Symptoms of chronic insomnia
Insomnia - Diagnosis and treatment
Diagnosis
Depending on your situation, the diagnosis of insomnia and the search for its cause may include:
- Physical exam. If the cause of insomnia is unknown, your doctor may do a physical exam to look for signs of medical problems that may be related to insomnia. Occasionally, a blood test may be done to check for thyroid problems or other conditions that may be associated with poor sleep.
- Sleep habits review. In addition to asking you sleep-related questions, your doctor may have you complete a questionnaire to determine your sleep-wake pattern and your level of daytime sleepiness. You may also be asked to keep a sleep diary for a couple of weeks.
-
Sleep study. If the cause of your insomnia isn't clear, or you have signs of another sleep disorder, such as sleep apnea or restless legs syndrome, you may need to spend a night at a sleep center. Tests are done to monitor and record a variety of body activities while you sleep, including brain waves, breathing, heartbeat, eye movements and body movements.
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- Polysomnography (sleep study)
Treatment
Changing your sleep habits and addressing any issues that may be associated with insomnia, such as stress, medical conditions or medications, can restore restful sleep for many people. If these measures don't work, your doctor may recommend cognitive behavioral therapy, medications or both, to help improve relaxation and sleep.
Cognitive behavioral therapy for insomnia
Cognitive behavioral therapy for insomnia (CBT-I) can help you control or eliminate negative thoughts and actions that keep you awake and is generally recommended as the first line of treatment for people with insomnia. Typically, CBT-I is equally or more effective than sleep medications.
The cognitive part of CBT-I teaches you to recognize and change beliefs that affect your ability to sleep. It can help you control or eliminate negative thoughts and worries that keep you awake. It may also involve eliminating the cycle that can develop where you worry so much about getting to sleep that you can't fall asleep.
The behavioral part of CBT-I helps you develop good sleep habits and avoid behaviors that keep you from sleeping well. Strategies include, for example:
- Stimulus control therapy. This method helps remove factors that condition your mind to resist sleep. For example, you might be coached to set a consistent bedtime and wake time and avoid naps, use the bed only for sleep and sex, and leave the bedroom if you can't go to sleep within 20 minutes, only returning when you're sleepy.
- Relaxation techniques. Progressive muscle relaxation, biofeedback and breathing exercises are ways to reduce anxiety at bedtime.
Practicing these techniques can help you control your breathing, heart rate, muscle tension and mood so that you can relax. - Sleep restriction. This therapy decreases the time you spend in bed and avoids daytime naps, causing partial sleep deprivation, which makes you more tired the next night. Once your sleep has improved, your time in bed is gradually increased.
- Remaining passively awake. Also called paradoxical intention, this therapy for learned insomnia is aimed at reducing the worry and anxiety about being able to get to sleep by getting in bed and trying to stay awake rather than expecting to fall asleep.
- Light therapy. If you fall asleep too early and then awaken too early, you can use light to push back your internal clock. You can go outside during times of the year when it's light outside in the evenings, or you can use a light box. Talk to your doctor about recommendations.
Your doctor may recommend other strategies related to your lifestyle and sleep environment to help you develop habits that promote sound sleep and daytime alertness.
Prescription medications
Prescription sleeping pills can help you get to sleep, stay asleep or both. Doctors generally don't recommend relying on prescription sleeping pills for more than a few weeks, but several medications are approved for long-term use.
Examples include:
- Eszopiclone (Lunesta)
- Ramelteon (Rozerem)
- Zaleplon (Sonata)
- Zolpidem (Ambien, Edluar, Intermezzo, Zolpimist)
Prescription sleeping pills can have side effects, such as causing daytime grogginess and increasing the risk of falling, or they can be habit-forming, so talk to your doctor about these medications and other possible side effects.
Over-the-counter sleep aids
Nonprescription sleep medications contain antihistamines that can make you drowsy, but they're not intended for regular use. Talk to your doctor before you take these, as antihistamines may cause side effects, such as daytime sleepiness, dizziness, confusion, cognitive decline and difficulty urinating, which may be worse in older adults.
More Information
- Insomnia care at Mayo Clinic
- Insomnia treatment: Cognitive behavioral therapy instead of sleeping pills
- Prescription sleeping pills: What's right for you?
- Ambien: Is dependence a concern?
