primary insomnia…

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insomnia, psychophysiological, learned, chronic insomnia, primary insomnia is difficulty getting to sleep, staying asleep, experiencing nonrefreshing sleep, at least 1 month, term primary indicates that the insomnia, known physical, mental condition, numerous causes, risk factors, primary insomnia, most common sleep disorder, everyday anxiety, stress, coffee, alcohol, the most common culprits, 25% of elderly people, 15%, the general population suffer from insomnia, all types of insomnia, secondary insomnia, depression, mental, physical illnesses, primary insomnia, characterized by both difficulty falling asleep, by repeated awakenings, people often feel fatigued the next day, people who suffer from this, generally preoccupied, getting enough sleep, they try to sleep, greater the sense of frustration, distress, elusive sleep becomes, clinical history, all current medication, recreational drug use, physical exam, sufficient to make the diagnosis, polysomnography, an overnight sleep study, to rule out sleep disorders, breathing-related sleeping disorder, depression, very common cause of secondary insomnia, primary insomnia is diagnosed, insomnia, symptom, which people, depression seek medical attention, depression includes more than 2 weeks, features, low mood, inability to feel pleasure in, pleasurable things, a feeling of slowness, sluggishness of movement, a feeling of agitation, irritability, anxiety, feelings of low self-worth, suicidal thoughts, sleep, too, too little, unrefreshing, interrupted, early morning wakening, inability to fall back asleep, changes in appetite include eating too, too little, have insomnia, report any of these other symptoms to health care provider so that screened, depression, antidepressant medications often solve insomnia problems related to depression, also cause sleep problems, occurs, medications, adjusted, nonspecific measures to induce sleep, sleep hygiene, using the bed only, sleep, sex, going to bed, same time every night, no daytime napping, no caffeine, alcohol, nicotine, eliminating the conditioned anxiety that comes, trying to sleep by reassuring yourself, sleep, distracting yourself, maintaining comfortable sleeping conditions, eating at regular times daily, avoiding large meals near bedtime, exercising early, in the day, getting out of bed, not asleep after 5-10 minutes, doing something else, going to another room, help reduce anxiety, falling asleep, practicing evening relaxation routines, progressive muscle relaxation, meditation, above recommendations, followed, person continues to have insomnia, medications, benzodiazepines appropriate, prognosis is very good person sticks, behavioral maneuvers, sleep hygiene, a doctor should evaluate chronic insomnia, does not improve, important to remember that one's health is not at risk, does not get 6 to 8 hours of sleep every day, different people have different natural sleep requirements, fine on 4 hours a night, others only thrive, they get 10-11 hours, sleep requirements also change, listen to body's sleep signals, don't try to sleep more, less than is refreshing, daytime sleepiness, most common complication, though there is some evidence that lack of sleep, lower immune system's ability to fight infections, sleep deprivation is also a common cause of auto accidents, driving, feel sleepy, take a break, call doctor, chronic insomnia has, become a problem.