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Insomnia (Sleeplessness)

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Insomnia is a sleep disorder that can affect both men and women. Insomnia is related with difficulty:

  • falling sleep (Initiating sleep takes more than 30 minutes)
  • maintaining good sleep (being awake for more than 30-45 minutes during the night)
  • Early waking and lack of refreshment from sleep

Insomnia can cause day time tiredness, fatigue, poor concentration and irritability.

Every individual need sleep in every 24 hours. The amount of sleep that adult needs is about 7-8 hours in 24 hours however, this may vary person to person.


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SIGNS AND SYMPTOMS

    • Difficulty falling sleep
    • Waking up during the night
    • Waking up too early in the morning
    • Poor decision making

    • Daytime fatigue or sleepiness
    • Feeling irritable, anxious or depressed
    • Difficulty concentrating
    • Difficulty remembering things

CAUSES

  • Medical Conditions

    • Poor sleep habits
    • Medical disorders (e.g. chronic pain, obstructive sleep apnoea, Restless legs syndrome, reflux)
    • Psychiatric disorders (g., depression, anxiety)
    • Problem drug use (e.g alcohol, caffeine, nicotine, illicit drugs)
    • Certain Medications (e.g. antidepressants, antiepileptic and steroid medication)

RISK OF INSOMNIA

Long term poor sleep quality can increase an individual’s risks of developing type 2 diabetes and cardiovascular disease.

WHAT CAN YOU DO TO SLEEP BETTER?

Getting an appropriate amount of good sleep is important for mental and physical health. Practicing good sleep habits can help in achieving good sleep.

GOOD SLEEP HABITS

  • Medical Conditions

    • Go to bed at the same time each day
    • Wake up at a regular time
    • Avoid oversleeping
    • Avoid napping in the evening

  • Medical Conditions

    • Keep your bedroom for sleep and intimacy
    • Avoid caffeine after midday
    • Limit alcohol consumption
    • Avoid drinking a lot of fluid close to bed

  • Medical Conditions

    • Avoid heavy meals within 3 hours of bedtime
    • Stop smoking
    • Exercise daily but avoid exercise close to bedtime

TREATMENTS

Treatment of insomnia involves Relaxation therapies, Cognitive therapy, Stimulus control, Sleep restriction, identifying and treating underlying causes. In some cases, short term prescription sleeping pills may also considered.

IF YOU THINK YOU HAVE INSOMNIA CONSULT YOUR DOCTOR, DENTIST OR PHARMACIST.

INSOMNIA SYMPTOM SCORE

Complete the online Insomnia Questionnaire and we will contact your GP.


Click to take questionnaire

Please rate the following questions from Never to Always

Over the past month:

1. Do you have trouble falling asleep?

NeverRarelyOccasionallyMost nights/daysAlways

2. Do you wake up un-refreshed?

NeverRarelyOccasionallyMost nights/daysAlways

3. Do you take anything to help you sleep?

NeverRarelyOccasionallyMost nights/daysAlways

4. Do you have any medical condition that disrupts your sleep?

NeverRarelyOccasionallyMost nights/daysAlways

5. Have you lost interest in hobbies or activities?

NeverRarelyOccasionallyMost nights/daysAlways

6. Do you feel sad, irritable, or hopeless?

NeverRarelyOccasionallyMost nights/daysAlways

7. Do you feel nervous or worried?

NeverRarelyOccasionallyMost nights/daysAlways

8. Do you think something is wrong with your body?

NeverRarelyOccasionallyMost nights/daysAlways

9. Are you a shift worker or is your sleep schedule irregular?

NeverRarelyOccasionallyMost nights/daysAlways

10. Are your legs restless and/or uncomfortable before bed?

NeverRarelyOccasionallyMost nights/daysAlways

11. Have you been told that you are restless or that you kick your legs in your sleep?

NeverRarelyOccasionallyMost nights/daysAlways

12. Do you have any unusual behaviours or movements during sleep?

NeverRarelyOccasionallyMost nights/daysAlways

13. Do you snore?

NeverRarelyOccasionallyMost nights/daysAlways

14. Has anyone said that you stop breathing, gasp, snort, or choke in your sleep?

NeverRarelyOccasionallyMost nights/daysAlways

15. Do you have difficulty staying awake during the day?

NeverRarelyOccasionallyMost nights/daysAlways

Australian sleep association 2018, Insomnia, Australian sleep association, viewed 03/07/2018, https://www.sleep.org.au/.

Carroll, S 2015, ‘Healthy sleep’, PSA, vol. 16, no. 3, pp. 1-16.

Therapeutic Guidelines 2018, Insomnia, Therapeutic Guidelines, viewed 03/07/2018, https://tgldcdp-tg-org-au.access.library.unisa.edu.au/viewTopic?topicfile=insomnia-parasomnias-jet-//lag&guidelineName=Psychotropic#toc_d1e47.