- Biofeedback
- Cognitive behavioral therapy
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Clinical trials
Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
Lifestyle and home remedies
No matter what your age, insomnia usually is treatable. The key often lies in changes to your routine during the day and when you go to bed. These tips may help.
Basic tips:
- Stick to a sleep schedule. Keep your bedtime and wake time consistent from day to day, including on weekends.
- Stay active. Regular activity helps promote a good night's sleep. Schedule exercise at least a few hours before bedtime and avoid stimulating activities before bedtime.
- Check your medications. If you take medications regularly, check with your doctor to see if they may be contributing to your insomnia.
Also check the labels of OTC products to see if they contain caffeine or other stimulants, such as pseudoephedrine. - Avoid or limit naps. Naps can make it harder to fall asleep at night. If you can't get by without one, try to limit a nap to no more than 30 minutes and don't nap after 3 p.m.
- Avoid or limit caffeine and alcohol and don't use nicotine. All of these can make it harder to sleep, and effects can last for several hours.
- Don't put up with pain. If a painful condition bothers you, talk to your doctor about options for pain relievers that are effective enough to control pain while you're sleeping.
- Avoid large meals and beverages before bed. A light snack is fine and may help avoid heartburn. Drink less liquid before bedtime so that you won't have to urinate as often.
At bedtime:
- Make your bedroom comfortable for sleep. Only use your bedroom for sex or sleep.
Keep it dark and quiet, at a comfortable temperature. Hide all clocks in your bedroom, including your wristwatch and cellphone, so you don't worry about what time it is. - Find ways to relax. Try to put your worries and planning aside when you get into bed. A warm bath or a massage before bedtime can help prepare you for sleep. Create a relaxing bedtime ritual, such as taking a hot bath, reading, soft music, breathing exercises, yoga or prayer.
- Avoid trying too hard to sleep. The harder you try, the more awake you'll become. Read in another room until you become very drowsy, then go to bed to sleep. Don't go to bed too early, before you're sleepy.
- Get out of bed when you're not sleeping. Sleep as much as you need to feel rested, and then get out of bed. Don't stay in bed if you're not sleeping.
More Information
- Insomnia care at Mayo Clinic
- Insomnia: How do I stay asleep?
Alternative medicine
Many people never visit their doctor for insomnia and try to cope with sleeplessness on their own.
Although in many cases safety and effectiveness have not been proved, some people try therapies such as:
- Melatonin. This over-the-counter (OTC) supplement is marketed as a way to help overcome insomnia. It's generally considered safe to use melatonin for a few weeks, but no convincing evidence exists to prove that melatonin is an effective treatment for insomnia, and the long-term safety is unknown.
- Valerian. This dietary supplement is sold as a sleep aid because it has a mildly sedating effect, although it hasn't been well-studied. Discuss valerian with your doctor before trying it. Some people who have used high doses or used it long term may have had liver damage, although it's not clear if valerian caused the damage.
- Acupuncture. There's some evidence that acupuncture may be beneficial for people with insomnia, but more research is needed. If you choose to try acupuncture along with your conventional treatment, ask your doctor how to find a qualified practitioner.
- Yoga or tai chi. Some studies suggest that the regular practice of yoga or tai chi can help improve sleep quality.
- Meditation. Several small studies suggest that meditation, along with conventional treatment, may help improve sleep and reduce stress.
Caution regarding herbal and dietary sleep aids
Because the Food and Drug Administration does not mandate that manufacturers show proof of effectiveness or safety before marketing dietary supplement sleep aids, talk with your doctor before taking any herbal supplements or other OTC products. Some products can be harmful and some can cause harm if you're taking certain medications.
More Information
- Insomnia care at Mayo Clinic
- Valerian: A safe and effective herbal sleep aid?
Preparing for your appointment
If you're having sleep problems, you'll likely start by talking to your primary care doctor. Ask if there's anything you need to do in advance, such as keep a sleep diary.
Take your bed partner along, if possible. Your doctor may want to talk to your partner to learn more about how much and how well you're sleeping.
What you can do
Prepare for your appointment by making a list of:
- Any symptoms you're experiencing, including any that may seem unrelated to the reason for the appointment.
- Personal information, including new or ongoing health problems, major stresses or recent life changes.
- All medications, over-the-counter medications, vitamins, and herbal or other supplements that you're taking, including dosages. Let your doctor know about anything you've taken to help you sleep.
- Questions to ask your doctor to make the most of your appointment time.
Basic questions to ask your doctor include:
- What is likely causing my insomnia?
