Insomnia, a most common sleep disorder, affects about one third of the American population and is classified two different ways. It can be classified by how long it lasts. Transient insomnia lasts for only a few days, short term lasts for a few weeks and chronic lasts for more then three weeks. The other way insomnia is classified is by its source. The main two classifications of this sleep disorder by source are primary and secondary.
Transient insomnia is experienced by most people at some time throughout their lives. It can be caused by stress such as worrying about the first day school or an illness in the family. Sometimes this sleep disorder occurs due to a disruption of their circadian cycle, which is a persons natural sleep cycle, caused by jet lag or a shift change at work. Transient insomnia goes away one the stress issue has passed. Short term insomnia is often caused by similar stressors as transient insomnia. If the sufferer of this sleep disorder cannot break the cycle of poor sleep, it often develops into chronic insomnia.
Primary insomnia develops without any obvious cause. Sometimes it starts as early as infancy.
Often it is the result of high metabolic rates or an overactive nervous system.
Secondary insomnia is the direct result of another cause. This sleep disorder can come from illness, medication, drugs or alcohol. Addressing the underlying cause of secondary insomnia often gives the sufferer relief. For example, if arthritis pain keeps you from sleeping, then treating the arthritis is the best way to cope with the sleep disorder.
Insomnia is not a single disorder. It is a general symptom and could have many potential causes. In order to qualify as a sleep disorder, insomnia has to meet three specific requirements. First, the person has to experience poor sleep in general, or have a problem falling or staying asleep. Second, if given the proper sleep environment and an adequate opportunity to sleep, the problem still occurs. Third, the result of the poor sleep causes some type of impairment while awake. Examples of an impairment are; fatigue, body aches and pains, inability to concentrate, mood changes, lack of energy, poor concentration, or developing an unnatural amount of worry about sleep.
Often insomnia is treated with medication, such as sleeping pills. These can be prescription medication or bought over the counter.
However, there are several other methods of treatment for this sleep disorder. Behavioral treatments include meditation, progressive muscle relaxation, deep breathing, visualization, biofeedback, sleep hygiene, cognitive behavioral therapy and reconditioning sleep restriction. These methods are often very successful.
Some sufferers of this sleep disorder choose holistic, or alternative, treatment. This method involves the use of herbal supplements which are not usually FDA approved. Others seek acupuncture as a way to relieve their insomnia. Passive body heating, which is the use of hot baths, is another method used.
Understanding this sleep disorder is the first step to breaking the cycle of insomnia.
People that suffer from the sleep disorder of chronic insomnia must decide whether or not they are going to take a sleep medication. This decision is usually made with their physician. Many people decide to take a sleeping pill because it offers relief from the symptoms of their sleep disorder and the extreme sleepiness they are always feeling. Taking a pill can improve how they fell and also the quality of their life. However, many people worry about the side effects and health risks that come with taking sleeping pills. Sleeping pills are among the most widely used drugs in the United States, and their use continues to increase.
The types of sleep medications that are available to people with insomnia fall into two categories, prescription and over-the-counter medications. Each sleep medication affects the body differently. The effectiveness of the sleeping pill is a major factor when dealing with sufferers of this sleep disorder. How quickly the pill will take effect and how long the effect will last are very important. The effect should match the individual's sleep problem. The fast acting drugs would benefit a person who has difficulty falling asleep while a longer lasting pill would better benefit someone who has difficulty staying asleep.
Other important factors concerning medications for people with this sleep disorder include the impact the medication has on sleep quality, the tolerance that a person has for the drug, the possibility of developing a dependence on the drug, and the side effects associated with the drug. Each of these points has to be considered when deciding to take sleep medication for chronic insomnia.
Many over-the-counter sleep medications contain some type of antihistamine as a primary active ingredient. Antihistamines are widely used to treat allergies and they are also effective in helping people fall asleep. However, there has been little research done on their long-term effectiveness or safety.
Prescription medications for the sleep disorder of chronic insomnia are classified into four general groups: benzodiazepine receptor agonists, antidepressants, melatonin receptor agonists, and barbiturates. Each one of these drug groups has specific benefits in regards to treating insomnia. However, it is very important that the right type of for chronic insomnia medication is prescribed for each individual person with this sleep disorder.
Before choosing a sleeping medication, it is very important to determine the source of the insomnia. For example, perhaps the source of the insomnia is the result of another treatable illness, or a side effect of a medication that is taken. The insomnia is then called secondary insomnia. The focus on medication should then be on the primary illness. Often the insomnia will disappear once the underlying cause is treated.
The decision of whether or not to take sleep mediation for chronic insomnia has to be a personal decision. There is no right or wrong decision. However, it is important, if the choice is to take a medication for this sleep disorder, to become as educated as possible about the medication prescribed.
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