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Article #1
You're wiped out, exhausted, can't keep your eyes open. Your head hits the pillow.
Nothing happens. You can't sleep. You open your eyes again and again, staring at
the blank walls, the clock (which hardly moves), your dirty clothes on the floor.
Approximately 95% of Americans suffer from some degree of sleep deprivation, and
hardly any of us know anymore what it's like to be fully rested and refreshed. What's
the cause? And what should we do about it?
Insomnia takes a toll, moderate to severe, on your mood, energy, and ability to
function through the day after a (bad) night's interrupted sleep. It takes the form
of frequent wakefulness, restlessness, inability to get to sleep on first lying down,
tossing and turning and inability to get comfortable. It can contribute to health
problems such as high blood pressure, heart disease, and diabetes.
Different people have different sleep requirements. Insomnia, for this reason, is
recognized in terms of the quality of sleep and how rested and refreshed you feel
on waking, not by the number of hours slept. Spending eight hours or longer in bed
does not mean you're getting a good night's sleep if you feel tired and drowsy during
the day.
Insomnia is the most common sleep disorder of all, but it is not correct
to think of it as a single problem. Rather, it is a symptom of one problem or another.
The underlying cause of insomnia varies from person to person and from situation
to situation. It could be anything from something simple, like drinking too much
caffeine, to something more complicated such as an underlying medical problem or
excessive stress and worry.
Some of the more common causes are: stress, depression,
chronic anxiety, a recent traumatic experience, medications that can affect sleep,
an uncomfortable environment, lack of either sunlight or darkness, too much variation
in sleep/waking schedule, and any of several medical problems.
The most obvious thing to do is to treat the underlying cause or causes of insomnia,
but that may not be enough all by itself. It may also be necessary to take a look
at your habits, as these can also affect sleep and may persist after the problem
causing them is resolved. This is especially true when insomnia has persisted for
a long time. Some of the things that people do to combat insomnia actually make things
worse in the long run. This includes the use of sleeping pills or alcohol, or spending
too much late time watching TV or surfing the Internet.
Keeping a diary related to insomnia can help identify what habits are contributing
to the problem. Jot down each day your daytime activities, caffeine and alcohol consumption,
use of any other drugs that might affect sleep, waking and sleeping schedule/routine,
and insomnia symptoms. This can help to pinpoint the changes you need to make.
Habits can be positive or negative. Here are some of the positive habits you can
develop to help you get a good night's sleep. First, stick to a regular sleep schedule.
Get to bed at a regular time each night and rise at the same time each morning. Second,
limit intake of caffeine, alcohol, and nicotine. Avoid drinking either caffeine or
alcohol within eight hours of going to sleep. Quit smoking (obviously desirable for
many reasons) or at least avoid it at night, as nicotine is a stimulant. Third, avoid
stressful situations and stimulating activity before bedtime. This includes vigorous
exercise, arguments or heated discussions, and anything that you find exciting.
