Chronic Insomnia

Insomnia is the most common sleep disorder. It can have a devastating impact on one’s emotion, physical, occupation and social life. While it occasionally can be seen in the clinical setting as a primary diagnosis, it most often presents as a comorbidity to a medical or psychiatric issue;

Mr. M, a 54 year old man is taken to a sleep disorder facility for examination of daytime somnolence and insomnia. He has been battling with anxiety and depression, a disorder he is being treated with. He reports that he has been suffering from Insomnia for several years and only turned worse about 7 years ago. He is troubled with sleep initiation, which usually takes him over one hour to fall asleep. As soon as he is asleep, he wakes up several times, which makes him to struggle again to go back to sleep. He turns in bed without sleep until dawn when he gets up feeling fatigued and drained. The major diagnosis is DSM 5 insomnia disorder. Given the comorbid indications of obstructive sleep apnea and depression, it would perhaps be hard to assess whether Mr. M has DSM-IV primary insomnia since DSM 5 enables the clinician to generate an unpremeditated attribution between obstructive sleep disorder and insomnia.

Insomnia is a common sleep disorder which makes falling asleep very hard, or cause you to stay up or wake up, or make you unable to get back to sleep. In addition, insomnia can deplete your energy and reduce disturb your mood. Moreover, it can spoil your work performance, health, and quality of life. Also, you may still suffer feeling tired and ruin your temper. when you wake up.

Martha is a 65 year old lady who suffers from insomnia based on the preliminary symptoms of sleeplessness. She is also under severe stress from her mum’s dependence condition which makes her unhappy with her retirement. Martha’s mum’s condition is of great influence to her insomnia disorder for she only thinks of her through out the day, caring for her leaving Martha with little time to check on her health. Insomnia is a disorder that mostly affects the elderly though it may affect people from all ages. It is the lack of sleep even when one feels to have some sleep. It is not a stand alone disease but a symptom which is defined by the duration one lacks quality sleep. Transient insomnia is not having sleep for a week, short term insomnia is lack of adequate sleep for 2-3 weeks, while sleeplessness for a month is termed as chronic insomnia. Various studies have shown that insomnia affects women more often than men and that 30%-50% of elderly Americans experience difficulty in initiating and maintaining adequate sleep. Diagnosing insomnia in a patient the health practitioner would evaluate the patient medical record and other factors that may contribute to insomnia. For example, snoring, psychological factors such as stress levels and drug use. Martha’s physician would check on her medical

Different age groups of people require different hours of sleep. Children and adolescents require nine to eleven hours of sleep per day. Adults need 7-9 hours, yet some people feel better sleeping lesser hours even with those guidelines. It is true that alcohol helps people sleep faster, but sleep is disrupted once the level which is in the blood starts to fall. It might lead to waking up and difficulties to fall back to sleep. It is true that depression and anxiety may lead to lead to insomnia but for a short time. People should understand that insomnia is not only brought by depression, but chronic pain, bad side-effects of a particular medication, worries and stress are also known to cause long-term insomnia (Okun et al., 2009). Depression and anxiety should not keep an individual awake for a long time but only for a short time. Additionally, the myth that it is right the lie in bed sleepless is not true. Everyone requires sleep during the day or at night, and it is necessary for the body and the brain to function properly. Notably, sleep is good for relaxing the brain in adults and in children, sleep is important for development (Szelenberger, 2006). One should not be fooled that sleep is not necessary, but those people with insomnia should practice relaxation techniques for them to fall asleep. It is true that people tend to sleep few hours as they

Insomnia can be defined as a purpose or apparent complexity in falling and staying asleep. Dissimilarities in variables used for measurement sleep-onset time, time asleep, and time awake by some, sleepiness, irritability, or other impairment of daytime function by others, make difficult comparisons between studies. The insomnia treatments for which there is confirmation of efficacy include sleep restriction, in which the patient is instructed to remain in bed only as long as he is actually sleeping, stimulus control no activities in the bedroom except sleep and sex, and a variety of relaxation methods, particularly in the circumstance of multimodal sleep clinics (Rowe, 1995).

According to the National Sleep Foundation, 30 to 40 percent of adults report symptoms of insomnia while 10 to 15 percent say they have chronic insomnia (Rivas, Anthony). Many people suffer from acute to chronic insomnia, an illness which affects the body and mind and often stems from a larger problem. However, this illness can be cured through pharmaceutical measures, cognitive behavioral therapy, and/or complementary and alternative medicines. Treatment may vary for each person, so it is important for one to talk with a doctor about what may work best for them. Insomnia comes in two types, onset and maintenance. Onset insomnia is where an individual has difficulty falling asleep and maintenance insomnia is the trouble of remaining asleep

We all know that loss in sleep can lead to negative effects such as fall in mood and mental performance. Its can also affect our normal physiology. The worst is chronically losing sleep because this can be associated with cardiovascular disease, diabetes, and even cancer. Basketball players athletic performance were compared. Those who slept 10 hours every night vs. those who slept 6 to 9 hours showed a faster sprint time, better shooting accuracy, decreased reaction time, and better mood. Other improvements include a higher level of brain activation.