- What's the best treatment?
- I have these other health conditions.
How can I best manage them together? - Should I go to a sleep clinic? Will my insurance cover it?
- Are there any brochures or other printed material that I can have?
- What websites do you recommend?
Don't hesitate to ask other questions during your appointment.
What to expect from your doctor
Your doctor may ask you several questions, such as those below.
About your insomnia:
- How often do you have trouble sleeping, and when did the insomnia begin?
- How long does it take you to fall asleep?
- Do you snore or wake up choking for breath?
- How often do you awaken at night, and how long does it take you to fall back to sleep?
- What is your response when you can't sleep?
- What have you tried to improve your sleep?
About your day:
- Do you feel refreshed when you wake up, or are you tired during the day?
- Do you doze off or have trouble staying awake while sitting quietly or driving?
- Do you nap during the day?
- What do you typically eat and drink in the evening?
About your bedtime routine:
- What is your bedtime routine?
- Do you currently take any medications or sleeping pills before bed?
- What time do you go to bed and wake up? Is this different on weekends?
- How many hours a night do you sleep?
About other issues that may affect your sleep:
- Have you experienced any stressful events recently?
- Do you use tobacco or drink alcohol?
- Do you have any family members with sleep problems?
- What medications do you take regularly?
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Treatment, Causes, Symptoms, and More
Overview
Insomnia is a common sleep disorder in which you may have trouble falling asleep, staying asleep, or both.
A third of Americans report that they don’t get the recommended amount of sleep every night, which is at least seven hours.
Periodically having trouble sleeping, also known as acute insomnia, is common. Acute insomnia lasts for a few days or weeks and often occurs during times of stress or life changes.
Have trouble getting to sleep or staying asleep more than three nights a week for three months or more is considered chronic insomnia. This is also known as chronic insomnia disorder.
There are two main types of chronic insomnia: primary and secondary.
Primary insomnia isn’t due to other medical conditions or medications and is poorly understood by scientists. Specialized MRI scans are being used to study this condition. Primary insomnia may be related to changes in levels of certain brain chemicals, but research is ongoing.
Secondary insomnia is caused by other conditions or situations. This means that it’s a symptom that goes along with some medical issues, such as emotional stress, trauma, and ongoing health problems; certain lifestyle patterns; or taking certain drugs and medications.
Chronic insomnia can cause symptoms at night as well as during the day and can interfere with your ability to go on with your daily tasks.
Symptoms may include:
- trouble falling asleep
- waking up throughout the night
- trouble staying asleep or trouble returning to sleep
- waking up too early
- daytime sleepiness or grogginess
- not feeling rested after a night’s sleep
- irritability
- mood changes, such as feeling depressed
- difficulty concentrating
- problems with memory
- increase in mistakes and accidents
There are many things that can cause chronic insomnia, but it’s often linked to an underlying medical condition. Certain medications and stimulants can cause chronic insomnia, along with lifestyle patterns.
Medical conditions
Chronic insomnia can be caused by a number of long-term medical conditions, including:
- respiratory conditions, including:
- asthma
- chronic obstructive pulmonary disease (COPD)
- sleep apnea
- congestive heart failure
- diabetes
- acid reflux
- hyperthyroidism
- fibromyalgia
- pain
- restless leg syndrome
- menopause
- urinary incontinence
- stress, both physical and emotional
- anxiety
- depression
- bipolar disorder
- Alzheimer’s disease
- Parkinson’s disease
Medications and stimulants
For some people, certain medications and stimulants may cause chronic insomnia.
These include:
- alcohol
- antidepressants
- beta-blockers
- caffeine
- chemotherapy drugs
- cold and allergy medications containing pseudoephedrine
- diuretics
- illicit drugs, such as cocaine and other stimulants
- nicotine
- stimulant laxatives
Lifestyle patterns
Certain lifestyle patterns may lead to chronic insomnia. These include:
- rotating shift work
- frequent travel across multiple time zones, leading to jet lag
- physical inactivity
- frequent daytime napping
- lack of routine for waking and sleeping
- poor sleeping environment
A number of at-home and professional treatment options are available for chronic insomnia. Treatment will depend on the cause of your insomnia and may involve medication or therapy to address an underlying condition.
Along with treating any existing conditions, your doctor may recommend one or a combination of treatment options for chronic insomnia.
