Insomnia (Unable to Sleep) -

Insomnia (Unable to Sleep)

It is a common sleep disorder where a person face problems in falling asleep, staying asleep, or waking too early and not being able to go back to sleep, despite having the chance to sleep. It can be acute, short – term i.e. only for some days or weeks or chronic, which is long term – for more than 3 months or nights/weeks.

Causes of Insomnia

Lifestyle and behavioral

Poor sleep habits
Irregular sleep schedule
Excessive screen time before going to bed
Caffeine, alcohol, or nicotine use

Psychological

Stress or anxiety
Depression
Grief or trauma

Medical

Chronic pain
Asthma, GERD, or overactive thyroid
Neurological disorders

Medications

Steroids
Antidepressants
Decongestants

Sleep disorders

Restless leg syndrome
Sleep apnea

Symptoms of Insomnia

Difficulty in falling asleep
Waking up frequently at night
Waking too early
Feeling tired after sleep
Daytime fatigue
Mood swings, irritability
Poor focus and memory
Headaches

Diagnosis

Sleep history and symptom diary
Sleep questionnaires
Polysomnography, if other sleep disorders are suspected
Actigraphy, a motion – tracking watch to monitor the sleep – wake cycles.

Treatment

Behavioral

Cognitive Behavioral Therapy – first line treatment
Sleep Hygiene education – fixed bedtime, no screens, quiet room

Medications (for short – term use only)

Prescription sleep aids
Melatonin supplements
Antihistamines

Frequently Asked Questions (FAQs)

1. Can Insomnia be cured permanently?

Yes, especially if it’s caused by lifestyle or stress. CBT – I is highly effective for long – term relief.

2. Is it okay to take sleeping pills?

Sleeping pills can help short – term but may cause dependence or side effects. Non – drug therapies are safer long – term.

3. What is CBT – I and how does it help?

CBT – I is a therapy that teaches you how to change the thoughts and habits that prevent good sleep. It is the most effective treatment for chronic insomnia.

4. When should I see a doctor for insomnia?

If sleep issues last more than 2-3 weeks, affecting your daily life, causing daytime sleepiness, then you should consult a doctor or a sleep specialist.