Teens First for Health by Great Ormond Street Hospital NHS
 
Skip navigation
ABCDEFGHIIKLMNOPQRSTUVWXWW

Insomnia

Insomnia is a condition where a person has difficulties falling asleep or staying asleep throughout the night. This may result in the person feeling tired and irritable during the day, leading to poor concentration. In some cases, if the condition is not overcome it can lead to mental health problems such as depression.

What causes insomnia and who can get it?

Everyone has difficulty sleeping from time to time but this is usually short-lived.

Insomnia is a very common problem, especially in older people and those under a lot of stress.

There are many causes for insomnia. These can include:

Physical causes

The insomnia results from an underlying medical condition, which may cause involuntary movements or make a person uncomfortable so that sleeping is awkward or painful.

Environmental causes

A person’s surroundings may prevent them from sleeping properly, such as temperature, noise, light or perhaps somebody else’s snoring!

Pharmacological causes

Some people find that their sleep is affected by medication; some medicines may cause a person to be unable to sleep. If you think that your medication is preventing you from falling asleep at night, it would be a good idea to talk to your doctor about it.

Psychological causes

Inability to sleep can often be caused by bereavement, stress or worry. Also some mental health conditions can contribute to sleep problems such as anxiety and depression.

What are the signs and symptoms of insomnia?

Symptoms of insomnia can include:

  • Lying awake for a long time at night before getting to sleep or not being able to get to sleep at all.
  • Waking up several times in the middle of the night.
  • Waking up early in the morning (and not being able to get back to sleep).
  • Feeling tired and not refreshed by sleep.
  • Inability to function properly during the day, finding it particularly difficult to concentrate.
  • Irritability due to lack of sleep.

If you have suffered from any of these symptoms over a period longer than a few weeks you may be suffering from insomnia and should visit your doctor.

How is it normally diagnosed?

A doctor will be able to diagnose insomnia. They will ask about your sleeping routines, how much alcohol and caffeine you drink each day and your general lifestyle habits, such as what you eat and how much you exercise. All these factors can effect how well you sleep.

In addition they may ask you about what has been happening in your life over the past few weeks or months, if you have had any big changes to your daily routine or if you are having problems at school or work for example. There is usually a link between difficult events and insomnia.

Your doctor will also check your medical history for any illnesses or medications that may be causing you not to get to sleep.

In most cases, a cause of insomnia can be found just through looking at your basic lifestyle and medical history.

If the cause is not immediately obvious, your doctor might ask you to keep a sleep diary for a few weeks to show when you went to sleep, how long for, and whether you were disturbed in the night.

How is it normally treated?

Your doctor can prescribe you sleeping tablets for a short time. Sleeping pills might be prescribed when your insomnia is caused by something like bereavement or jet lag.

Tablets shouldn’t be relied on. It’s important to address the underlying cause of your insomnia.

Sometimes small measures such as ensuring your bed is comfortable and your bedroom is dark and quiet can make all the difference.

If your insomnia is caused by anxiety or depression your doctor may refer you to see a counsellor or psychologist to talk through the reasons you’re finding it hard to sleep.

Ways to get a good night’s sleep?

  • Routine: try going to sleep and getting up at the same time.
  • Make your bedroom a peaceful space: do not work or watch TV in your bedroom, keep it just for sleeping.
  • Avoid stimulants such as caffeine, nicotine and alcohol.
  • Keep active: getting more exercise during the day can help you to get a better nights sleep.
  • Warm drinks: having a warm milky drink like hot milk or herbal tea before bed can help you to relax.
  • Don’t go to bed on a full stomach: being too full might make falling asleep difficult. But don’t go to bed hungry either, this may wake you up earlier than necessary in the morning.
  • Try to switch off: wind down at the end of the day. Having a long bath or reading a book or magazine for half an hour can help your mind to switch off so you can fall asleep more easily.

Looking forward

After treatment most people manage to find the things that help them to get a good night’s sleep and combat their insomnia.

For more help and information

If you would like to know more about insomnia, please ask your doctor.

British Sleep Council www.sleepcouncil.com

Insomnia Helpline (Medical Advisory Service)
Tel: 020 8994 9874

Email: info@medicaladvisoryservice.org.uk
Website: www.medicaladvisoryservice.org.uk

Last reviewed by Great Ormond Street Hospital: 14 September 2007

e-newsletter sign-up

Produced and written for Children First for Health
© Great Ormond Street Hospital

IMPORTANT NOTICE: All content within Children First for Health is provided for general information only to help answer the most common questions. It does not replace the need to consult with a health professional or GP. Children First for Health is not responsible or liable for any diagnosis made by a user based on the content of this site. Personal details will not be stored for any purpose other than administering responses and feedback.

 

 
 

Copyright © Great Ormond Street Hospital