levels of melatonin, the hormone that helps control sleep, decrease as a person ages. By age 60, the body produces very little melatonin.
Long-term use of sleep medications. If you need sleep medications for longer than several weeks, talk with your doctor, preferably one who specializes in sleep medicine.
Stimulants. Prescription drugs, including some antidepressants, high blood pressure and corticosteroid medications, can interfere with sleep.
Heavy, spicy, or high-sugar foods eaten at night can cause indigestion strong enough to wake you.
Depression and sleep problems are closely linked: insomnia can be an early sign of depression.
