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How To Live Well With: Insomnia
Insomnia is an annoyance to those who suffer from it, as well as a major factor
in lost productivity in the workplace. Although it is not lethal, insomnia makes
those afflicted feel as though they have entered another dimension. A much as
30-50% of the general population has experienced insomnia, and 10% of these
people have chronic insomnia.
Insomnia is
defined as "difficulty initiating or maintaining sleep, or both.” Although most
people know what insomnia is and have encountered it, few get medical treatment.
Many maintain a stoic attitude and ignore the behavioural and medical options
available. Insomnia affects all age groups, including children. Among older
adults, insomnia affects women more often than men. It is, however, an age
related condition that worsens, as we get older. Stress is often the initiating
factor in short-term or acute insomnia. However, if left uncorrected, this may
develop into chronic insomnia. Other causes of, or correlations with, insomnia
include psychological problems including anxiety and depression, or physical
causes which can vary from chronic pain, to congestive heart failure and chronic
pulmonary disease to circadian rhythm disorders. There are occupational factors
that can serve as risk factors to developing insomnia, such as shift work, night
work, and travelling. High-risk groups include students, seniors, and menopausal
women. Many asthmatics are at high risk for developing insomnia because of their
medications, and high blood pressure medications are associated with sleep
disruption. Lifestyle factors, such as stress, as mentioned before, and caffeine
and alcohol consumption can also trigger insomnia.
But
what to do about insomnia? The first recommendation is to address lifestyle
factors that could be potential causes. Limit or eliminate your caffeine intake,
and remember that caffeine is not limited to coffee, but includes tea and nearly
every soft drink. Alcohol, while it certainly looks like a good idea, actually
is a serious promoter of sleep disturbance. A drink may enable a person
initially to drift off to sleep, but within six hours, the alcohol is
metabolised to a substance that is actually a stimulant. Many people wake six
hours after ingesting alcohol with a profound inability to sleep. In addition,
alcohol interferes with the normal process of deep or REM sleep, leaving the
person less rested in the morning. This is also true of sleep inducing drugs,
which may provide short-term relief, but may result in overall poor quality
sleep.
What does seem
to work against insomnia is getting back to the basics. For those whose insomnia
is caused by circadian rhythm imbalance, taking the drug melatonin is highly
successful. Melatonin is a hormone that regulates the day and night,
sleep-wakefulness cycle in animals. Its release is triggered by sunlight and
vitamin D. Many people have tried melatonin for insomnia, but if circadian
rhythm imbalance is not the cause, it has little effect.
Another faddish
supplement that has worked for some is the amino acid tryptophan, which promotes
relaxation and is found in poultry meat. Unfortunately, the way to address
sleeplessness lie in identifying and eliminating the causes, which is never as
simple as gnawing a turkey leg before bedtime. In fact, the opposite is true.
Many people report that they have better sleep quality when they limit their
caloric intake severely in the hours before bedtime and eat only foods such as
rice or oatmeal that are simply digested.
It is
recommended that insomnia sufferers adopt a strict schedule whereby they eat
several hours before bedtime and limit liquid intake one hour prior to bedtime.
The bedroom or sleep chamber is to be reserved only for relaxation. No computers
or televisions, please. Daily exercise, although not within 4 hours of bedtime,
is a must. Relaxation techniques and self-hypnosis can be very effective in
achieving sleep, and regaining it if awakened. If these life style changes do
not work, it is necessary to seek the aid of a health professional that can
prescribe sleep inducers for short-term relief and refer a mental health
professional to explore the causes of chronic insomnia. |