Insomnia Treatment Plan

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;

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

Sleep disorders alter ones sleep pattern and often results in the inability to either sleep or sleep soundly. They often cause you to feel restless, tired, fatigued, and irritable. It is estimated that nearly 75 percent of adult Americans experience sleep disorder symptoms at least a few nights per week. At the same time, sleep disturbances in some form are seen in as many as 25 to 30 percent of infants and children (“Sleep Disorders” 2013). Clearly a huge conundrum in the world, sleep disorders affect an inordinate amount of people. Millions of people suffer or have suffered from a sleep disorder at one point in their lives and if mistreated can impact organ systems functioning negatively. Physical disturbances, medical issues,

Thank you very much for referring Michael along for his significant issues with sleep. As you are aware, this has been a long-term, intermittent issue which has become quite profound since October last year when his mother passed away. Whilst he has always has had some issues with underlying anxiety which has subsequently affected his sleep. Prior to commencing Seroquel recently, he was reporting only sleeping on one to two hours per night. He was going to bed at 10..00pm and felt he was tossing and turning all night until 6.00am. He has tried a range of medications for his sleep and also had his anti-anxiety medication changed from his Lexapro to 200mg of Pristiq. He is also taking Lyrica 75mg at night and currently taking Seropel 25mg with 5mg of Valium.

PSQI, a 19-item tool, assessed self-rated sleep quality measures over the prior month, and with a score of 5 or greater associated with poor sleep. ESS, an 8-item self-rated questionnaire, evaluated the impact of subjective perceived sleepiness on daily functioning in eight different environments with a score of 9 or greater being associated with a burden of day-time sleepiness. ISI, a 7-item tool, identified the presence, rated the severity and described the impact of insomnia with a score of 10 or greater identified as positive for

The epidemiological study included data from 1,074 college students. The data consisted of sleep diaries and questions assessing mental health topics, such as stress, depression and anxiety. The results demonstrated that those with insomnia also were more likely to experience worse cases of stress, depression, and anxiety. This epidemiological study demonstrates a unique factor – insomnia – in the role of poor mental health, which can be brought into discussion at the community meeting. Many people and students know insomnia is an issue, but they just view it as a normal part of the college

This has been ongoing for longer than 3 months, and Art has been prescribed Trazadone for relief with these symptoms. The DSM-V (APA, 2013) notes that insomnia can be comorbid with other mental disorders, must diagnosed in this fashion, in order for the individual to receive proper treatment for both diagnoses. The DSM-V also indicates that insomnia can be initiated by a triggering event. In Art’s case, this traumatic event appears to have been the catalyst to the onset of not only his Post Traumatic Stress Disorder, but also his insomnia. Art also was the victim of a crime, therefore Z65.4 is an applicable diagnostic identifier (Ochberg,

It would be appreciated if you could arrange an appointment with Sam, 24-year-old PhD student who reports sleep onset insomnia, sleep fragmentation and poor quality sleep. Sam has undergone a couple of sleep studies that have not identified any specific disorder aside from a raised arousal index that that led to another sleep study and commencing him in Lyrica and melatonin. Sam has found these medications somewhat beneficial, but continues to report some sleep disruption and daytime fatigue. Your assessment would be appreciated.

Sleep consultation was performed by a physician specialized in sleep disorders. Patients underwent comprehensive medical history and complete physical examination. All subjects completed the Epworth Sleepiness Scale (ESS) within few days of the sleep study. The ESS is a self-administrated questionnaire that asks subjects to rate how likely they would have dozed (fallen asleep) in 8 specific situations or activities that are commonly met in daily life. The chance of dozing is rated on a scale of 0-3 (0 = would never dose, 1 = slight chance of dozing, 2 = moderate chance of dozing, and 3 = high chance of dozing). The total ESS score is the sum of 8-items scores and can range between 0 and 24. The higher

One implication of this research is that it has the potential to change treatment towards sleep disorders and insomnia for both patients and doctors/therapist. “Demand for sleep treatment often exceeds the availability

The second intervention I applied to my behavior was the decrease in active technology use before bed. Based on the literature “The Sleep and Technology Use of Americans: Findings from the National Sleep Foundation’s 2011 Sleep in American Poll.” Gradisar, Michael; Wolfson, Amy R; Harvey, Allison G; Hale, Lauren; Rosenberg, Russell; Czeisler, Charles A (2013) conducted a study by randomly surveying 1508 people between the ages of 13-64. They were asked 47 questions on technology use and what time they fall asleep over the course of two weeks. They found that people over the age of 30 were more likely to watch T.V. and people under the age of 30 were more likely to use their cell phones. The results showed that the use of cell phones before

    Sleep is a very important part of life that helps to keep us healthy, alert, and functioning well. Unfortunately, many people suffer from insomnia which is the inability to sleep. Cognitive Behavioral Therapy is a common form of psychotherapy in which which faulty thoughts about the self and/or the world are challenged in order to alter unwanted behavior patterns which has shown to be effective in treating several disorders/conditions. CBT-I has shown to be effective in treating insomniacs with comorbid conditions (Ashworth et al., 2015 & Palermo et al., 2016) and has even had effects on employees in the workplace (Barnes, Miller, & Bostock., 2017). There is also a possibility that CBT-I could have an effect on physiological changes (Jarrin et al., 2016).

Cognitive-behavioral therapy for insomnia (CBT-I) is proved to be an effective therapy for treating insomnia. (Edinger & Means, 2015) (Pigeon, 2010)(Mitchell et.al, 2014)

Insomnia? Do you know what insomnia is? Is insomnia, short term, long term, or both? The many types/forms of insomnia, there is? How much insomnia can affect someone or even your own life? Insomnia could have a huge, or small effect on your life. Many famous people such as Lady Gaga, Madonna, Eninem, Sandra Bullock, and also George Clooney have insomnia. Even though these famous people have insomnia, they have found many ways to cope with it, and live their lives. On the other hand, there are many different forms of insomnia. You will briefly learn about each form of insomnia, what I personally think insomnia is, the causes and effects it has, symptoms, and mainly its treatments. Which brings me to my thesis; do you think you would be able to cope with insomnia, and what the different types of diagnoses for insomnia are?