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What is
Sleep Insomnia?

Sleep insomnia is a prevalent sleep disorder characterised by difficulty falling asleep, staying asleep, or waking up too early, leading to daytime impairments such as fatigue and irritability. It can manifest as acute insomnia, lasting a few days to weeks, or chronic insomnia, which persists for three months or longer and occurs at least three times a week. Insomnia can significantly impact an individual’s quality of life, affecting mood, cognitive function, and overall health.

Types of
Sleep Insomnia

Insomnia is a common sleep disorder that can significantly impact daily life. It is said that almost one out of three people suffer from insomnia at some point of time in their lives. Understanding the different types of insomnia is essential for effective diagnosis and treatment. Here are the primary classifications:

  1. Acute Insomnia
    • Description: This is a short-term form of insomnia that lasts from a few days to a few weeks, often triggered by stress or significant life changes such as job loss or bereavement.
    • Characteristics: Symptoms typically resolve on their own as the individual adjusts to the stressor.
  2. Chronic Insomnia
    • Description: Chronic insomnia persists for at least three nights per week for three months or longer. It can be primary (not linked to other health issues) or secondary (resulting from other conditions).
    • Characteristics: Individuals experience ongoing sleep difficulties, leading to daytime impairments such as fatigue and irritability.
  3. Sleep-Onset Insomnia
    • Description: This type involves difficulty falling asleep at the beginning of the night.
    • Characteristics: People may spend 20-30 minutes or more trying to fall asleep, often resulting in reduced total sleep time.
  4. Sleep-Maintenance Insomnia
    • Description: This refers to trouble staying asleep throughout the night or waking up too early and being unable to return to sleep.
    • Characteristics: It may be associated with various medical conditions or psychological issues such as anxiety and depression.
  5. Behavioral Insomnia of Childhood
    • Description: This type affects children and involves difficulties in initiating or maintaining sleep due to behavioral factors.
    • Characteristics: It may manifest as resistance to bedtime or reliance on caregivers for sleep initiation.
  6. Terminal Insomnia
    • Description: Also known as late insomnia, this occurs when an individual wakes up too early and cannot fall back asleep.

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What are the symptoms of
primary insomnia

Insomnia is a sleep disorder characterized by difficulty falling asleep or staying asleep without any identifiable medical or psychiatric cause. The symptoms can significantly affect daily functioning and overall well-being. Here are the key symptoms associated with primary insomnia:

Symptoms of Sleep Insomnia

Difficulty Falling Asleep

Individuals often struggle to initiate sleep, spending long periods awake in bed before finally falling asleep.

Frequent Nighttime Awakenings

Insomnia can cause multiple awakenings throughout the night, disrupting sleep continuity.

Early Morning Waking

Many people with insomnia wake up earlier than desired and find it hard to return to sleep.

Non-Restorative Sleep

Even after a full night’s sleep, individuals may feel unrefreshed or fatigued upon waking.

Daytime Fatigue and Sleepiness

Affected individuals frequently experience excessive daytime sleepiness, leading to difficulties in concentration and memory.

Mood Disturbances

Insomnia can lead to irritability, anxiety, and feelings of depression due to chronic sleep deprivation.

Cognitive Impairment

Problems with attention, focus, and memory are common as a result of insufficient restorative sleep.

Increased Anxiety About Sleep

Many individuals become preoccupied with their inability to sleep, which can exacerbate their insomnia symptoms.

How it works

Tailored sleep care that works, for you

A comprehensive insomnia test and program based on your sleep pattern assessment.

Step 1: Sleep Study At Home

Establish a precise baseline of your
sleep pattern & incidence of sleeplessness
at night to screen for insomnia

Step 3: Our Insomnia Program

One-on-one sessions with sleep therapists
focused on developing the right behaviour &
techniques through CBT-I , a proven first line therapy for insomnia , suited to your profile

Step 2: Personalised Plan

Receive tailored insights to manage your sleep disorder along with a personalised
lifestyle plan by an experienced sleep physician

Step 4: Monitoring with Sleep Coach

Regular Check-ins with a dedicated
sleep coach to objectively assess improvement
and the effectiveness of the treatment

What can insomnia do to your body?

