Insomnia – Causes and Treatment

insomnia

According to a national survey of adults in the middle to higher income brackets, only 39% feel that they are getting enough sleep.   Even more people, 41% are still tired when waking up, irrespective of the number of hours they sleep.

Insomnia is not only about how long you sleep, but rather the quality of sleep you get, and about your own perception of how much sleep you have had and how much you feel you need.

Poor sleep can be associated with accidents, lower work productivity, and may also worsen medical and psychological conditions. Sufferers are at an increased risk of depression, a compromised immune system, and inertia. Still, and even though it is treatable, insomnia is one of the most under-diagnosed and under-treated disorders of the central nervous system.

Insomnia comes in different forms

Insomniacs are people who do not get enough quality sleep. They may have problems falling asleep (known as sleep-onset insomnia), or staying asleep (known as sleep-maintaining insomnia), they may wake up intermittently during the night or too early the next morning, or they wake up feeling unrefreshed.

Insomnia can be triggered by stress or emotional distress (in particular internalised anger or anxiety), overusing certain substances such as alcohol, disturbances to the body clock, environmental factors such as noise or extreme temperatures, and even vigorous exercise too close to bedtime. This transient insomnia often gets better in a couple of days, usually when the triggers have been eliminated or adapted to.

Nearly everybody suffers from a lack of sleep at some point in their lives. While a few nights of poor sleep won’t harm, prolonged sleep disturbances will.

Some people with transient insomnia start to worry about not sleeping and can become trapped in an exhausting, vicious cycle whereby they can work themselves up into getting less and less sleep, leading to chronic insomnia. Chronic insomnia can also be a symptom of other existing health problems, including depression, cancer or chronic pain. It can also be related to medications such as antidepressants, high blood pressure and steroids, which can interfere with sleep.

The International Classification of Sleep Disorders (ICSD) lists more than 84 unique sleep disorders which range from the common types such as insomnia and obstructive sleep apnoea (OSA) to the rare syndrome narcolepsy.

Quality of sleep impacts quality of life

While chronic insomnia, whether somatic or psychological, is less common than short-term sleep problems, the impact is more severe. People suffering from insomnia become handicapped in their everyday life due to an impaired ability to concentrate, forgetfulness, lack of energy, lethargy, irritability, and it has been reported they even have lower pain thresholds. Consistently tired people are generally less productive at work, less patient with others, and more prone to accidents.

Who is most prone to insomnia?

  • Women tend to be more prone to insomnia than men, with poor sleep usually associated with the menstrual cycle, menopause and pregnancy.
  • Ageing also tends to bring a change in sleeping patterns, with elderly people often suffering from lighter, more fitful sleep.
  • Patients with a history of depression are also more susceptible to insomnia.

Treatment

It is important to consult with a doctor if you are experiencing consistent insomnia, as persistent insomnia may require medical intervention. The following lifestyle changes may be effective in helping improve the quality and quantity of sleep you get in the meantime…

  • Ensure you are getting adequate levels of magnesium and B vitamins. Deficiency in both of these nutrients has been linked to difficulties in sleeping. Taking a supplement containing these nutrients may be of benefit.
  • Melatonin supplementation can also be of benefit if a person’s melatonin levels are low or if the pineal gland is known to have abnormal function.
  • Give up alcohol. There are several reasons why alcohol consumption can lead to a bad night’s rest, but all you need to know is that if you drink heavily, quitting may help you get better quality sleep.
  • Avoid caffeinated drinks or foods after lunch. If you are particularly caffeine sensitive, cut caffeine from your diet altogether.
  • If you are exercising after work, trying doing it before work. Exercising late at night means your body and brain go into overdrive, which can interfere with sleep.
  • Get a handle on negative stress. Lying in bed worrying about work or a big exam is a sure bet you will have trouble sleeping. Simple habits include keeping a pad and pen next to your bed, and jotting your thoughts down if you are having trouble sleeping. Exercise and diet can help with anxiety. Valerian and St John’s Wort have traditionally been used to treat anxiety.

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