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Insomnia

"Just" bad sleep or insomnia?

“JUST” BAD SLEEP OR INSOMNIA?

We all face periods when we have difficulty sleeping or have difficulty falling asleep. Approximately one in three people regularly encounter these types of sleep problems, but in most cases, these problems are temporary and usually disappear on their own. But when the complaints become regular and last longer than three weeks, we speak of insomnia, a serious phenomenon that can significantly affect the quality of life.

Insomnia is a condition in which it is difficult to fall asleep, maintain sleep, or achieve a sense of rest after sleep.

The long-term presence of insomnia can have serious consequences on an individual’s physical and mental health. People who suffer from insomnia often experience fatigue, reduced concentration, irritability and difficulty performing daily activities.

Therefore, it is important to recognize and address sleep problems in a timely manner, especially when insomnia becomes chronic. Consulting a sleep professional or doctor can help identify the causes of insomnia and develop tailored strategies to improve sleep quality and overall health.

WHAT ARE THE SYMPTOMS OF INSOMNIA?

People who suffer from insomnia often exhibit one or more of the following symptoms:

  • Difficulty falling asleep

You have difficulty starting sleep, which can result in long periods of wakefulness before falling asleep.

  • Frequent waking up at night

You experience frequent awakenings during the night, which can interfere with continuous sleep.

  • Waking up too early

You feel awake or wake up too early in the morning, earlier than you would like or plan.

  • Getting up tired

Despite sleeping, you feel tired and restless after waking up.

  • General fatigue or daytime sleep bouts

You experience constant fatigue throughout the day or have episodes of unexpected daytime sleepiness.

  • Irritability:

You become irritable or susceptible to mood swings due to lack of sleep.

  • Memory and concentration problems

You show difficulty concentrating, reduced attention and problems with memory and decision-making.

  • Short sleep duration

You sleep an average of less than 5 hours per night, which can further worsen the symptoms of insomnia.

Recognizing these symptoms is crucial for properly diagnosing insomnia and setting up an appropriate treatment plan to improve the quality of sleep and the general health of the individual.

PARADOXICAL INSOMNIA

Paradoxical insomnia is often misperceived as a short-term sleep problem, but in reality the situation can be different. The name “paradoxical” derives from the paradox between the experienced and actual length of sleep.

People suffering from paradoxical insomnia may have the subjective impression that they sleep very little or no sleep during the night, even though the actual number of hours of sleep is often longer than their perception.

This form of insomnia is characterized by the feeling of waking up during the night and being aware of it, which creates the impression of insomnia despite the actual prolonged sleep.

The actual amount of sleep can be significantly longer than what a person perceives, and this disproportion between the experienced and actual sleep often creates additional stress and anxiety in the individual.

The identification of paradoxical insomnia is important in order to understand unconscious perceptions and approach proper treatment to establish a balance between the actual and experienced quality of sleep.

PSYCHOPHYSIOLOGICAL INSOMNIA

In psychophysiological insomnia, individuals are convinced that they cannot fall asleep or achieve deep sleep, leading to a paradoxical situation in which their sleep efforts often result in the opposite effect.

Attempts to fall asleep become frustrating because the person, despite the efforts, experiences difficulties in falling asleep normally.

This type of insomnia is often associated with bedtime rituals, such as closing curtains or brushing teeth, which become associated with anxiety and the formation of negative associations with sleep. In addition, intense attempts to fall asleep can result in the opposite effect – a person remains awake and nervous.

The paradox of psychophysiological insomnia is that when an individual is not actively focused on trying to fall asleep, for example while watching TV or reading, it can happen that they fall asleep spontaneously.

A key element of this type of insomnia lies in the unconscious adoption of negative behavioral patterns related to sleep, which can create a vicious circle of anxiety and insomnia.

INSOMNIA DUE TO POOR HYGIENE

Poor sleep hygiene refers to a situation in which bad habits or external circumstances prevent a person from getting quality sleep. This can include a number of factors that disrupt the natural rhythm of sleep and make it difficult to fall asleep or stay asleep during the night.

Examples of poor sleep hygiene include:

  • Use of electronic devices before bedtime

Watching TV, using mobile devices or computers just before bed can interfere with the production of melatonin, a hormone that regulates sleep.

  • Irregular sleep routine

Varying bedtime and wake-up times can disrupt the internal biological clock, making it difficult to establish a stable sleep rhythm.

  • Consumption of stimulants

Drinking caffeine or energy drinks late in the day can cause difficulty falling asleep.

  • Lack of physical activity

Lack of regular physical activity can reduce the quality of sleep.

  • Hostile sleeping environment

A noisy or bright environment, an uncomfortable mattress, or poor pillow quality can also contribute to poor sleep hygiene.

Maintaining healthy sleep habits, such as a regular sleep schedule, avoiding stimulants before bed, and creating a comfortable sleep environment, is key to improving sleep quality and overall well-being.

IDIOPATHIC INSOMNIA

Idiopathic insomnia refers to a condition in which there is no clear identified cause of insomnia symptoms. The diagnosis of idiopathic insomnia is made when other potential causes of insomnia have been ruled out, and yet the symptoms persist.

This term “idiopathic” suggests that the cause of insomnia remains unknown or unexplained. Despite various testing and monitoring methods, there are no clear indicators that would indicate a specific source of sleep problems.

This diagnosis is made after other medical or psychological cells that could cause insomnia, such as depression, anxiety, or physical illnesses, have been ruled out.

WHAT ARE THE CONSEQUENCES?

Lack of sleep can have serious consequences on physical and mental health. People who suffer from sleep deprivation often face a number of problems that significantly limit their daily functioning.

Here are some consequences of lack of sleep:

  1. Weariness: This can result in reduced productivity and difficulty performing daily activities.
  2. Irritability: People who don’t get enough sleep often become easily irritable, which can affect relationships with others and work efficiency.
  3. Decreased alertness: People may struggle with maintaining attention, making decisions, and performing a task that requires mental alertness.
  4. Emotional instability: People affected by sleep deprivation are often less emotionally stable, which can result in mood swings, increased anxiety, and susceptibility to stress.
  5. Limitation of daily functioning: Lack of sleep can severely limit the ability to perform daily tasks, which can affect work, family life, and other aspects of daily life.

HOW IS THE DIAGNOSIS MADE?

The existence of insomnia and its specific form can be determined through specific questionnaires and sleep studies.

These methods help sleep professionals gather relevant information about a patient’s sleep patterns, allowing for a more accurate diagnosis and adjustment of the appropriate treatment plan.

Here are some key methods:

  1. Sleep questionnaires
  2. Sleep diary
  3. Sleep studies (polysomnography)

The combination of these methods allows sleep professionals to more accurately understand the characteristics of insomnia and provide personalized treatment approaches.

WHAT TREATMENTS ARE AVAILABLE?

When the cause of insomnia is identified, it is possible to start a specific treatment tailored to the individual needs of the patient. Different therapeutic strategies can be applied, depending on the nature of the sleep problem.

Some of the treatment options can be practical sleep tips, or your doctor can provide you with useful advice on sleep hygiene and lifestyle changes that can improve sleep quality. In addition, they may also prescribe sleeping medication to facilitate the initial falling asleep.

Also, cognitive behavioral therapy (CBT-I) can be used, which is aimed at changing the negative thinking and behavior patterns associated with insomnia.

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