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Insomnia is a common sleep problem that affects your daily life. It can cause you to have trouble falling asleep or staying asleep. You may wake up during the night or wake up too early the next morning. These sleep problems may come and go, or they may be ongoing.
Insomnia is linked to many things. These include health problems, medicines, and stressful events. Your habits before bedtime may also affect how well you sleep.
People with insomnia may have trouble falling asleep, staying asleep, or they may wake up too early and have trouble falling back to sleep. They may feel tired when they wake up. And they have trouble doing daily activities because they're not sleeping well.
Your doctor will ask about your sleep history, bedtime habits, and how your sleep problems are affecting your daily life. You may be asked to keep a sleep journal to record your sleep patterns. Your doctor will ask about any health problems you have and what medicines you take.
Treatment for insomnia includes behavior and lifestyle changes. Treatment may include cognitive behavioral therapy for insomnia (CBT-I). You and your doctor can make a treatment plan that includes things you can try at home. Some people decide to take medicine for a while to help with sleep.
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Insomnia is linked to many things. These include health problems and medicines. Your habits before bedtime may also affect how well you sleep.
A stressful event or a change in your usual habits can also lead to insomnia. Examples include a death in your family or loss of a job. Short-term stress is often linked with short-term insomnia.
Many medical conditions are linked to insomnia. Examples include:
Many prescription and over-the-counter medicines are also linked to insomnia. Examples include antidepressants, steroids, and over-the-counter allergy medicines. Alcohol, caffeine, and tobacco can also lead to insomnia.
Your bedtime habits may make insomnia last a long time. Examples include drinking caffeine before bedtime, watching TV or using your phone in bed, and not having a regular schedule for bedtime and waking up. Worrying about not sleeping can also keep you from sleeping well.
People who have insomnia may:
When you have insomnia, your sleep problems may come and go, or they may be ongoing. You may not sleep well for at least 3 nights per week.
Insomnia affects your quality of life. You have trouble doing your daily activities. You may feel grouchy, sleepy, or anxious and be unable to get things done during the daytime. You may find it hard to pay attention, focus on tasks, or remember to do things.
Having a few sleepless nights may leave you feeling tired and grumpy, but it probably won't affect your health. But when you don't sleep well night after night, you can have what's called sleep deprivation or sleep debt.
Not getting enough sleep can affect your energy and mood. Lack of sleep is linked with some chronic diseases and conditions, including diabetes, obesity, and depression. It also can lead to injuries and accidents.
Lack of sleep affects your body in other ways too.
Your doctor will probably check your current health and ask about any health problems you've had and any medicines you take. Your doctor may ask if you've had a recent stressful event.
Your doctor will also ask about your sleep history and if your sleep problems are affecting your daily life. You may talk about how well you sleep, how long you sleep, your bedtime habits, and how you feel when you're awake. Your doctor may ask you to keep a sleep journal for a week or two. This journal is a record of your sleep patterns.
Sometimes a doctor will do a physical exam, blood tests and, in some cases, a sleep study to help find out if you have a health problem that may be causing the insomnia.
Treatment for insomnia includes behavior and lifestyle changes. Treatment may include cognitive behavioral therapy for insomnia (CBT-I).
CBT-I can help you identify and change thoughts and behaviors that keep you from getting good sleep. You also focus on goals such as having healthy sleep habits and creating a sleep schedule. These things can gradually help you sleep better over time. Your treatment plan will include things to try at home. These may be lifestyle changes or changes in your bedtime routine. Examples include doing relaxation exercises, keeping regular bedtimes and wake times, and not drinking caffeine or alcohol before bed.
Some people decide to take medicine for a while to help with sleep. Medicine is used along with lifestyle and behavior changes.
You can take some steps at home to help improve your sleep.
In some cases, taking medicine for a while helps you get some rest. Doctors may recommend taking sleep medicines only now and then or only for a short time. They aren't the first choice for treating chronic insomnia. Medicines are used along with behavior and lifestyle changes that can help you over the long term.
Many sleep medicines cause side effects. These medicines also may not work as well when your body gets used to them. And they may cause withdrawal symptoms when you stop using them.
Sleep medicines include:
Some people who have insomnia take dietary supplements to try to help them sleep better. Talk with your doctor before you try an herbal product or supplement. Your doctor can recommend how much to take and when to take it. Make sure your doctor knows all of the medicines, vitamins, herbal products, and supplements you take.
Melatonin is one example. It may help some people sleep better. It's a hormone produced by the brain. You can buy this as a supplement. It has also been used to treat jet lag and poor sleep from working the night shift. The long-term effects of taking melatonin are unknown. If you use it regularly, talk to your doctor.
Current as of: July 10, 2023
Author: Healthwise StaffClinical Review BoardAll Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.
Current as of: July 10, 2023
Author: Healthwise Staff
Clinical Review BoardAll Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.
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