Cognitive behavioral therapy (CBT)
Research has shown CBT to be as effective, or more effective, than sleep medications in treating chronic insomnia. It involves educating you on sleep and better sleep habits, while teaching you to change the beliefs and behaviors that interfere with your ability to sleep.
Some of the strategies of CBT that are specifically focused on insomnia, known as CBT-I, include the following:
Cognitive techniques
Using journaling to write down worries or concerns before going to bed may help keep a person from actively attempting to work them out while also trying to sleep.
Stimulus control
This entails altering behaviors that condition your mind to fight sleep. Setting a sleep and wake time routine is part this strategy.
Other examples are using your bed only for sleep and sex, and leaving your bedroom if you’re unable to fall asleep within a set number of minutes.
Sleep restriction
This therapy involves limiting the amount of time you spend in bed, including avoiding naps.
The goal is to deprive you of enough sleep so that you’re tired at bedtime. Your time in bed is gradually increased as your sleep improves.
Relaxation techniques
Breathing exercises, yoga, guided meditation, and other techniques are used to reduce muscle tension and control your breathing and heart rate so that you’re able to relax.
Paradoxical intention
This strategy involves focusing on staying awake in bed instead of expecting to fall asleep. It helps reduce worry and anxiety over being able to fall asleep. It’s most effective in treating learned insomnia.
Medications
There are a number of prescription medications and over-the-counter (OTC) sleep aids that may help you get to sleep or remain asleep.
While effective, doctors don’t typically recommend using sleeping pills long term because of the side effects, which can include daytime sleepiness, forgetfulness, sleepwalking, balance problems, and falling. Certain classes of sleeping pills are also habit-forming.
Some of the prescription medications that are approved for treating insomnia include:
- zolpidem (Ambien)
- eszopiclone (Lunesta)
- zaleplon (Sonata)
- doxepin (Silenor)
- ramelteon (Rozerem)
- suvorexant (Belsomra)
- temazepam (Restoril)
OTC sleep aid options may include:
- diphenhydramine (Benadryl)
- doxylamine succinate (Unisom SleepTabs)
- melatonin
- valerian root
- chamomile tea
Always speak to your doctor before taking an OTC sleep aid, including natural remedies, such as melatonin and valerian root. Just like prescription drugs, OTC and natural sleep aids can cause unwanted side effects and interfere with other medications.
If your chronic insomnia is caused by an underlying medical condition, such as acid reflux or pain, treating the condition may cure your insomnia.
Chronic health conditions that cause insomnia can be managed with changes in treatment, in turn managing or preventing insomnia.
Talk to your doctor about changing medications or treatment plans if a drug you’re taking is causing insomnia.
There are several things that you can do at home to treat or prevent chronic insomnia. One important option for treatment is known as sleep hygiene. This calls for changes in patterns of behavior to help improve your ability to fall asleep and stay asleep.
Try the following tips:
- Avoid caffeine, especially later in the day.
- Avoid alcohol use and smoking cigarettes before bed.
- Engage in regular physical activity.
- Don’t take naps.
- Don’t eat large meals in the evening.
- Go to bed and get up at the same time every day, even on days off.
- Avoid using computers, smartphones, TV, or other technological devices an hour before bedtime.
- Keep your bedroom dark or use a sleep mask.
- Keep your bedroom a comfortable temperature.
- Make sure your sleep surface is comfortable. Want suggestions? Browse our market, filled with editor-trusted and expert-verified mattress recommendations.
Chronic insomnia can be effectively treated using a combination of behavioral therapies and by making a few lifestyle changes to help improve your sleep. If you’re having trouble sleeping and it’s interfering with your quality of life, talk to your doctor.
Chronic insomnia - symptoms, treatment
Chronic insomnia or insomnia is the most common sleep disorder. Due to chronic lack of sleep, a person's working capacity, emotional tone and mood decrease. To eliminate the pathology, physiotherapy, psychotherapy and hypnosis are used, in rare cases, drugs are prescribed.
What is chronic insomnia?
Chronic insomnia is a pathological condition in which there is a disorder of daytime sleep and severe daytime sleepiness. It is difficult for a person to fall asleep, his sleep is superficial and intermittent, he often wakes up in the middle of the night and cannot fall asleep again. 30% of people face this problem.
