Little or bad sleep nolimitly can have a significant impact on quality of life during the day. Fatigue, physical and mental, which follows a restless night reduces school performance and labor and exposes to a greater risk of accidents. Inadequate rest, lasted for several days or weeks, it affects the mood, the ability to react to stress and the body's ability to fend off disease. The irritability and nervousness in addition to fatigue, also make it less available to others, and can affect the quality of family and social relationships. For all these reasons, even when it occurs occasionally, a sleep disorder should never be overlooked. Not infrequently, then, insomnia is not an end in itself, but it is one of the red flags that signal the presence of other physical or mental illness to be treated in a specific way or it is added, further worsening the symptoms and, in some cases, the prognosis.
In this regard, it should be clear, however, that there are numerous factors that may favor the onset of a sleep disorder and that other diagnostic classifications and guidelines continue to refer to the "primary insomnia conditions" (for which it is not possible side effects to identify organic or underlying environmental reasons) and "secondary" (ie due to very specific triggers).
The DSM V, also, does not take more into account the "jet-lag" (transitional physiological phenomenon which can prevent to get enough sleep for one or more days after a change of the time zone of a few hours) as to whether sleep disorder, because not tied to an actual pathological alteration of the sleep-wake rhythm, but the normal and predictable process of adaptation of the organism to changing environmental conditions (in particular, the amount of light and its distribution in 24 hours). This does not mean that the problem, albeit temporary, affects the majority of people when traveling long distances, often with repercussions such as to justify a drug treatment in sensitive persons and / or needing to be immediately active and fit once arrive at their destination and / or return. For this reason, it is useful to keep the chapter on the jet-lag in this section.
Not infrequently apparently unjustified insomnia can be a symptom indicative of the presence of another organic or psychiatric illness. In these cases, often, difficulty falling asleep or to maintain sleep for a time sufficient to associate other more specific disorders that allow the doctor to better guide the diagnosis. Sometimes, however, the poor sleep or fragmented can constitute an isolated alarm bell. To avoid neglecting the underlying disease is, therefore, important not simply to endure repeated sleepless nights, but try to study the situation with the help of your doctor.
On the other hand, it is common experience that insomnia may appear in combination with an organic or psychiatric illness already diagnosed. In these cases, the onset of sleep disorder can be facilitated by the typical symptoms of the disease (pain, difficulty breathing, restlessness, itching etc.), While in others is the key pathological alteration to interfere with your sleep aid - wake cycle. Hormonal balance alteration is, however, a common cause of insomnia during menopause and in the last months of pregnancy. Whatever the comorbidities present, to optimize the treatment of the underlying condition is essential to ensure a person's maximum well-being and reduce interference with a night's rest, but this may not be enough to solve the sleep disorder, which must always be addressed by reviews the doctor in a targeted and specific, taking into account the overall clinical picture and the patient's age.
Insomnia linked to mood disorders can be particularly by melatrol difficult to view properly, especially in patients suffering from "masked depression", in which the classic psychological symptoms of depression (a decrease in mood, loss of interest in daily activities , reduced self-esteem, etc.) are very mild, while the physical manifestations (sleep disturbance and appetite, malaise, pain, etc.) are especially important. The type of insomnia that should make you think of depressive origin is especially one that involves early awakenings, often late at night, followed by the inability to fall asleep again (it should be noted, however, that insomnia in the elderly tends to present in this so even in the absence of depression).
If the problem, however, is constituted by the inability to fall asleep in a reasonable time after lying down, and / or by repeated awakenings during the night, ingredients it is more likely that at the beginning there is anxiety or stress. Often in these cases, the numbness is hampered by intrusive thoughts and concerns, he not infrequently also accompanied by headaches (especially tension headache).