Treatments for Insomnia


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Treatment list for Insomnia: The list of treatments mentioned in various sources for Insomnia includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

  • No treatment - mild cases may require no treatment.
  • Sleeping pills - only for transient cases (e.g. jet lag); longer-term use requires strict medical supervision and is controversial.
  • Treating the underlying cause of insomnia
  • Sleep therapies
    • Relaxation therapy
    • Sleep restriction therapy
    • Sleep reconditioning
    • Consistent sleep schedule - if possible avoid jet lap, shift work, or other problems.
    • Avoid daytime naps
  • Changes to behavior
    • Avoid stress
    • Avoid worrying about not sleeping
    • Avoid caffeine
    • Avoid nicotine - especially not smoking near bedtime.
    • Avoid alcohol - especially near bedtime.
    • Avoid using bed for non-sleep activity - except perhaps sex.
  • Changes to sleep environment
    • Avoid nosing environment
    • Avoid cold environment

Treatment of Insomnia: medical news summaries: The following medical news items are relevant to treatment of Insomnia:

Treatments of Insomnia discussion: Transient and intermittent insomnia may not require treatment since episodes last only a few days at a time. For example, if insomnia is due to a temporary change in the sleep/wake schedule, as with jet lag, the person's biological clock will often get back to normal on its own. However, for some people who experience daytime sleepiness and impaired performance as a result of transient insomnia, the use of short-acting sleeping pills may improve sleep and next-day alertness. As with all drugs, there are potential side effects. The use of over-the-counter sleep medicines is not usually recommended for the treatment of insomnia.

Treatment for diagnosed chronic insomnia include identifying behaviors that may worsen insomnia and stopping (or reducing) them, possibly using sleeping pills (although the long-term use of sleeping pills for chronic insomnia is controversial), trying behavioral techniques to improve sleep, such as relaxation therapy, sleep restriction therapy, and reconditioning. 1

A good night's sleep can make a big difference in how you feel. Here are some suggestions to help you:

  • Follow a regular schedule - go to sleep and get up at the same time. Try not to nap too much during the day - you might be less sleepy at night.
  • Try to exercise at regular times each day.
  • Try to get some natural light in the afternoon each day.
  • Be careful about what you eat. Don't drink beverages with caffeine late in the day. Caffeine is a stimulant and can keep you awake. Also, if you like a snack before bed, a warm beverage and a few crackers may help.
  • Don't drink alcohol or smoke cigarettes to help you sleep. Even small amounts of alcohol can make it harder to stay asleep. Smoking is dangerous for many reasons including the hazard of falling asleep with a lit cigarette. The nicotine in cigarettes is also a stimulant.
  • Create a safe and comfortable place to sleep. Make sure there are locks on all doors and smoke alarms on each floor. A lamp that's easy to turn on and a phone by your bed may be helpful. The room should be dark, well ventilated, and as quiet as possible.
  • Develop a bedtime routine. Do the same things each night to tell your body that it's time to wind down. Some people watch the evening news, read a book, or soak in a warm bath.
  • Use your bedroom only for sleeping. After turning off the light, give yourself about 15 minutes to fall asleep. If you are still awake and not drowsy, get out of bed. When you get sleepy, go back to bed.
  • Try not to worry about your sleep. Some people find that playing mental games is helpful. For example, think black - a black cat on a black velvet pillow on a black corduroy sofa, etc.; or tell yourself it's 5 minutes before you have to get up and you're just trying to get a few extra winks.2

    Footnotes:
    1. excerpt from Insomnia: NWHIC
    2. excerpt from A Good Night's Sleep - Age Page - Health Information: NIA

    Last revision: Nov 13, 2003

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