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Insomnia Notes

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Insomnia


Primary insomnia has no known medical, psychiatric or environmental cause, whereas secondary insomnia has Insomnia is diagnosed when: o A person has sleep difficulties for more than a month o Daytime fatigue causes severe distress or impairs work, social or personal functioning

Dement:


Estimates half of humans acknowledge they sometimes have sleeping problems, but only 5-10% get diagnosed with insomnia Argues insomnia is not a sleep disorder, but is a symptom that has many different causes - flaws in insomnia being a disorder Argues people have primary insomnia but cause is unknown

Primary insomnia:

Has no medical, psychiatric or environmental cause o E.g. medication, stress or noise does not explain insomnia Subtypes including: o Psychophysiological insomnia o Idiopathic insomnia o Sleep state misperception

Psychophysiological insomnia:

Anxiety-induced insomnia, sometimes known as learn or behavioural insomnia - behaviourist approach - learn to be anxious about sleeping - associate bedtime routines with being unable to sleep instead of being able to sleep - vicious cycle Intermittent periods of stress, resulting in poor sleep and generates two maladaptive behaviours o Vicious cycle of trying harder to sleep and becoming tenser - 'trying too hard to get to sleep' o Bedroom habits and sleep-related activities e.g. brushing teeth, conditioning patient to frustration and arousal

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