The health consequences of lack of sleep and excessive daytime sleepiness affect 50 to 70 million Americans annually. Sleep deprivation costs the United States 15 billion dollars annually in health care. In addition, industry spend $50 billion dollars in lost productivity (NIH, 2004).

Insomnia is another sleep disorder that has an effect on the daily lives of others. There are four different types of insomnia that a person may have: difficulty falling asleep, difficulty staying asleep, waking up too early, and Sleep State Misperception. Sleep State Misperception occurs when a person gets a full night sleep, but they feel like they have not gotten any sleep at all. Insomnia can also be classified into three different categories: transient insomnia, short-term insomnia, and chronic insomnia. Transient insomnia occurs only a few nights, short-term insomnia occurs up to four weeks, and chronic insomnia happens most every night for a month or longer. It is common for most everyone to suffer from short-term insomnia at some point

Insomnia is the most common sleep complaint. It occurs when you have trouble falling asleep or staying asleep even though you had the opportunity to get a full night of sleep. The causes, symptoms and severity of insomnia vary from person to person. Insomnia involves both a sleep disturbance and daytime symptoms. The effects of insomnia can impact nearly every aspect of your life. Studies show that

     “Insomnia is the inability to obtain adequate amount or quality of sleep. The difficulty can be with falling asleep, remaining asleep, or both” (“Insomnia Encyclopedia“). Sleeping is a major point in physically and mentally restoring yourself for the tasks ahead. Most people say that about eight hours of sleep is an adequate amount, however it differs from person to person depending on their sex, age, and health conditions. An estimated one-third of the population suffers from some form of insomnia. “In recent studies, a survey reported that 30% of American women and 20% of American men took medication to help them sleep during the course of a year” (“Insomnia”). The medications these people took are called

The 40-year-old female present in the office with a complaint of inability to sleep. She has well-controlled hypertension and hyperlipidemia with Lipitor and Diovan as medications. She denies additional medical problems and reports general good health. She reports that she has not been able to sleep more than three hours per night and it is starting to affect her concertation. She denies a history of psychiatric issues and reports she does not drink, smoke or do drugs. She reports not increase in stress or emotional concerns which would explain her sleeping issues.

Insomnia can sap not only your energy level and mood but also your health, work performance and quality of life. Insomnia is the most common sleep complaint among Americans it can be either acute, lasting one to several nights, or chronic, even lasting months to years. According to the Insomnia “ JAMA; The Journal of the American Medical Association, about thirty to forty percent of adults say they have some symptoms of insomnia within a given year and about ten to fifty percent of adults say they have chronic insomnia. (Insomnia “ JAMA; The Journal of the American Medical Association) Insomnia is higher among older people and woman, the reason woman suffer loss of sleep is in connection with menstruation, pregnancy and menopause. Insomnia sometimes may occur when you are stress whether it is short-term or long-term for some people for instance, problems in a marriage or relationship, loss of a love one, a job. But as well in preparing or anticipating for an event like arrival of a newborn baby, weddings, vacations or holidays makes it even harder to fall asleep. My friends Rosa and Ruby are having symptoms of insomnia disorder because they recently had their newborn baby daughter’s. But I hope they are able to maintain a sleeping schedule for their daughters at certain hours in order for them to get their sleep back. Preventing insomnia it is important to remember to maintain a consistent sleeping schedule and also should avoid too much caffeinate drinks during the eight hours before sleeping. Treatment for insomnia, you can go to a psychiatrist they can prescribe antidepressants or another medications to help your sleeping problems and any mood or anxiety disorder you might have. (The literary Insomniac: stories and essays for sleepless

Sleep deprivation is a common issue among people around the world, and everyone has or will experience it in their life. Not getting enough sleep makes it difficult for the body to function properly. Insomnia is a well-known disorder, mainly known in the United States; one in ten adults suffers from this disorder (Kloc). There are many reasons why people end up with a sleeping disorder, and the most common reason is stress. When people do not have enough sleep they behave differently, and do not make the same choices as if they were fully rested. There are four stages of sleep. The fourth stage, REM (Rapid Eye Movement) sleep is the most important stage of sleeping. A common side effect of BPD (Borderline Personality Disorder) is sleep