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Understanding Insomnia - Felson, S
Understanding Insomnia - Felson, S
Understanding Insomnia - Felson, S
If you have insomnia, you may have trouble falling asleep, staying asleep, waking too early, or getting good quality sleep
that leaves you feeling rested. You don’t feel refreshed when you wake up. During the day, you’re sleepy and tired and have
trouble functioning.
Over 25% of Americans don’t get enough sleep from time to time, but almost 10% have chronic insomnia.
Insomnia can be acute, meaning short-term. Or it can come in a long-lasting, chronic form. When insomnia comes at least 3
nights a week for 3 months or longer, doctors consider it chronic.
Insomnia can also come and go, with periods when you have no sleep problems.
Types of Insomnia
Two kinds of insomnia exist:
Primary insomnia: Sleep problems are not directly connected with any other health problem. Instead, they are triggered
by major stress, emotional upset, travel, and work schedules. But even after such causes go away, the insomnia may
persist. You can also develop primary insomnia because of certain habits, such as taking naps or worrying about sleep.
Secondary insomnia: Sleep problems occur because of another issue, such as a sleep disorder like apnea; another health
condition or disease; chronic pain from arthritis or headaches; medications; or alcohol, caffeine, and other substances.
Medical condition or disease (including depression, anxiety, post-traumatic stress disorder, asthma, cancer, heartburn,
heart failure, overactive thyroid, Alzheimer’s and Parkinson’s disease, and other health problems)
Medications
Noise, light or extreme temperatures
Interference with one’s regular sleep schedule (including jet lag or switching work shifts)
Substance abuse
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Mood changes
Lack of motivation
To diagnose insomnia, your doctor will ask about your sleep patterns and habits, stress levels, medical history, level of
physical activity, and use of medications, alcohol, caffeine, tobacco, and illegal substances. They might also ask you to keep
a detailed log of your sleep habits, including sleep and wake times, napping, and any specific problems with sleeping.
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Your doctor will also do a physical exam to look for health disorders that can cause insomnia. Obesity, for example, may
cause sleep apnea.
If your insomnia persists even after treatment, your doctor may refer you to a sleep disorders specialist for an evaluation. If
the specialist suspects a disorder, such as sleep apnea or restless legs syndrome, you may need to do an overnight sleep
study at home or at a special sleep center.
Exercise.
If you still have trouble functioning during the day because of poor sleep, your doctor may prescribe sleeping pills for a few
weeks. Commonly used sleep aids include sedatives, minor tranquilizers, and anti-anxiety drugs. Most are safe if a doctor
supervises their use. Some sleep aids can become habit-forming or pose the potential for overdose if not used as directed.
Some newer sleep aids can be taken for longer periods without losing effectiveness.
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If you use an over-the-counter sleep aid, take it exactly as directed. An OTC product may help with an occasional sleepless
night, but it is inappropriate for chronic insomnia. Chronic insomnia could be a sign of a serious, underlying disorder, so see
your doctor. If you decide to try an OTC sleep aid, keep in mind that these products often contain antihistamines, which can
cause nervousness, agitation, falls, confusion, urinary difficulties, and daytime sleepiness, especially in older people.
If you have chronic insomnia, getting treatment for any underlying health condition or other problem may help you to sleep
better. If you still have insomnia, your doctor may suggest behavioral therapy, which is frequently used when insomnia
stems from the mind or body being unable to relax. Behavioral therapy teaches a person how to alter behaviors that worsen
insomnia and learn new ways to promote sleep.
Avoid clock-watching. Turn your clock around and use only the alarm.
Make your bedroom comfortable for sleep. Keep it dark, quiet, and not too cold or warm. Use a sleeping mask to block
light or use earplugs or a fan to block noise.
Relax before bedtime by reading, listening to relaxing music, bathing, or doing another relaxing activity.
Don’t eat a heavy meal late in the day; a light snack before bedtime may help with sleep, though.
If you can’t sleep and don’t feel drowsy, avoid lying in bed. Get up and read or do something that’s not stimulating until
you feel sleepy.
If you’ve made lifestyle changes and still have sleep problems, write down in a journal:
Sources
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SOURCES:
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