Like
a thief in the night, Insomnia is a condition in which a person
has difficulty getting sufficient sleep. About 30 million people
in the U.S. suffer from insomnia. The cause may be psychological
or physiological. It can be caused by an overactive thyroid
gland, diabetes, violent muscle twitching, bladder infections
and respiratory conditions such as C.O.P.D. or Emphysema, or
drinking beverages containing caffeine before going to bed.
Indications
of Insomnia are; but not limited to: Sleepiness, Fatigue, Lack
of Concentration, Muscle Aching, Depression, Tension, Anxiousness,
Weariness, Nervousness, and Irritability.
Types of Insomnia
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Sleep
Onset Insomnia (Delayed Sleep Phase Syndrome): A disorder
in which the major sleep episode is delayed in relation to
the desired clock time that results in symptoms of sleep onset
insomnia or difficulty in awakening at the desired time. Idiopathic
Insomnia: A lifelong inability to obtain adequate sleep that
is presumably due to an abnormality of the neurological control
of the sleep-wake system. The insomnia is long-standing, commonly
beginning in early childhood, sometimes since birth.
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Psychophysiological
Insomnia: A disorder of somatized tension (conversion
of anxiety into physical symptoms) and learned sleep-preventing
association that results in a complaint of insomnia and associated
decreased functioning during wakefulness.
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Childhood
Insomnia (Limit-Setting Sleep Disorder): Primarily childhood
disorder that is characterized by the inadequate enforcement
of bedtimes by a caretaker with resultant stalling or refusal
to go to bed at the appropriate time.
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Other
Childhood Insomnia: Another kind of insomnia that generally
affects children is call Sleep-Onset Association Disorder.
This disorder occurs when sleep onset is impaired by the absence
of a certain object or set of circumstances, such as being
held, rocked or nursed; television watching, radio listening,
etc. (Could be true for the Parents cartoon character Linus
and his blanket?)
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Food
Allergy Insomnia: A disorder of initiating and maintaining
sleep due to an allergic response to food allergens. It is
typically associated with the introduction of a new for or
drink.
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Environmental
Insomnia (Environmental Sleep Disorder):
A sleep disturbance due to a disturbing environmental factor
that causes a complaint of either insomnia or excessive sleepiness.
(How about the garbage man or the leaf blower early in the
morning?)
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Transient
Insomnia (Adjustment Sleep Disorder):
Represents sleep disturbance temporally related to acute stress,
conflict or environmental change causing emotional agitation.
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Periodic
Insomnia (Non 24-Hour Sleep-Wake Syndrome): Consists of
a chronic (lasting a long time) steady pattern consisting
of 1-2 hour daily delays in sleep onset and wake times in
an individual living society. Altitude Insomnia: An acute
(short and sharp course, not chronic) insomnia usually accompanied
by headaches, loss of appetite, and fatigue, that occurs following
ascent to high altitudes. (Unless you are a mountain climber
or a mountain goat, this kind of insomnia won't apply).
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Hypnotic-Dependency Insomnia (Hypnotic-Dependent Sleep
Disorder): Characterized by insomnia or excessive sleepiness
that is associated with tolerance to or withdrawal from hypnotic
medications.
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Stimulant-Dependent
Sleep Disorder: Characterized by a reduction of sleepiness
or suppression of sleep by central stimulants, and resultant
alterations in wakefulness following drug abstinence.
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Alcohol-Dependent
Insomnia (Alcohol-Dependent Sleep Disorder): Characterized
by the assisted initiation of sleep onset by the sustained
ingestion of alcohol that is used for its hypnotic effect.
Toxin-Induced Sleep Disorder: Characterized by either insomnia
or excessive sleepiness produced by poisoning with heavy metals
or organic toxins.
Although
the presence of one or more of these characteristics may help
in assessment of the patient, none is present in every Insomniac.
Three main types of Insomnia are: Delayed Sleep Onset, Impaired
Sleep Continuity, and Early Morning Awakening. Insomnia is more
common among females, older people, thin people, and the anxious
and depressed. Low social economic status, poor education, chronic
medical illness, recent life stresses, and use of alcohol also
attribute to the occurrence of Insomnia.
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