Insomnia Disorder
 

             
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    Insomnia Disorder

The word insomnia comes from the Latin language, meaning ‘no sleep.’ However, a person does not have to have no sleep at all to be a sufferer. A good night’s sleep is considered to be the following; a person takes less than 30 minutes to get to sleep. Sleep is maintained for 6-8 hours and there are less than three brief awakenings. The person feels well rested when they get up.


Sleep is a natural condition that occurs regularly and in which one loses awareness of one’s surroundings. Yet it is still largely a mystery as to what sleep actually is. It is known, however, that there are basically two kinds of sleep. In one kind, which starts with drowsiness and gets deeper and deeper, profound restorative processes take place. In it your breathing and your heartbeat slow down, your blood pressure drops and your limbs fully relax. This deep sleep is believed to be an aid to memory. It lasts for about ninety minutes.

Afterward, you return to a sleep much lighter in some respects, and in other respects deeper. It is called the REM stage because it is marked by side-to-side Rapid Eye Movements, which indicate that you are dreaming. Your heartbeat greatly fluctuates and your limbs grow tense, indicating that not only your mind but also your body is involved in dreaming. After about ten minutes of this REM sleep you will again go into deep sleep for another ninety minutes and then back up, and so on throughout the night. Most sleep researchers hold that both kinds of sleep are essential for mental and physical health; one cannot take the place of the other. As to how long you sleep, quality is more important than quantity.

Insomnia disorder usually takes one of three forms. Some have a lot of difficulty falling to sleep in the first place. Others fall asleep readily but wake up early in the morning and are not able to go back to sleep. With still others the problem is that they keep waking up intermittently. Insomnia disorder affects women more frequently than it affects men. It is more common in aged persons, though it is not a natural result of aging. In people over 65 its occurrence rate is 50%.

(Olejniczak PW, Fisch BJ (2003). Sleep disorders. Medical Clinics of North America, 87(4): 803–833).

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