Chronic insomnia negatively affects the functioning of the whole organism:
- the functioning of the immune system is disrupted;
- increases the risk of developing diseases of the digestive system;
- develop neurological disorders and psycho-emotional abnormalities;
- memory worsens, concentration of attention decreases;
- develop cardiovascular disease;
- insomnia can lead to infertility, menstrual irregularities, diabetes mellitus, thyroid dysfunction.
People with chronic insomnia are often overweight. This is due to a violation of fat metabolism and metabolism.
Why does chronic insomnia occur?
Chronic insomnia often affects people with increased levels of anxiety and a tendency to panic attacks. The problem can be caused by diseases in which pain, shortness of breath, increased blood pressure, frequent urge to urinate, and respiratory failure disturb at night. The cause may be neurosis, depression, neurasthenia, various phobias.
Triggers:
- shift or night work;
- frequent change of time zones;
- taking psychotropic drugs, narcotic drugs;
- abuse of caffeinated drinks;
- frequent, prolonged stress;
- excessive physical or mental exertion in the evening;
- people spend a lot of time with a tablet or smartphone, in front of a computer monitor,
- smoking.
Insomnia can be caused by an uncomfortable mattress or pillow, an uncomfortable temperature in the bedroom, or the presence of lights or sounds in the room.
Main manifestations
Characteristic signs of chronic insomnia include:
- it takes more than half an hour to fall asleep;
- early awakening, sleep duration less than 6 hours;
- frequent waking at night, unable to get back to sleep;
- sleep disturbance can be provoked by any trifle - a dim light, a sharp sound;
- in the morning after waking up, the mood is bad, feeling weak and tired, worried about headache, rapid pulse, changes in blood pressure;
- during the day I really want to sleep.
If there are signs of chronic insomnia, it is necessary to consult a somnologist. The doctor will conduct a full examination, analysis of complaints. The main diagnostic method is night polysomnography.
Methods of treatment
To get rid of chronic insomnia, an integrated approach is required.
One of the effective methods of treatment is encephalophony. "Music of the brain" is used to eliminate various neurological pathologies - sleep disturbance, migraine, depressive disorders, stress.
The essence of the technique is that during the session, the patient is given a recording of the electrical activity of the brain. Only its own melody has a healing effect. During listening, nerve cells recognize the sound of the waves as their own voice, which leads to improved functioning.
Other effective treatments for chronic insomnia:
- Inhalation of a mixture of oxygen and xenon. Such inhalations have a positive effect on the composition of cells at the molecular level without any extraneous reactions. Xenon has a tonic, regenerating, healing effect. The gas is non-toxic, completely excreted from the body, there are no negative consequences.
- Light treatment. They use special glasses that create light waves of a certain length. This allows you to normalize the change in the phases of sleep and wakefulness.
- Special relaxation exercises. Gymnastics is based on the alternation of tension and relaxation of certain muscles. Effect - tension disappears, excessive emotionality decreases.
The patient learns to concentrate on breathing, which helps to relax and fall asleep quickly. Additionally, he masters the technique of self-hypnosis.
Medications are prescribed to eliminate pathologies that provoked the development of chronic insomnia. These can be benzodiazepines or non-benzodiazepine hypnotics, drugs based on synthetic analogs of melatonin, sedatives with natural ingredients.
Psychotherapy in the treatment of insomnia
Sleep problems are often associated with constant stress, life difficulties. To eliminate these causes, apply the methods of positive therapy. Techniques help to change negative attitudes to positive ones, activate internal reserves to combat the pathological condition. As a result, a person accepts his own uniqueness, realizes that life should be filled with health and vivid impressions.
Cognitive psychotherapy helps to get rid of anxiety. The psychotherapist looks for factors that negatively affect the quality of sleep, then works with them together with the patient.
Ericksonian hypnosis - based on the susceptibility of a person to an involuntary hypnotic trance. In this state, the psyche is maximally open to positive changes. During a hypnosis session, the patient does not sleep, he sees, hears, feels everything. But at the same time, the focus of his attention switches to the internal state.
In Ericksonian hypnosis nothing is suggested to the patient. Hypnosis is necessary to free the subconscious of a person, to find the source of problems, to create new resources.
How to get rid of chronic insomnia - advice from our doctors
To get rid of sleep problems on your own, you need to follow a few simple rules:
- you need to sleep completely in a dark room, the bedroom should be cool;
- strictly observe the daily routine;
- in bed you only need to sleep - you can’t read, deal with work issues;
- take a bath before going to bed, meditate, read;
- in the evening you need to relax without gadgets;
- do not sleep during the day - if it is difficult to do this, you can go for a walk or be distracted by household chores.
