“Insomnia” – A Condition Not to Be Overlooked

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“Insomnia” – A Condition Not to Be Overlooked
Bangkok Hospital Phitsanulok

Understanding Insomnia

Insomnia is a sleep disorder characterized by difficulties in falling asleep, staying asleep, waking up too early, or feeling unrefreshed despite getting the recommended hours of sleep.

This condition can be acute (short-term) or chronic (long-term), and it can significantly affect your quality of life, work performance, and mental health.

Common Symptoms of Insomnia:

  • Difficulty falling asleep

  • Frequent nighttime awakenings

  • Waking up too early and being unable to fall back asleep

  • Feeling unrefreshed upon waking, despite adequate time in bed

Causes of Insomnia:

  1. Stress – whether work-related or personal

  2. Poor bedtime habits – such as using smartphones or computers before bed

  3. Stimulant intake – consuming caffeine or alcohol close to bedtime

  4. Underlying health conditions – including depression, anxiety, or chronic pain

  5. Medications – certain drugs that affect the nervous system

Impact on the Body and Mind:

  • Impaired memory and decision-making

  • Mood swings and irritability

  • Increased risk of cardiovascular disease, hypertension, and diabetes

  • Greater risk of accidents due to fatigue and poor concentration

Treatment and Management Approaches

Sleep Hygiene
Healthy sleep habits are often the first step in addressing insomnia:

  • Maintain a consistent sleep and wake schedule—even on weekends

  • Avoid electronic screens before bedtime

  • Limit caffeine intake in the afternoon

  • Create a restful sleep environment: a comfortable temperature and a dark, quiet room

Cognitive Behavioral Therapy for Insomnia (CBT-I)
This is a doctor-recommended, evidence-based approach that addresses negative thoughts and behaviors that interfere with sleep.

Medication (when necessary)
In some cases, short-term use of sleep aids may be prescribed. However, long-term use is not recommended due to the risk of dependency.

When Should You See a Doctor?

If you experience insomnia at least three nights per week for over a month, or if it disrupts your daily life—such as causing daytime drowsiness or reduced concentration—you should consult a healthcare professional for proper evaluation and personalized treatment options.