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◆Insonnia/insonnia/

/ Sleep disorders /

Insomnia

When the night is no longer enough to recover.

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What it is

It is not only about the night: it shows most during the day.

Insomnia is difficulty falling asleep, or staying asleep, even when the need to sleep is there. Those affected usually show one or more recurring signs, at night and during the day.

  • Difficulty falling asleep in the evening
  • Frequent waking during the night
  • Waking too early, unable to fall back asleep
  • Sleep that does not feel restorative
  • Tiredness, memory and concentration problems during the day
  • Irritability, anxiety, low mood, daytime sleepiness

The three forms

They are distinguished by how long they last.

EpisodicA few daysAn isolated stressful event
TransientUp to three weeksA period of stress or an ongoing condition
ChronicMonths or yearsRequires a thorough medical assessment

Recognising early which form you are going through is what prevents it becoming chronic.

Where it comes from

Psychological causes

Stress, anxiety, low mood.

Physical causes

Pain, ongoing conditions, certain medications.

To these is often added poor sleep hygiene: irregular hours, screens late into the evening, caffeine or alcohol in the evening.

Why it should not wait

Sleeping little and badly affects the whole body.

On the body

Repeated waking causes swings in blood pressure which, over time, are associated with increased cardiovascular risk. Metabolism and hormonal balance change too, with effects on the immune system.

On the mind

Prolonged insomnia is frequently accompanied by anxiety and worsening mood, which extend into the waking hours.

How it is treated

The first step is not treatment: it is understanding where it comes from.

The DOTTOR@HOUSE pathway starts with a specialist visit, during which the clinical picture and the course of the disorder are reconstructed. Depending on what emerges, the pathway may continue with targeted investigations prescribed by the doctor.

Sleep hygiene

Setting up habits that support rest.

Relaxation techniques

To reduce the arousal that prevents falling asleep.

Psychotherapy

Individual or group.

Drug therapy

When the specialist considers it appropriate.

The choice is made together with the patient, taking their expectations into account.

Insomnia

Let us find where it comes from.

The specialist visit builds the picture and points to the way forward.

Book a visit

This information is provided for general guidance and does not replace medical assessment.