  1. It can age your brain by 3 to 5 years
  2. Greater risk for depression irritability anxiety forgetfulness fuzzy thinking
  3. 33 %increased risk for dementia
  4. Three times risk for diabetes
  5. 36 percent increase in risk of colon rectal cancer. 
  6. Increased risk of high blood pressure
  7. Less active immunity causing recurrent infections
  8. 3 times more chances of catching colds
  9. 48 percent increase in heart diseases

Recognizing these symptoms is crucial for seeking appropriate treatment and improving overall sleep health. If insomnia persists, consulting a healthcare professional is advisable for proper evaluation and management.

How Sleep insomnia be diagnosed?

Diagnosing sleep insomnia involves a comprehensive evaluation of an individual’s sleep patterns, medical history, and lifestyle factors. To receive a formal diagnosis of insomnia, patients typically must report at least one of the following symptoms:

  • Difficulty falling asleep
  • Difficulty staying asleep during the night
  • Waking up earlier than desired and being unable to return to sleep
  • Feelings of resistance to going to bed at a reasonable hour

Additionally, these nighttime symptoms must lead to daytime impairments such as fatigue, irritability, or difficulty concentrating. For chronic insomnia, these symptoms must occur at least three times per week for three months or longer. If the symptoms are present for less than three months, it is classified as acute insomnia.

Initial Assessment

  1. Medical History and Physical Examination : A healthcare provider will review the patient’s medical history and conduct a physical exam to identify any underlying conditions that might contribute to sleep issues.
  2. Sleep Diary : Patients are often asked to keep a sleep diary for at least one week. This diary should document sleep patterns, wake times, and any factors that may influence sleep, such as caffeine or alcohol consumption.

Additional Testing
If necessary, further assessments may include:

  • Sleep Studies (Polysomnography) : This overnight test monitors various physiological parameters such as brain waves, heart rate, breathing patterns, and muscle activity to identify sleep disorders like sleep apnea.
  • Actigraphy : A wrist or ankle sensor is worn for several days to track sleep-wake patterns in a natural environment.
  • Blood Tests : These tests may be conducted to rule out medical conditions like thyroid disorders that could contribute to insomnia symptoms.

Diagnosing insomnia is a multi-faceted process that requires careful consideration of both subjective experiences and objective data. Collaboration with sleep expert  is essential for accurate diagnosis and effective treatment planning. If you suspect you have insomnia, documenting your symptoms and discussing them with a doctor can be vital steps toward finding relief.

Benefits of
Treating Sleep insomnia

Treating sleep insomnia offers numerous benefits that can significantly enhance both physical and mental well-being. Here are some key advantages of addressing insomnia:
  1. Improved Sleep Quality
    • Effective treatment enhances both the quality and quantity of sleep, allowing individuals to feel more rested and alert during the day
  2. Enhanced Cognitive Function
    • Treatment can lead to better memory, concentration, and decision-making skills, as adequate sleep is essential for cognitive processes and learning
  3. Increased Productivity
    • With improved sleep, individuals often experience higher energy levels and motivation, leading to greater productivity at work and in daily activities
  4. Reduced Risk of Accidents
    • Quality sleep reduces the likelihood of accidents caused by drowsiness or microsleep episodes, which can occur during driving or operating machinery
  5. Lower Risk for Chronic Health Conditions
    • Treating insomnia can decrease the risk of developing serious health issues such as heart disease, diabetes, and hypertension, which are often linked to chronic sleep deprivation
  6. Improved Mental Health
    • Addressing insomnia can alleviate symptoms of anxiety and depression, contributing to better emotional stability and overall mental health
  7. Strengthened Immune System
    • Quality sleep enhances immune function, allowing the body to produce necessary antibodies and cytokines that help fight infections
  8. Weight Management Support
    • Treatment can help regulate hormones related to appetite (leptin and ghrelin), making it easier to maintain a healthy weight and combat obesity
  9. Reduced Healthcare Costs
    • By preventing the complications associated with untreated insomnia, individuals may incur lower healthcare costs related to chronic conditions exacerbated by poor sleep
  10. Increased Life Expectancy
    • Studies indicate that effective treatment of insomnia can lead to a longer life expectancy by mitigating the risks associated with chronic sleep deprivation

How can insomnia be treated?

