by Ricardo Henri


Introduction

Insomnia is a sleeping disorder characterized by constant difficulty going to sleep or staying asleep despite the opportunity. Insomniacs have been known to complain about being incapable of closing their eyes or "resting their mind" for more than a few minutes at a time. It's common after the death of a loved one, even years or decades after the death, if they have not gone through the grieving process.

Insomnia can be produced by: Psychoactive drugs or stimulants, encompassing certain medication, herbs, caffeine, cocaine, ephedrine, amphetamines, methylphenidate, MDMA, methamphetamine and modafinil. Hormone shifts such as those that precede menstruation and those during menopause. Psychological problems like fear, stress, anxiety, emotional or mental tension, work problems, financial stress, unsatisfactory sex life. Mental problems such as clinical depression, bipolar disorder, general anxiety disorder. Disturbances of the circadian rhythm, such as shift work and jet lag can cause an inability to sleep at some times of the day and excessive drowsiness at other times of the day. Insomnia may be a symptom of magnesium deficiency, or lower magnesium levels.

History

History of these peoples often discloses excessive daily worries about not being able to fall asleep, evidence of trying too hard to fall asleep with apprehension if unable to fall asleep, an ability to fall asleep during monotonous pursuits (such as TV watching or reading) and in inappropriate times (at a lecture or while driving) but not when desired, improvement of sleep in unusual sleep environments, and increased agitation and muscle tension prior to bed. The best means to find the cause for insomnia is by careful history taking.

Symptoms

Chronic insomnia means having symptoms at least three nights per week for more than a month. If so, you may find creating a nighttime routine or ritual before you go to bed useful for overcoming the signs and symptoms. If however, you find that it persists night after night, be sure you contact your MD to arrange an appointment to discuss your symptoms.

Sleep history: Determining the timing of insomnia, the individuals sleep habits (routinely referred to as sleep hygiene), and symptoms of sleep disorders associated with insomnia is important. Patients should be queried about symptoms of other sleep disorders such as obstructive sleep apnea (eg, snoring, witnessed apneas, gasping) and restless leg syndrome/periodic limb movement disorder (ie, restless feeling in legs on lying down, which improves with turning; rhythmic kicking during the night; very messy sheets in the morning). Neurologic testing may be neccesary in individuals having signs and symptoms of neurologic disease.

Treatment

Treatment includes: Locating and treating any medical conditions or mental health problems. When people think of treatment they tend to think of sleeping capsules, but there are actually non-medical therapy that have not only been shown to be effective, but are probably even better in the long term than sleeping tablets.

Melatonin has proved effective for some insomniacs in controlling the sleep/waking cycle, but lacks definitive data regarding efficacy in the treatment of insomnia. Treatment with oxygen may improve but rarely cures the problem. Cannabis has also been suggested as a very effective therapy. Traditional Chinese medicine has included treatment for insomnia. Your health care professional will work with you to create goals for treatment that include headache and prevention.

Conclusion

Insomnia is too little or poor-quality sleep created by one or more of the following: Trouble going to sleep, Waking up a lot during the night with trouble going back to sleep, Waking up too early in the morning, Having un-restful sleep (not feeling well rested), even after sleeping 7 to 8 hours at night, It can also cause problems throughout the day, such as excessive sleepiness, fatigue, trouble thinking clearly or staying focused, or feeling depressed or irritable.

It can be transient (short term) lasting from one night to a few weeks. It can be mild to severe depending on how often it occurs and for how long. It is one of the more common sleep problems faced by men, women and children alike. Insomniacs complain of impaired ability to concentrate, poor memory, trouble coping with minor irritations, and decreased ability to enjoy family and social gatherings. Since it is not a disease, no test can diagnose it.The Department of Health and Human Services says approximately 60 million Americans suffer from this sleep disorder every year. If you feel you have insomnia, talk to your health care professional




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