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Insomnia

The Most Common Sleep Disorder in the U.S.

Insomnia affects 10% to 35% of people at least some of the time. It may manifest in different ways. Some or all of the following may be present in a patient with a complaint of this disorder:

  • Difficulty falling asleep
  • Difficulty staying asleep
  • Waking up too early (often with difficulty falling back asleep)
  • Restless or non-refreshing sleep

Insomnia may result in symptoms of fatigue, moodiness, irritability, malaise and cognitive impairment. Affected children often perform poorly in school, while adults may have work related difficulty, poor job performance, social difficulties and an overall decreased sense of well being. Associated daytime sleepiness increases the risk of home / work related accidents as well as motor vehicle accidents. There is a higher incidence of school and work related absenteeism and an increased incidence of medical and psychiatric disorders in patients who suffer from this disorder.

Causes:

  • Stress – family, work, financial
  • Poor sleep habits
  • Depression, Anxiety or other psychiatric disorders
  • Medical disorders – heart, lung, gastrointestinal, kidney, endocrine, muscular-skeletal disorders (chronic pain syndromes)
  • Other sleep disorders – sleep apnea, restless limb syndrome, periodic limb movements during sleep, REM Behavior Disorder, shift work and other sleep disorders
  • Side effects of medications – prescription or over-the-counter
  • Substance abuse – drugs or alcohol

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