Diagnosis, Treatment and Prevention of Insomnia

Diagnosis of Insomnia
In diagnosing insomnia, the doctor will usually first collect information from the patient about his medical history. The doctor will ask if the patient has a health problem (physical or psychological) or is taking certain medications that may make it difficult to sleep.
In addition, the doctor will also ask whether the patient has a habit of consuming caffeine or alcohol, in addition to asking about diet, exercise, and sleep routine.
If necessary, the doctor will perform further tests if insomnia is suspected to be caused by health problems, one of which is a blood test to check thyroid hormone levels.
To determine the severity of insomnia, patients can make a sleep diary for two weeks. Some of the information that should be included in the sleep diary usually includes the time it takes for the patient to sleep, about what time he or she starts sleeping, how many times he wakes up at night, and at what time the patient wakes up.
In addition to these, the patient may also include some information about whether the patient is feeling stressed or tired during the day, whether he or she takes a nap, and meals and sports.
Through all the information and data collected that doctors can provide advice on treatment and may also prescribe the appropriate medication in accordance with the conditions underlying the occurrence of insomnia.
Treatment of Insomnia
In treating insomnia, the first thing a doctor does is find out what the root cause is. If the insomnia is based on certain habits, then the doctor will advise the patient to change his habit. For example advise not to consume caffeinated beverages, smoking, and liquor before bed. In addition, doctors will suggest setting bedtime and waking up each day in a disciplined manner. Finally, patients will be advised not to take a nap.
If insomnia is caused by a health problem, then the doctor will first overcome the underlying condition and of course with the adjustment measures are adjusted so as not to cause side effects that can aggravate insomnia.
If the patient continues to experience insomnia despite improving lifestyle, the doctor will usually advise patients to follow specific cognitive behavioral therapy for insomnia (CBT-I). Even if needed, doctors can prescribe sleeping pills.
Overcoming insomnia with cognitive behavioral therapy
Cognitive behavioral therapy for treating insomnia or CBT-I is usually recommended for those who have experienced a sleep disorder that does not improve after a change in sleep routine. CBT-I is performed with a doctor's guidance with the aim of changing the thoughts and negative behaviors that cause insomnia, into positive thoughts and behaviors.
During CBT-I therapy, patients will be taught how to reduce stress or thoughts that can interfere with sleep, and are taught how to relieve tension with relaxation. If needed, the doctor will measure the patient's relaxation level with the help of a sensor device installed in the patient's body.
In CBT-I therapy, patients will also be taught how to set their minds to be able to associate the bedroom with sleep alone. In addition, patients will be guided in order to be able to set sleep and waking time consistently.
In addition to the above methods of treatment, there are other things that are included in CBT-I therapy, among them is paradoxical intention to help patients who have trouble starting sleep but have no problem in maintaining sleep. Sleep restriction therapy may also be recommended to improve sleep time gradually.
To know each progress that has been achieved by patients, usually the doctor will ask the patient to keep filling the sleep diary.
Overcome insomnia with sleeping pills
Sleep medicine is usually only used by doctors as a last resort, when insomnia is no longer able to be overcome with changes in lifestyle and cognitive therapy or when the severity of insomnia is high.
Sleeping pills are generally prescribed with the lowest possible dose and with the shortest possible length of time. So it means that the use of sleeping pills is only temporary. Doctors will usually be reluctant to prescribe sleeping pills in the long run because it still will not address the underlying causes of insomnia.
For insomnia that causes the sufferer to experience fatigue, severe stress, or sudden awakening at night, the doctor may prescribe zopiclone or zolpidem. Usually these two sleeping pills are given with the lowest possible doses within a maximum period of one month. Both zopiclone and zolpidem have side effects such as dry mouth, headache, nausea, or vomiting.
For insomnia sufferers have difficulty getting to sleep, doctors can prescribe zaleplon. Common side effects of using this drug are tingling, pain during menstruation in women, and short-term memory loss. Zaleplon is usually prescribed in a maximum half-month period with the lowest possible dose.
If insomniacs experience severe anxiety or stress, doctors may prescribe a class of sedatives such as benzodiazepines to make the patient relax and sleep well.
In addition to causing dependence, sleep disorder sleep can sometimes continue until the next day, especially in the elderly. Therefore for those of you who have a busy routine and like to bring your own vehicle, should ask your doctor for sleeping pills provided can be tailored to your condition.
Prevention of Insomnia
There are several preventive measures you can take to avoid getting insomnia, among them is to maintain the comfort of the bedroom and implement a healthy lifestyle.
Avoid consuming large portions of food, alcoholic beverages, and smoking before bedtime. Similar to caffeinated beverages, if you like to drink tea or coffee, stop consuming the drink at least a few hours before bedtime. Do things that can help cause drowsiness, such as bathing or drinking warm milk.
If you still are not sleepy, do not force yourself to sleep. You better get up and do other activities, like watching TV, chatting with family, or reading a book. After you get sleepy and feel tired, then go back to the room. Avoid lying in bed for a long time feeling anxious or watching the clock. If necessary, you can write the things that make you worry following the solution.
Keep your room clean so you can sleep comfortably and avoid the disease. If noise or light from outside the room disturbs your sleep, then wear earplugs or blinders as a solution.
Try to get up at the same time each day despite lack of sleep. If you are tired and sleepy during the day, do not sleep because it will only make you difficult to sleep back at night. Do exercise about thirty minutes per day on a regular basis, such as cycling or a leisurely stroll. In addition to keeping the body fit, exercise can also make you sleep soundly. However, it should be remembered that the exercise deadline is four hours before bedtime.
Apart from being a way to prevent insomnia, the steps above can you apply as a method of treating insomnia at home without having to go to the doctor. If insomnia still occurs after the tips are lived, then you should see a doctor.

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