What exactly is insomnia?

I’ve heard quite a lot of people say “I have insomnia,” but did you know that not everyone who struggles with sleep actually has insomnia? According to the National Sleep Foundation, insomnia can be described as “Difficulty falling asleep or staying asleep, even when a person has the chance to do so.” Insomnia can either be acute or chronic.

Acute insomnia occurs for a short period of time, and is often because of something happening in your life. For example, a new baby, a relocation, temporary change in your work schedule, short term stress or a death in the family. After the stressful situation has passed, your sleep will sometimes return to normal.

Chronic insomnia on the other hand, is insomnia that occurs about three times a week and lasts for about three months. This is typically the type of insomnia that I see in my practice. Sometimes this type of insomnia is caused by physical health problems, anxiety, depression, medication side effects, or even one’s environment. Individuals with chronic insomnia often feel frustrated and discouraged from the constant lack of sleep. They might notice impairment in their work and it could even affect their relationships and energy levels.

Now that you know about acute and chronic insomnia, let’s talk about the criteria for insomnia according to the DSM 5, which is the Diagnostic and Statistical Manual of Mental Disorders, 5th edition. It’s essentially the encyclopedia for mental health disorders:

A) Being dissatisfied with the quantity or quality of sleep and with the following symptoms:

1) Difficulty initiating sleep.

2) Difficulty maintaining sleep (waking up frequently and having difficulty going back to sleep upon awakening).

3) Waking up early in the morning and not being able to go back to sleep.

B. The disturbance in sleep causes a significant impairment in your social, educational or occupational functioning. This means you might be falling asleep at work, you might not go out with friends because you’re too tired or you might make mistakes at work.

C. The difficulty with sleep occurs for at least 3 nights a week.

D. The difficulty with sleep occurs for at least 3 months.

E. Difficulty sleeping despite opportunities to sleep. This means even though you have a cozy bed and an opportunity to lay down, you still are unable to sleep. This is quite different from someone who cannot sleep because he or she does not have a place to sleep due to homelessness, war or an unsafe situation.

F. The insomnia cannot be explain by another sleep disorder (such as narcolepsy or a breathing disorder). Sometimes one might think one has insomnia, but upon visiting the doctor, you might realize that you have problems with your breathing or you might even have another sleep disorder, which better explains your sleep woes.

G. The sleep disturbance isn’t being caused by substance use. Some substances such as alcohol or stimulants might actually keep you up for long periods of time or disturb your sleep long term.

H. Other mental health disturbances aren’t causing the difficulty sleeping. Sometimes other mental health disorders such as generalized anxiety, phobias, panic disorder, depression or Bipolar disorder could better explain the reason why you’re not sleeping.

So there you have it. A detailed explanation of what insomnia is. If you have read through the above criteria, and you believe you are struggling with insomnia, there is hope. CBT for insomnia is the gold standard for insomnia treatment. If you’re in the Murrieta/Temecula area and you’re ready to get the best sleep of your life, call 951-905-3181 for your free 15 minute phone consultation to see if CBT for insomnia is right for you. I also provide online insomnia treatment for people within California. Get the sleep you deserve now.

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Insomnia tips: 10 things to do when you can't sleep at night

One of the most painful things about insomnia is the boredom that happens when you find yourself staring at the ceiling for 3 hours straight. To make it worse, everyone else in your household is most likely asleep so you are stuck with your own thoughts. I always recommend that my clients who struggle with insomnia should get out of bed if they aren't able to fall asleep within 30 minutes. But after getting out of bed, what are you supposed to be doing?

Don't fret. I've got you covered. Here is a list of 10 things you can do when you can't sleep at night.

Look through old albums: Remember all those old pictures that are floating around in a random drawer or box in your home? Night time is the perfect time to actually get them organized. Think about it, you can reminisce about the good old days and get your pictures organized at the same time. If you don't have physical pictures, you can also spend this time organizing the pictures on your phone, tablet or laptop. Categorize them by date, location or any other system that works well for you.

Sort out junk mail: Many people have a junk mail drawer where they shove all their unsolicited mail and other miscellaneous items. Sometimes you can actually find good deals with coupons that are sent to your home. Night time is a great time to throw out useless mail, shred sensitive mail or organize mail you'd like to keep. My favorite mail organizing system is to use an accordion folder with tabs to keep everything. As your mail comes in, you can categorize it, and shred whatever you don't need.

Read something light (but not on a phone, tablet or computer screen): Night time or early morning is a great time to catch up on that novel or self help book you've been itching to read. Just ensure that you're not using an e-reader. I explain how electronics could affect your sleep cycle here. If you're a Christian, night time is also a great time to read your Bible or get caught up on a devotional. 

Clean out the fridge: Let's face it, no one likes to clean out the fridge, but the best time to do so is when everyone else is asleep. The kids can't bug you, your spouse isn't asking you questions, and you have total silence to get organized and methodical about it.

Organize clothes: You probably won't be able to overhaul your entire closet in one night, but you can definitely get a head start and feel accomplished. Pick one type of item and organize everything in that category. Perhaps you can start with shirts, or pants or skirts or accessories. Make it fun and enjoyable. You can even use headphones and listen to calming music while you organize. Getting stuff done beats laying in bed and feeling frustrated while everyone else is fast asleep. Insomnia doesn't have to take over your life.

Knit or craft: If you're creative, night time is the best time to start a new knitting project or some other type of craft. You can't imagine how much you can get done when you're able to work without the distractions that happen during the day.

Work on a scrapbook: Remember those pictures you organized? You can turn them into a scrapbook. These days you can even create an online scrapbook.

Write a to do list for the next day: At night, you can plan out your schedule for the next day. Write out all the tasks you'd like to complete the next day and also organize them according to priority. 

Clean out 1 drawer: Night time is also a great time to clean out your junk drawer. Perhaps start with your bedside table. Get rid of everything you don't need and hopefully, by the time you're done, you'll be tired enough to fall back asleep.

Ready to begin to sleep at night and kick this insomnia thing? Click here to schedule a free 15 minute phone consultation to find out if CBT for insomnia is the right treatment for your insomnia. In just a few weeks insomnia could be a thing of the past. I also provide online sessions for clients throughout California.

ready to finally sleep?

Find out the 5 myths about insomnia that are keeping you awake- and how YOU ca finally sleep!

Get your free download