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Insomnia is classed as a sleep disorder brought on by an inability to sleep or the inability to remain asleep for a prolonged period of time. Insomniacs typically complain of being unable to close their eyes for more than a few minutes at a time. Both types of insomnia constitute as a sleep disorder. Insomnia is often caused by fear, stress, anxiety, medications, herbs, caffeine, depression, Bipolar disorder or sometimes for no apparent reason - it can also be linked to a poor quality or cheap bed. An overactive mind or physical pain may also be causes. Finding the underlying cause of insomnia is usually necessary to cure it.

Insomnia can be a symptom as a well a cause of general difficulties. Like a fever, it suggests something is amiss, but in itself does not indicate what the problem is. In 80% of insomnia cases seen by GPs, the most common cause is a range of psychological problems such as anxiety and depression.

There are two types of Insomnia-

Short term insomnia is characterised by poor sleep spanning two/three weeks. This can be caused by ongoing stress as well as medical or psychiatric problems. Alleviating the source will usually return sleep to normal. Sleeping pills may help if the problem is comes on suddenly for short periods. To avoid habit forming, maximum recommended use of sleeping pills is for 21 days, and even within that period, they are best taken on a non-consecutive basis.

Chronic insomnia lasting more than a month can be related to underlying medical, behavioural or psychiatric problems such as depression. Taking anti-depressant medication can help improve sleep. Transient insomnia lasting only a few nights, is usually brought on by stress, excitement, a change in sleeping time, or your environment. Generally, the advice is don’t treat it, but if it’s distressing or affecting your daily life, try aromatherapy, reflexology, massage, or a herbal remedy such as valerian. It is available in pharmacies and health food stores.

Within these broad categories insomnia usually takes one or more of the following forms:

Difficulty falling asleep - This is usually more common among young people

Sleeping lightly and restlessly, waking often, lying awake in the middle of the night - more common in people over 40. In younger people it may be associated with depression.

Waking early and being unable to get back to sleep - this is more common in older people and anyone worrying about something in particular.

Common Symptoms of insomnia:

• Feeling tired during the day

• Frequent headaches, easily irritated or lack concentration

• Tired and not refreshed on waking

• Sleep better away from home

• Take longer than 30-40 minutes to fall asleep

• Wake repeatedly during the night

• Wake far too early and are unable to get back to sleep

• Only get to sleep with the aid of sleeping pills or alcohol

Main Causes:

Insomnia is a condition that is caused by something else! Sometimes it won’t be immediately obvious what the causes are in your own case, but the following list might give clues:

• States of mind - anxiety, depression, worry, anger, grief, anticipating a difficult event

• Change - moving house/city, starting university,starting a new job

• Environment - noise, discomfort, time zone change, poor quality or cheap bed

• Pain - a common cause of insomnia

• Medical conditions - heart, breathing, stomach, digestive, high blood pressure, arthritis, anorexia.

• Recreational drugs - including nicotine, caffeine, heroin, cocaine, amphetamines, LSD, cannabis

• Sleeping pills and tranquillisers - can actually cause sleep disturbance

• Other prescription drugs - including some contraceptives, diuretics, slimming pills, beta-blockers, stimulants.

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Insomnia is classed as a sleep disorder

In 80% of insomnia cases seen by GPs, the most common cause is a range of psychological problems such as anxiety and depression.

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