SLEEP DISORDER – CAUSES – TYPES – TREATMENTS :

SLEEP DISORDER – TYPES – CAUSES – TREATMENTS  :

 

 

Everybody in his lifetime faces with trouble in sleeping . This is a normal phenomena , but if the sleep problems are prolonged or in regular occurrence then it is said to that the person may be suffering from a sleep disorder .

Sleep disorders can be manifested as an inability to sleep , daytime sleepiness , abnormal movements or behaviour during sleep or an inability to sleep at the appropriate time .

Sleeping well is essential for your physical , mental and emotional well being .

Ignoring sleep problems can lead to the impairment of health , can have a negative impact on your energy , emotional balance , efficiency , mood and ability to handle stress .

If you want to feel your best , stay healthy and perform up to your potential then proper sleep is very essential .

Sleep generally relaxes the body and the mind , removes stress and gives proper rest to the body . In this way it re-enerzises the whole body .

 

SOME COMMON TYPES OF SLEEP DISORDER :

 

 -          Insomania : It is the most common sleep disorder in which the person suffers from lack of sleep . It is often a symptom of another disease such as stress , anxiety , depression , etc .

 

 -          Sleep apnea : It is a common sleep disorder in which the person suffers from breathing difficulty . Breathing temporarily stops during sleep due to blockage of the upper respiratory tract .

 

-          Restlessness leg syndrome (R.L.S) :      It is a sleep disorder that causes an almost irresistible urge to move your legs or arms in the sleep .

 

 -          Narcolepsy  :   It is excessive or uncontrollable daytime sleepiness . Here , the person sleeps in the middle of talking , working or even driving .

 

 

SIGNS AND SYMPTOMS OF SLEEP DISORDER :

 

  • Irritability

 

  • Sleepy during the day

 

  • Very tired feeling always

 

  • Difficulty falling asleep at night

 

  • Loud chronic snoring

 

  • Frequent shortness of breath during sleep , chest pains , headaches , nasal congestion or a dry throat

 

  • Strong urge to move legs and arms in the sleep

 

  • Cramping and jerking of the legs during sleep

 

  • Sleep attacks while in the middle of conversation , working or driving .

 

 

CAUSES OF SLEEP DISORDERS :

 

       -          Medical causes affecting sleep : Asthma , Heart disease , Peptic ulcer , chronic obstructive pulmonary disease and Rheumatic disorders .

 

       -          Neurological disorders :   Stroke , headache , neuro muscular disorders .

 

 

-          Psychiatric disorders :   Stress , Depression , Anxiety and panic .

 

 -          Any sort of chronic pains may also impair sleep.

 

 -          Intake of excessive coffee , tea and chocolate can also prevent sleep .

 

 -          Cigarette smoking and intake of alcohol too late in evening .

 

 -          Some stimulant drugs like antidepressants may also affect the sleep .

 

 -          Other causes :  Noise , uncomfortable bed , ventilation  can negatively affect the sleep .

 

 

TREATMENTS :

 

 -          Keep the regular sleep schedule .

 

-          Bedroom should be cool , quiet and dark .

 

-          Avoid smoking too late in the evening .

 

-          Intake of Alcohol , tea , coffee or any other stimulants should be minimized .

 

-          Eating dinner late at night will stop you from sleeping .

 

-          Take warm bath just before bedtime .

 

-          Listen to relaxing music while going to bed for sleep .

 

-          Pain can make it difficult to sleep . So, medicines for pain relief should be taken .

 

-          Losing some weight especially around neck area helps in person suffering from Sleep Apnea .

 

-          Yoga and some relaxing exercises helps the body to relax .

 

-          Meditation : Helps the person’s mind to relax and give internal peace .  

 

ACUTE STRESS DISORDER – CAUSES – SYMPTOMS – TREATMENT :

ACUTE  STRESS DISORDER – CAUSES – SYMPTOMS – TREATMENT  :

Acute Stress Disorder  (A.S.D) :    It is a psychological condition arising in response to a
terrifying a traumatic event .
It is characterized by the development of severe anxiety , dissociative and other symptoms
that Occurs after exposure to an extreme traumatic event .  Example : witnessing a death ,
serious accident etc .
Individuals with A.S.D have a decrease in emotional responsiveness , often finding difficult
or impossible to experience pleasure in previously enjoyable activities and frequently feel
guilty about pursuing usual life tasks .

CAUSES :

-    A.S.D is the result of traumatic event in which the person experiences or witnesses
an event that causes the person to experience extreme , disturbing or unexpected
fear , stress or pain and that involves or threatens serious injury .

-    A.S.D is a variation of P.T.S.D and is the mind’s and body’s response to feelings of
intense helplessness .

-    Previous exposure to trauma : It can cause A.S.D . Individuals  with a history of abuse
or childhood trauma may experience A.S.D as a reaction to anew traumatic event .

-    Brain abnormalities : A deficiency in brain hormones and abnormal brain structure
can impair the brains ability to regulate the body’s response to stress and increase the  
likelihood that a person will develop  the disorder after a traumatic event .

-    Brain injury :  A traumatic brain injury may damage the part of the brain that is
responsible for regulating stress and anxiety .

SYMPTOMS :

-    Person experiences intense fear , helplessness , horror .

-    After experiencing the distressing events , the individuals has the following
dissociative symptoms .

-    A subjective sense of numbing , detachment or absence of emotional
responsiveness.  

-    Being in daze .

-    Derealisation

-    Depersonalization .

-    Dissociative amnesia  – Inability to recall an important aspect of trauma .  

-    Individuals experiencing A.S.D also has significant symptoms of insomnia , irritability,  
lack of concentration , hyper vigilance , exaggerated startle response , motor
restlessness , anxiety .

-    Person withdraws from the surrounding situation , over activity , impaired
judgement, Confusion , depression .

PSYCHIATRIC  MANAGEMENT :

-    Psychiatric management for all patients with A.S.D includes instituting interventions
and activities to ensure physical and safety , required medical care and availability of
needed resources  for  self  care  and  recovery .

-    The patients level of functioning and safety , including his risk for suicide and
potential to harm others ,  is always important to evaluate during initial assessment
and may determine the treatment setting .

TREATMENT :

-    Medication can be used for a very short duration (up to four weeks) .

-    A combination of relaxation  , cognitive restructuring  ,  exposure was superior to
supportive Counselling  .

-    Combination of prolonged exposure and anxiety management .

-    Supportive counselling  group .

-    Psychotherapy :

-    Cognitive behaviour therapies :

·    Target the disorted  threat appraisal process  in an effort to desensitize the
patient to trauma related triggers .

·    May speed recovery and prevent PTSD when therapy given once a few sessions
      beginning  (Two to three weeks )  after trauma exposure .