In some people, insomnia may present as early morning awakening in which the individual awakens several hours early and is unable to resume sleeping.
Symptoms of insomnia
Insomnia presents as fatigue, mood changes, irritability, lack of focus, anxiety, depression etc.
Insomnia can be acute or chronic and primary or secondary.
Difficulty initiating or maintaining sleep may often manifest itself as excessive daytime sleepiness.
Chronic psychophysiological insomnia may result from a stressor combined with fear of being unable to sleep. Individuals with this condition may sleep better when not in their own beds.
Treatment of insomnia
Insomnia can be treated with a combination of behavior therapy, use of sedative-hypnotic or sedating antidepressant medications, along with behavioral techniques to promote regular sleep.
Medications to treat insomnia
Behavior therapy for insomnia
To break the cycle of anxiety and negative conditioning, experts recommend going to bed only when you’re sleepy.
If you can’t fall asleep (or fall back to sleep) within 20 minutes, get out of bed, go into another room, and do a relaxing activity (such as reading) until you feel sleepy again. Then return to bed. Studies have shown that this reconditioning therapy is an effective way to treat insomnia.
Relaxation therapy for insomnia
Relaxation therapy is another strategy that works for some people who have insomnia.
Relaxation therapy may include meditation and other mental relaxation techniques. It also may include physical relaxation techniques, such as progressively tensing and then relaxing each of the muscle groups in your body before sleep.
Another method is to focus on breathing deeply. Relaxation therapy can help your body and mind slow down so that you can fall asleep more easily at bedtime.