Understanding and Managing Insomnia

A Comprehensive Guide to Better Sleep

Psychiatry

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Last updated: Mar 24, 2025

What is Insomnia?

Insomnia is a common sleep disorder that makes it difficult to fall asleep, stay asleep, or both. It can significantly impact your daily life and overall health.

Types of Insomnia

  • Acute Insomnia: Short-term sleep problems lasting a few days to weeks
  • Chronic Insomnia: Sleep difficulties occurring at least three nights per week for three months or longer

Common Symptoms

  • Difficulty falling asleep
  • Waking up frequently during the night
  • Early morning awakening
  • Feeling tired during the day
  • Difficulty concentrating
  • Mood changes
  • Decreased performance at work or school

Causes

Physical Causes

  • Medical conditions (chronic pain, respiratory problems)
  • Hormonal changes
  • Medications
  • Caffeine or alcohol consumption

Psychological Causes

  • Stress and anxiety
  • Depression
  • PTSD
  • Major life changes

Treatment Options

Lifestyle Changes

  1. Maintain a regular sleep schedule
  2. Create a relaxing bedtime routine
  3. Exercise regularly (but not close to bedtime)
  4. Limit screen time before bed
  5. Avoid caffeine and alcohol

Medical Treatments

  • Cognitive Behavioral Therapy for Insomnia (CBT-I)
  • Sleep medication (when prescribed)
  • Treatment of underlying conditions

When to See a Doctor

Seek medical attention if:

  • Insomnia persists for more than a few weeks
  • It significantly affects your daily functioning
  • You experience concerning symptoms

Prevention Tips

  • Maintain good sleep hygiene
  • Manage stress effectively
  • Create a comfortable sleep environment
  • Stay active during the day

Long-term Management

Successful management of insomnia often requires a combination of lifestyle changes, proper sleep habits, and potentially medical intervention.

Always consult with a healthcare provider before starting any new treatment regimen.

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