CHRONIC INSOMNIA DEFINITION TIMELINE PROFESSIONAL

These include untreated or unstable medical, psychiatric or substance abuse conditions (e.g., gastroesophageal reflux disease, cardiopulmonary disorders, seizure disorders, some neuroendocrine disorders, sleep apnoea, bipolar disorder, severe mental illness, active substance dependence). These conditions may require prior intervention and treated in conjunction with the primary disorder. It is important to differentiate between primary insomnia from secondary insomnia due to some underlying co-morbid conditions. The patient should report at least one of the following sleep-related complaints like difficulty initiating sleep, difficulty maintaining sleep, waking up too early, or sleep that is chronically Nonrestorative or poor in quality. Fortunately, there are number of safe and effective treatments for insomnia available today.Ī thorough assessment of sleep, medical and psychiatric history is required to confirm the diagnosis of insomnia. Chronic insomnia tends to be unremitting, disabling and may pose a risk for additional medical and psychiatric disorder. They are mostly secondary to the symptom or side effect of some other problem.Ĭhronic insomnia does not resolve spontaneously, although the presenting form of insomnia can vary over a period. On the other hand, chronic insomnia lasts for months or longer. Acute insomnia is most common and often cause by situations such as stress at work, family pressures or a traumatic event. One example of transient insomnia is jet lag, in which traveling through time zones causes a temporary disruption of the body's circadian rhythm. It can be triggered by excess environmental noise, medications and extreme temperatures. Transient insomnia normally last for few days to a week. Insomnia is of three types- transient, acute and chronic. Its presence is associated with a variety of medical and psychiatric conditions and has been found associated closely with anxiety and depression.

CHRONIC INSOMNIA DEFINITION TIMELINE PROFESSIONAL

It affects the social and professional life of individual and results in the high burden for the family and the society. It occurs in approximately 10% - 48% of general population and is more prevalent among women and elderly. The International Classification of Sleep Disorders defines 'insomnia as difficulty with the initiation, maintenance, duration, or quality of sleep that results in the impairment of daytime functioning, despite adequate opportunity and circumstances for sleep.'1 It is a sleep disorder that occurs acutely and may become chronic if not treated in time. Introduction: Definition, Epidemiology and Symptoms Novel therapies are still being explored and tested to arrive at a hypnotic that has acceptable side effects and tolerability profile while still being efficacious. Despite availability of various classes drugs for insomnia treatment, none can be considered as an ideal agent. Pharmacological treatment acts as adjuvant to cognitive behavioural treatment.

Among non-pharmacologic treatments including stimulus control therapy, sleep restriction, relaxation, sleep hygiene and cognitive therapy have been shown to be efficacious. Several efficacious treatments, both pharmacologic and non-pharmacologic, exist for the management of insomnia. Circadian and sleep homeostatic processes play an important role in insomnia development and its maintenance. Insomnia affects health by influencing cognitive, emotional and social functioning. Insomnia is highly prevalent and is associated with a range of psychological, psychiatric, and medical conditions.

Chronic insomnia definition timeline