Afternoon: dying for a rest
Evening: can’t sleep
In medical terms, Insomnia is defined as difficulty getting to sleep, staying asleep or having non-restorative sleep despite having the opportunity for sleep. The sleep dysfunction is associated with impairment of daytime functioning and symptoms are present for at least 4 weeks.
Insomnia is common with approximately 13-33% of Australians having regular sleeping difficulties according to recent studies. Insomnia can have serious consequences if left untreated. The risk of developing depression is doubled in patients with insomnia. Insomnia is also associated with cardiovascular diseases, including Hypertension.
Insomnia may be acute (<4 weeks) or chronic. They both require very different treatment approaches. Chronic insomnia is unlikely to settle without treatment and usually presents with a history demonstrating relapses and remissions. A recent study published in the Medical Journal of Australia emphasised that health practitioners need to start viewing insomnia as a chronic illness to be able to properly manage the condition.
In my practice I use a combination of endo-cannabinoid system balancing; a broad range of medications; natural therapies; and non-pharmacological (non-drug) treatment strategies, to manage both acute and chronic insomnia.
“The last refuge of the insomniac is a sense of superiority to the sleeping world.”
― Leonard Cohen