The quality or quantity of sleep can be a problem with chronic insomnia. People with this condition do not get enough hours of sleep or they may not sleep properly but rather keep waking during the night. Symptoms and complications:Ĭhronic insomnia does not go away after a few months, but it persists. Almost half of people with psychiatric conditions also suffer from chronic insomnia. Chronic insomnia occurs in about 10% of the population. Medical disorders like acid reflux or thyroid disorders can also cause insomnia. Medications such as antidepressants and antipsychotics can cause chronic insomnia, but there are others that can also be a problem. There are many causes of chronic insomnia including the use of drugs, stress, and medical problems. The one option is to use sleeping pills but this is best done for only a short while.Ĭhronic insomnia is a lack of sufficient sleep that does not go away and last for longer than 3 months. Treatment:Īcute insomnia may need no treatment. Diagnosis:ĭiagnosis can be made on the basis of the symptoms and the fact that the patient has had a significant life change, causing stress. The person with this type of insomnia may also awaken earlier than usual after sleep. People also feel tired during the day and become moody and irritable. The signs of acute insomnia include the following: having a hard time falling asleep and then waking up during the night. In fact, about 1/3 of individuals will experience this at some stage in their lives. It is quite common for people to have acute insomnia. Causes and prevalence:Īcute insomnia is caused by some type of stress in your life, such as the death of someone close to you or a change in your job (losing a job or even starting a job). Poor sleep hygiene may include mobile phone or TV use while in bed, spending too long in bed.Ī sleep diary ( paper or watch which monitors sleep patterns) can assist in the assessment of insomnia, and help patients with to monitor and recognise their sleep habits.This refers to difficulty with sleep that only lasts a short while and not longer than about 3 weeks. DASS 21, K10, Oestrogen Deficiency Score, or bloods e.g. Sleep historyincludes sleep quantity (See night-time symptoms above) and daytime function (See daytime symptoms above), and sleep hygiene (relating to environmental factors, physiologic factors, behaviour and habits), onset and trajectory of insomnia symptoms, previous treatments used and effect of these treatments and checking for co-morbid conditions as well as excluding other potential causes of insomnia (mental health screening tools e.g. Causes clinically significant distress or impairment in social, occupational, educational, academic, behavioral, or other important areas of daytime functioning (See daytime symptoms below)Ī diagnosis of insomnia disorder is based upon patient-reported sleep history and the use of the Sleep Condition Indicator (SCI) or Insomnia Severity Index (ISI) questionnaires.Occurs despite adequate opportunity for sleep.Present for at least 3 nights per week for 3 months.The insomnia disorder’s difficulty falling and/or staying asleep including waking too early is: Early waking (termination of sleep >30 minutes before desired wake time) and unable to fall back to sleep.Difficulty maintaining sleep(wake periods >30 min) and unable to fall back to sleep.Difficulty initiating sleepdefined by sleep latency (time taken to fall asleep >30 min).Insomnia disorder is characterised by self-reported ‘Difficulties Initiating and/or Maintaining Sleep’ (DIMS). At least 30% of the general population report symptoms of sleep disturbance, while 10-15% report symptoms indicative of chronic insomnia disorder. Cognitive Behavioural Therapy for Insomnia (CBTi)Ĭhronic insomnia or insomnia disorder negatively impacts mental and physical health and leads to increased healthcare costs.Brief Behavioural Therapy for Insomnia (BBTi).Basic Sleep and Sleep Hygiene Education.Pathogenesis, Risk Factors & Development.
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