Q&A
Is it possible to permanently cure chronic insomnia?
Yes, it is quite possible to get rid of even chronic insomnia. Pathology is well served by treatment and correction. It is necessary to identify and eliminate the causes of sleep disturbance. But self-medication is not worth it. This will only aggravate the problem, negatively affect the results of the examination, the doctor will not be able to make a correct diagnosis.
Insomnia - symptoms, causes, signs, diagnosis and treatment in "SM-Clinic"
This disease is treated by Neurologist
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- What is insomnia?
- Symptoms of insomnia
- Causes of insomnia
- Diagnosis of insomnia in "SM-Clinic"
- Treatment of insomnia in "SM-Clinic"
- Prevention of insomnia
- Doctors
Symptoms of insomnia
It happens that the most active day, with many events, brings great fatigue in the evening, and it seems that sleep will overtake as soon as the head touches the pillow.
But the long-awaited rest does not bring relief, sleep does not come, nervous and muscular tension does not give rest. Signs of insomnia in addition to the problem of falling asleep are:
- superficial sleep
- frequent waking up from the slightest irritants
- insufficient sleep to feel good
- daytime sleepiness
- extreme fatigue
- heightened emotionality
- memory impairment
Sleep disturbances due to insomnia require a consultation with a doctor if they last more than a month and occur three or more times a week.
Causes of insomnia
Stress is one of the most common causes of disturbances in the process of falling asleep and the quality of sleep. In addition, among the causes of insomnia, the following are noted:
- stress
- chronic fatigue syndrome
- non-standard work schedule (at night)
- jet lag when traveling
- excessive consumption of tonic drinks
- side effects of certain medications
- disorders in the thyroid gland
- pain syndrome
- mental disorders
- organism intoxication
- intracranial pressure disorders
- individual characteristics of the nervous system
- lack of B vitamins
Get advice
If you experience these symptoms, we recommend that you make an appointment with your doctor.
Timely consultation will prevent negative consequences for your health.
You can find out more about the disease, prices for treatment and sign up for a consultation with a specialist by phone:
+7 (495) 292-39-72
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Why SM-Clinic?
1
Treatment is carried out in accordance with clinical recommendations
2
A comprehensive assessment of the nature of the disease and treatment forecast
3
Modern diagnostic equipment and own laboratory
4
High level of service and weighted pricing policy
Diagnosis of insomnia at the SM-Clinic
Diagnosis of insomnia at the SM-Clinic in Moscow is carried out by neurologists who, over many years of work, have helped hundreds of patients to improve the processes of sleep and wakefulness, and return the joy of an active life. Our doctors participate in specialized seminars and conferences and constantly improve their knowledge and skills, master new methods of therapy.
The SM-Clinic neurologist will begin diagnosing insomnia with a detailed survey of the patient about complaints, time and duration of sleep disturbances, body characteristics, temperament, work environment and anamnesis. Then the doctor will conduct a neurological examination and prescribe laboratory tests (blood test, hormone test and ultrasound of the thyroid gland).
In order to determine how to cure insomnia, the neurologists of our clinic prescribe the following diagnostic tests:
- polysomnography
- electroencephalography
- electromyography
- electrocardiography
Treatment of insomnia in the SM-Clinic
The main thing for the doctors of the SM-Clinic is to help their patients get rid of the unpleasant symptoms of insomnia in a short time and restore good health and vigor throughout the day. For this, concomitant disorders or diseases of the body are treated, if they are its cause.
In order for the treatment of insomnia to be effective, neurologists at SM-Clinic use an integrated approach and involve colleagues from other specialties (endocrinologists, psychologists, therapists, etc.
) in choosing a method of treatment.
Therapy of sleep disorders consists of developing an individual regimen, physical activity, nutrition plan and prescribing pharmacological drugs (sleeping pills, antidepressants, tranquilizers, hypnotics, circadian rhythm regulators, etc.).
SM-Clinic doctors get excellent results when using the following methods to treat insomnia:
- phototherapy
- acupuncture
- hirudotherapy
- physiotherapy
- psychotherapy
Prevention of insomnia
To avoid sleep disorders:
- maintain circadian rhythms
- do not take tonic drinks before going to bed
- maintain moderate physical activity
- create conditions suitable for good sleep and observe sleep hygiene
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