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Home > Conditions A-Z > Insomnia
Home > Help Desk > Health Concern > Section I > Insomnia

Insomnia



   
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The inability to get a good night’s sleep can result from waking up in the middle of the night and having trouble getting back to sleep. It also occurs when people have a hard time falling asleep in the first place. Insomnia can be a temporary, occasional, or chronic problem.

What are the symptoms of insomnia?
Sleep-onset insomnia refers to the inability to fall asleep initially. Sleep-maintenance insomnia refers to the inability to stay asleep, with one or more awakenings during the night.

How is it treated?
Behavioral or psychological counseling may be recommended for people whose insomnia is due to poor sleep habits or emotional disorders. People with insomnia are typically advised to avoid stimulants such as caffeine (found in coffee, tea, and soda), diet pills, and certain over-the-counter medications. Sleeping pills may be prescribed, but these often become less effective over time and require higher applications.

Dietary changes that may be helpful:
Caffeine is a stimulant. The effects of caffeine can last up to 20 hours, so some people will have disturbed sleep patterns even when their last cup of coffee was in the morning. Besides regular coffee, black tea, green tea, cocoa, chocolate, some soft drinks, and many over-the-counter pharmaceuticals also contain caffeine.

Doctors will sometimes recommend eating a high-carbohydrate food before bedtime, such as a slice of bread or some crackers. Eating carbohydrates can significantly increase levels of a neurotransmitter (chemical messenger) called serotonin, which is known to reduce anxiety and promote sleep.

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