Treating insomnia effectively involves a multi-faceted approach that can include behavioural therapies, medications, lifestyle changes, and alternative remedies. Here’s a comprehensive overview of the available treatment options:

1. Cognitive Behavioral Therapy for Insomnia (CBT-I)
CBT-I is considered the first-line treatment for chronic insomnia due to its effectiveness and minimal side effects. Key components include:

  • Sleep Hygiene Education: Teaching good sleep practices, such as maintaining a consistent sleep schedule and creating a conducive sleep environment.
  • Stimulus Control Therapy: Associating the bed with sleep by limiting activities like watching TV or using electronic devices in bed.
  • Sleep Restriction Therapy: Reducing the amount of time spent in bed to increase sleep efficiency, then gradually increasing it as sleep improves.
  • Relaxation Techniques: Incorporating methods like deep breathing, progressive muscle relaxation, and mindfulness meditation to reduce anxiety around sleep.

2. Medications
If CBT-I is insufficient, medications may be prescribed to help manage insomnia symptoms.

  • Prescription Medications: Such as eszopiclone, zolpidem, and triazolam. These can help initiate or maintain sleep but may have side effects like daytime drowsiness.
  • Over-the-Counter Options: Antihistamines with sedative properties and melatonin supplements are commonly used. However, it’s essential to consult a healthcare provider before starting any medication.

3. Lifestyle Changes
Implementing healthy lifestyle habits can significantly improve sleep quality:

  • Regular Exercise: Engaging in physical activity during the day can promote better sleep at night.
  • Dietary Adjustments: Avoiding caffeine and large meals close to bedtime can help reduce insomnia symptoms.
  • Sleep Environment Optimization: Creating a dark, quiet, and cool bedroom environment conducive to sleep is crucial.

4. Alternative Therapies
Some individuals may find relief through complementary approaches:

  • Mindfulness and Meditation: Practices that promote relaxation can help alleviate stress and anxiety related to sleep.
  • Acupuncture: This traditional Chinese medicine technique may provide benefits for some people suffering from insomnia.
  • Herbal Remedies: While some herbal supplements like valerian root are traditionally used for insomnia, scientific backing is limited, and safety should be considered

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Frequently Asked Questions (FAQs)

Can insomnia go away?
No matter your age, insomnia typically can be treated. The key often lies in changes to your routine during the day and when you go to bed
What is the fastest way to cure insomnia?
Practicing good sleep hygiene and sleep habits can help you overcome insomnia. This means that you should try to stick to a regular sleep schedule every day. Set a regular bedtime and a regular time to wake up so that your body gets into the habit of sleeping during those hours.
Is insomnia a mental illness?

Insomnia is rarely an isolated medical or mental illness but rather a symptom of another illness to be investigated by a person and their medical doctors. In other people, insomnia can be a result of a person’s lifestyle or work schedule.
Sleep is a window to the mind. And insomnia is a pointer towards unhealthy mind.

Is insomnia serious?
Occasional episodes of insomnia can come and go without causing any serious problems. But, some people can have insomnia for months or even years at a time. Persistent insomnia can have an impact on your quality of life. It can limit what you’re able to do during the day and affect your mood.
Can I cure insomnia by myself?

Some of the most important things you can do to help your insomnia — and your sleep overall — revolve around sleep hygiene. These include, but aren’t limited to: Set and follow a sleep schedule. For most people, the best thing you can do for your body and sleep needs is to have a routine.

What is the best medication for insomnia?
The most common antidepressants prescribed for sleep are Trazodone & Doxepine. These medications are usually prescribed at doses that are lower than what is required for the treatment of depression and they do not lead to tolerance or drug dependence.

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