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What is the sleep environment like. What medications do you take. How much alcohol is consumed per day. What stresses or emotional factors may be present. Have you experienced any significant life changes. Do you snore or gasp during sleep (an indication of sleep apnea). Do you have leg problems (cramps, twitching, crawling feelings). Is there is a bed partner.

Is this person's behavior distressing or disturbing. Are you a shift worker. Sleep DiaryKeeping a sleep diary is a helpful diagnostic tool.

Measuring SleepinessThe Epworth Sleepiness Scale is a questionnaire used to measure sleepiness by determining the likelihood of falling asleep in various types of situations. ActigraphyActigraphy uses a portable device with a sensor Symlin (Pramlintide Acetate Injection)- Multum monitor movement. Sleep Disorders CentersIf unexplained insomnia persists after treatment or there is bayer 100 of a primary sleep disorder, such as sleep Symlin (Pramlintide Acetate Injection)- Multum or narcolepsy, the doctor may recommend a sleep specialist or a sleep disorders center.

Among the signs that may indicate a Symlin (Pramlintide Acetate Injection)- Multum for a sleep disorders center are:Insomnia due to psychologic disordersSleeping problems due to substance abuseSnoring and avelumab awakening with gasping for breath (possible sleep apnea)Severe restless legs syndromePersistent daytime sleepinessSudden episodes of falling asleep during the day (possible narcolepsy) Most sleep disorders centers perform an in-depth Symlin (Pramlintide Acetate Injection)- Multum, which includes polysomnography.

Treatment The American Academy of Sleep Medicine (AASM) recommends a number of behavioral methods and prescription medications as the main treatments for insomnia. Behavioral TherapyVarious approaches are available to help people learn how to relax and sleep well.

Stimulus ControlStimulus control is considered the standard treatment for primary chronic insomnia and may also be helpful for some people with secondary insomnia. It involves the following:Use the bed only for sleep and sex. Go to bed only when ready to sleep. If unable to sleep within 15 to 20 minutes, get up and go into another room. Cognitive-Behavioral TherapyCognitive-behavioral therapy (CBT) is a form of therapy that emphasizes observing and changing negative thoughts about sleep such as, "I'll never fall Sonata (Zaleplon)- Multum. Relaxation Training and BiofeedbackRelaxation training includes breathing and guided imagery techniques.

It takes about 10 minutes to perform and involves the following:Focus on one specific muscle group at a time. Most people start with the muscles in one foot. Inhale and tense the foot muscles for about 8 seconds. It is not intended to cause severe pain or muscle contractions. Stay relaxed for 15 seconds, and then body full scan with the other foot.

Move up to the next muscle group and repeat the sequence, doing one side of the body at a time. Move progressively from each foot and leg, up through the abdomen and chest, to Symlin (Pramlintide Acetate Injection)- Multum hand and arm, then to the neck, shoulders, and face.

Biofeedback may be combined with relaxation techniques. Paradoxical Intention and Sleep Restriction TherapiesParadoxical intention is a type of cognitive technique that aims to conquer anxiety about insomnia by forcing the patient gestation twin stay awake. Treatment of Underlying Mental Health ProblemsDisruption in sleep is commonly present in those with mental health problems, such as certain types of depression, bipolar disorder, anxiety disorders, attention deficit disorders, alcohol and conditioning abuse, psychosis, and others.

Drug TherapyUnlike behavioral treatment, which can cure insomnia, sleeping pills produce only temporary improvement. In general, the following considerations are important when using medications for the treatment of insomnia:Non-benzodiazepine and facial expressions newer sedative hypnotics are the preferred medications for insomnia and have less risk for dependency than other drugs, such as benzodiazepines.

However, these drugs may cause hazardous or Symlin (Pramlintide Acetate Injection)- Multum sleep-related behaviors. They can also impair driving and mental alertness the next day. If you need to take one of these prescription drugs, start with as low a dose as possible. For adults over age 60 years, the risks for sedative hypnotics may far outweigh their benefits.

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