Typically, almost one-third of the nation's
population suffers from sleep disorders. The leading cause
of sleep disorders is emotional turmoil. In times like these,
with increased stress prompted by September's terrorist
attacks and the ensuing uncertainty, many more of us are
experiencing sleep-related problems such as insomnia, nightmares,
and difficulty sleeping through the night--all of which
experts say is a "normal reaction to an abnormal event."
There are a variety of ways to treat sleep disorders.
While over-the-counter medications are often used and
can be beneficial for some people, leading sleep experts
caution that, for many, such sleep aids can end up causing
more problems than they solve. If your sleep problems
persist, if you find you have trouble concentrating, or
if lack of sleep interferes with your regular routine,
you may consider seeking relief by getting help from a
sleep specialist or mental health professional. Suggestions
for Getting a Good Night's Sleep
**Follow a regular schedule--go to sleep and get up at
the same time each day.
**Avoid taking cat-naps during the day.
**Try to exercise at regular times each day. Moderate
physical activity 2 to 4 hours before bedtime may improve
your sleep.
**To adjust your internal sleep clock, try to get some
exposure to the natural light in the afternoon each day.
**Eat smart, avoid heavy dinners, and don't eat too close
to bedtime.
**Avoid drinking caffeinated beverages late in the day--caffeine
is a stimulant that can keep you awake.
**Refrain from drinking alcohol close to bedtime or in
an effort to help you sleep. Drinking even
small amounts of alcohol can make it harder to stay asleep.
**Smoking in an effort to help you sleep can have the
opposite effect since nicotine is a stimulant.
**Do something pleasurable before bedtime to help you
unwind and get your mind off the day's responsibilities
and nagging concerns.
**Take a relaxing shower or bath before bedtime and,
if you like to use fragrances, consider using lavender
scented body soaps, lotions or oils for its naturally
calming effect.
**Avoid over-stimulation before you go to bed. And only
go to bed when you're actually tired. Don't try to force
yourself to sleep, instead get up and "do something
boring" then head back to bed
**Be especially thoughtful about what end-of-the-night
TV shows you watch and your bedtime
reading selections. Avoid content that focuses on issues
that are disturbing or that dwell
on a topic that's currently causing you to feel concerned,
worried, threatened, or afraid.
**Try listening to music you especially enjoy at bedtime.
Play it at a low volume and make sure to select music
with especially soothing rhythms and calming lyrics.
**Create a safe and comfortable sleeping environment.
Make sure there are locks on all doors and smoke
alarms on each floor. A lamp that's easy to turn on and
a telephone by your bedside may
be helpful. In addition, the room should be dark, well
ventilated, and have all nonessential
sounds blocked out.
You'll Gain Much More Than Just a Good Night's Sleep
If, despite your efforts to "set the stage"
for a good night's sleep, your problem persists, seeking
professional help may provide you with the relief you're
looking for. You have a lot more to gain than restful
sleep and a more peaceful emotional state. Virtually everything
you can do to improve your sleep also benefits your health
by significantly reducing your risk of depression, anxiety
disorders, heart attack, cancer, hypertension, diabetes,
osteoporosis and similar ailments and diseases.
Insomnia
Insomnia is the most common sleep disorder.
Insomnia means inadequate or poor-quality sleep caused by
one or more of the following:
**taking a long time to fall asleep (more
than 30 to 45 minutes)
**waking up many times each night
**waking up and being unable to get back
to sleep
**waking up too early in the morning
**unrefreshing sleep
Insomnia can be caused by stress, environmental noise,
extreme temperatures, change in the environment, medication
side-effects, or sleep/wake schedule changes like jet
lag.
Sleep Apnea
Sleep apnea refers to repeated episodes
of no breathing for at least 10 seconds during sleep (apneic
episodes). The most common symptoms are loud snoring while
asleep and excessive sleepiness during the day.
Sleep apnea usually is caused by blockage
(obstruction) in the nose or mouth (upper airway). Blockage
may be caused by defects of the nose, larger-than-average
soft tissues in the throat, or enlarged tonsils and adenoids.
Sleep apnea may also be caused by abnormal
electrical signals from the brain to the muscles used to
control breathing. The cause of this type of apnea (central
sleep apnea) usually is unknown.
A doctor specializing in sleep disorders can make a definite
diagnosis and recommend treatment. A wide range of treatments
are available, including gadgets that help you stay off
your back when sleeping, medication, and surgery.
Narcolepsy
Narcolepsy is a sleep disorder that causes
sudden sleep attacks which may occur during any type of
activity at any time of day. These sleep attacks can occur
several times a day and may last from a few minutes to several
hours. A person may fall asleep while engaged in an activity
such as eating dinner, driving the car, or carrying on a
conversation.
Narcolepsy usually starts during the teen
years or early adulthood and can continue throughout life.
Medications may be used to help prevent sleep attacks and
episodes of muscle weakness, however, the disorder rarely
goes away completely.
Restless Leg Syndrome (also called nocturnal
myoclonus)
People with restless legs syndrome have
a feeling of discomfort, aching, or twitching deep inside
their legs. Jerking movements may affect the toes, ankles,
knees, and hips. Moving the legs or walking around usually
relieves the discomfort temporarily.
Restless legs syndrome frequently causes
sleep problems, such as insomnia and unrestful sleep, because
the symptoms most often occur while the person is asleep
or is trying to fall asleep. The twitching or jerking leg
movements may wake a person up.
The cause of restless legs syndrome is often not known.
Antidepressants and certian other medications can sometimes
cause restless legs syndrome. It may also develop as a
result of pregnancy or iron-deficiency anemia.
Parasomnias
Parasomnias are undesirable physical activities
that occur during sleep involving skeletal muscle activity,
nervous system changes, or both. Sleep can be difficult
for people who experience parasomnias as it can cause odd,
distressing, and sometimes dangerous nighttime activities.
While "asleep," a person with parasomnia may walk,
scream, rearrange furniture, eat odd foods, or even wield
a weapon.
Parasomnias have medically explainable causes and are
most often treatable.
Sleep and Aging
The normal sleep cycle consists of two different
kinds of sleep--REM (rapid eye movement or dreaming sleep)
and non-REM (quiet sleep). Everyone has about four to five
cycles of REM and non-REM sleep a night. For older persons,
the amount of time spent in the deepest stages of non-REM
sleep decreases. This may explain why older people are thought
of as light sleepers.
Although the amount of sleep each person
needs varies widely, the range usually falls between seven
and eight hours a night. While these individual requirements
remain fairly constant throughout adulthood, aging does
reduce the amount of sleep you can expect to get at any
one time.