The Interrelationship of Depression and Insomnia
Insomnia can be classified into three types based on the length of time it affects an individual. Transient insomnia lasts only a few days and is usually due to modifications in living or working conditions, which may be minor or traumatic. Short-term insomnia, or acute transient insomnia, lasts for less than three weeks and has similar causes as transient insomnia. Chronic insomnia, on the other hand, is more complex. This condition is characterized by one of the following: a) light, interrupted sleep that one is still exhausted upon waking up, b) not being able to sleep, even if fatigued, c) lack of sleeping hours. Based on the causes, incessant insomnia may be considered as primary or secondary: * Primary incessant insomnia - when the insomnia is not caused by any physical or mental imbalance. * Secondary incessant insomnia - may be caused by physical and mental conditions, such as depression, or emotional and psychiatric disorders. Since insomnia is just a symptom of an underlying disease or an imbalance, evaluating the cause of insomnia is very necessary before prescribing any medication. Depression is the the bulk common cause of incessant insomnia, especially in the elderly. A study displays that depressed elderly patients, if they suffer from insomnia, have a pronness to be depressed for over a year. Another study displays that even without a history of depression, if an elderly patient suffers from insomnia, they have a high risk of being depressed. This is usually noticed in women. It has been proven that insomnia can influence ones' lifestyle negatively. Once this happens, the person starts to worry. Worrying, then causes depression. Depression is an emotional condition characterized by sadness or misery. Although a lot have experienced this at one time, clinical depression is a mood disorder characterized by feelings of sadness, anger or frustration affect everyday life for an extended period of time. Another intriguing relationship between depression and disrupted sleep is that some medications used for depression can cause insomnia. This is because these medications are used to make the patient more energetic, that at times, these make the patient anxious. The new anti-depressants that have stimulant effects include Prozac, Paxil, Zoloft and other serotonin-reuptake inhibitors. Serotonin-reuptake inhibitors are materials that prevent the reabsortion of materials in the kidney. During the biological elimination way of materials taking place in the kidney, some materials are reabsorbed in the kidneys, thus, prolonging the effect of such substances. With the presence of serotonin-reuptake inhibitors, serotonin is not reabsorbed and is continued to be wiped out from the body. Serotonin is an necessary monoamine neurotransmitter that plays a large role in depression, anxiety and bipolar disorders. Some serotonin is converted by the pineal gland, the pea-sized gland at the center of the brain, into melatonin. Melatonin is a hormone that helps regulate the sleeping and waking cycles. In addition to the prescribed medications to treat insomnia, a patient may also practice the following procedures to combat insomnia. * Control exposure to caffeine, alcohol and nicotine. These three materials are known to disrupt one's common sleeping patterns. * Maintain regular sleeping time and waking time. This would aid in maintaining the circadian rhythm thus minimizing the effects of weariness caused y insomnia. * Regular exercise is wonderful for the body but this shouldn't be done late in the afternoon or early in the evening. This is because exercise tends to start-up the body. If the body has gained more energy by the end of the day, this can prevent one from being able to sleep at night. * Go to be only when about to sleep. Reading or watching TV in bed is discouraged or to be avoided. When the mind is conditioned that the bed is for sleeping, once one goes to bed, he or she can readily obtain some sleep. * Eat meals regularly. Meal consumption affects biological activities due to increased blood blow to the stomach. These pointers may be useful in managing conditions related with insomnia. Still, some situations call for sleep-promoting medications prescribed by a medical specialist. |
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