Insomnia is a type of
sleep disorder. Individuals with insomnia find it difficult to fall asleep,
stay asleep, or both. People with insomnia often don’t feel refreshed when they
wake up from sleeping, either. This can lead to fatigue and other symptoms.
Insomnia is the most common of all sleep disorders, according to the American
Psychiatric Association (APA). In fact, the APA states that about one-third of
all adults report insomnia symptoms. But between 6 to 10 percent of all adults
have symptoms severe enough for them to be diagnosed with insomnia disorder.
The APA defines
insomnia as a disorder in which people have trouble falling asleep or staying
asleep. Doctors make a clinical diagnosis of insomnia if both of these criteria
apply:
1. Sleep difficulties
occurring at least three nights a week for a minimum of three months.
2. Sleep difficulties
creating major distress or functional difficulties in a person’s life.
CAUSES
OF INSOMNIA
The causes of your
insomnia will depend on the type of sleeplessness you experience.
* Short-term insomnia
may be caused by stress, an upsetting or traumatic event, or changes to your
sleep habits.
* Chronic insomnia
lasts for at least three months and is usually secondary to another problem or
a combination of problems, including:
* Medical conditions
which make it harder to sleep, such as arthritis or back pain, psychological
issues, such as anxiety or depression substance use. Insomnia can occur at any
age and is more likely to affect women than men.
According to the
National Heart, Lung, and Blood Institute (NHLBI) Trusted Source, people with
certain risk factors are more likely to have insomnia. These risk factors
include:
1. High levels of
stress
2. Emotional disorders,
such as depression or distress related to a life event
3. Lower income
4. Traveling to
different time zones
5. Sedentary lifestyle
6. Changes in work
hours, or working night shifts
Certain medical
conditions, such as obesity and cardiovascular disease, can also lead to
insomnia. Menopause can lead to insomnia as well.
INSOMNIA
SYMPTOMS
People who experience
insomnia usually report at least one of these symptoms:
1. Waking too early in
the morning
2. Unrefreshing sleep
3. Trouble falling or
staying asleep.
These symptoms of
insomnia can lead to other symptoms, including:
1. Fatigue
2. Mood changes
3. Irritability
Treating
insomnia
There are both
pharmaceutical and no pharmaceutical treatments for insomnia.
Your doctor can talk to
you about what treatments might be appropriate. You may need to try a number of
different treatments before finding the one that’s most effective for you.
The American College of
Physicians (ACP) recommends cognitive behavioral therapy (CBT) as a first-line
treatment for chronic insomnia in adults.
Sleep hygiene training
may also be recommended. Sometimes, behaviors that interfere with sleep cause
insomnia. Sleep hygiene training can help you change some of these disruptive
behaviors.
Suggested
changes may include:
* Avoiding caffeinated
beverages near bedtime.
* Avoiding exercise
near bedtime.
* Minimizing time spent
on your bed when you’re not specifically intending to sleep, such as watching
TV or surfing the web on your phone. If there’s an underlying psychological or
medical disorder contributing to your insomnia, getting appropriate treatment
for it can alleviate sleep difficulties.
* Meditation is a
natural, easy, drug-free method for treating insomnia. According to the
National Sleep Foundation, meditation can help improve the quality of your
sleep, as well as make it easier to fall asleep and stay asleep.