Title: Reducing Use of Sleep Medications Assisted by a Digital Insomnia Intervention (SEDATIVE) The unusual activity included a high degree of “plasticity” (the brain’s ability to rewire its neurons in response to stimuli) and “excitability” (the tendency of neurons to remain active at all times). People with insomnia showed unusual activity in their motor cortex, the part of the brain responsible for the planning and execution of voluntary movement.Some people with chronic insomnia have smaller than usual frontal lobes, a part of the brain that helps with decision-making, memory, and cognitive functions.The insomniacs also were less able to turn off other parts of their brains to aid in their focus on the task. This part of the brain helps to support memory during intensive tasks. While working on memory-related tasks, people with insomnia showed lower than expected activity in the dorsolateral prefrontal cortex.Studies have shown many differences between the brains of people with insomnia and the brains of people who are not having sleep problems. You should always follow your doctor’s guidance for any treatment program and consult your doctor before using any over-the-counter sleep aid. The supplement melatonin, which is often promoted as a sleep aid, has not been shown by scientific studies to consistently improve insomnia symptoms. Over-the-counter sleep aids can have side effects that make them unsuitable for regular use. Still, in general, doctors do not recommend their long-term use for chronic insomnia. Prescription medications such as eszopiclone, ramelteon, zaleplon, and zolpidem may help control short-term or occasional insomnia. A specialized psychotherapy technique called cognitive-behavioral therapy for insomnia (CBT-I) helps identify the thoughts and behaviors associated with sleep difficulties and replace them with strategies that support good sleep habits. In many cases, insomnia resolves with the treatment of an underlying medical condition or the removal of a stressor causing the sleep difficulty. Treatment for insomnia varies according to its underlying cause. ![]() PLEASE CONSULT A PHYSICIAN FOR MORE INFORMATION. The symptoms are not caused by another sleep disorder, a mental disorder, a medical condition, medications, or substance use.The patient has adequate opportunities for sleep.The symptoms cause significant impairment or distress.The symptoms occur at least three times a week.The symptoms have lasted at least three months.The patient has trouble falling asleep or staying asleep.The Diagnostic and Statistical Manual of Mental Disorders (DSM) includes diagnostic criteria providers can use to diagnose insomnia disorder. A study of your sleep patterns, which may be conducted at a sleep center, may be recommended if your doctor suspects that a condition such as sleep apnea could be the cause of your insomnia. You may also be asked to track other habits that could impact your sleep, such as your caffeine use. Your doctor may ask you to keep a log of your sleep over two weeks or so to look for patterns in your sleep behavior. The doctor may order laboratory blood tests to rule out conditions, such as thyroid dysfunction, that may be causing insomnia. A basic physical exam will screen for indications of medical conditions that could be causing the sleep problems. ![]() ![]() Memory difficulties or problems with concentrationĭoctors may take several different diagnostic steps when a patient is experiencing chronic sleep difficulties.If the symptoms occur at least three times a week, last for three months or more, and don’t have an apparent cause, the condition may be diagnosed as insomnia disorder. ![]() Chronic insomnia affects an estimated 10-15% of adults. However, when the sleep difficulties last for more than a month, it is generally considered a chronic condition. Insomnia that lasts for a few days up to a month is considered acute insomnia. It is normal for everyone to have trouble sleeping occasionally, but the sleep disruptions of insomnia can last weeks, months, or even longer. Insomnia is a sleep disorder where a person has trouble falling asleep at bedtime or has trouble staying asleep once they fall asleep.
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