Insomnia Specialist

I have trouble sleeping sometimes; do I have insomnia?

Not necessarily. Everyone has some trouble falling asleep or staying asleep from time to time, and most of us have experienced daytime sleepiness when we haven't enjoyed a good night's rest, But when sleep issues become chronic and begin to affect your life on a regular basis, you may have insomnia. With insomnia, it can be difficult to fall asleep, often taking 30 minutes or more, and you may wake several times during the night. You also may wake up earlier than intended, resulting in six or fewer hours of sleep per night most nights.

What symptoms are associated with insomnia?

Insomnia symptoms go far beyond difficulty falling or staying asleep. Some of the other common symptoms include:

• daytime sleepiness

• feeling unrested upon waking

• irritability and moodiness

• decreased productivity at work or school

• chronic headaches

• chronic stress or easily stressed

• difficulty focusing, concentrating and staying on task

• increased risk for errors or serious accidents, including car accidents

• gastrointestinal symptoms

• persistent worries about sleep

How is insomnia diagnosed?

First, you'll have a physical exam during which you'll be asked about your symptoms and your sleep pattern, as well as any medical or psychological issues that may be interfering with your sleep. You may also be asked to keep a sleep diary to record your sleeping patterns. In a few cases, a blood test may be ordered to check for thyroid problems or other issues that could be interfering with your sleep. When no cause can be determined or if sleep apnea is suspected, you'll need to undergo a sleep study.

What treatments are available for insomnia?

Depending on the cause of your insomnia, lifestyle and behavior changes may help. Treating underlying conditions like sleep apnea is very important. In a few cases, medication can be prescribed for short-term use.