Symptoms and Effects of Primary Insomnia

Insomnia is defined as "it is difficult to initiate or maintain restorative sleep that causes fatigue and its persistence severity leads to clinically significant pain or dysfunction" (APA Dictionary of Pscyhology, 2007, p. 485). The pineal gland of the brain produces melatonin. Melatonin is associated with "circadian rhythm" that helps control sleep (Gillam, 2009). Using sleep polygraphs, researchers have found that lack of sleep may be the effect of a longer sleeping period of stage 1 and a shorter sleeping period of stages 3 and 4 (American Psychiatric Association [DSM- IV-TR], 2000).

Symptoms / performance / problem: The main symptoms of psychophysical insomnia and lack of sleep hygiene are difficult to fall down and fall asleep. Patients with psychophysiological insomnia are often worried in bed, and it is often said that "My brain is difficult to late at night or rest." Treatment options: cognitive therapy, behavioral correction, relaxation method, and if necessary drug therapy are effective for psychophysiological insomnia patients. Changes in lifestyle are essential for people with poor sleep hygiene. These include restricting caffeine in the morning, banning cigarettes and alcohol, and removing the watch from the bedside. These tips and other tips are listed in the sleep hygiene table at the end of this chapter.

The main diagnosis is DSM - 5 insomnia. Given the complications of depression and complications of obstructive sleep apnea, it is difficult to assess whether Mr. S has DSM - IV primary insomnia; DSM - 5 is associated with insomnia and co - Perform cause attribution allowing clinicians during obstructive sleep disorder. Comorbid obstructive sleep apnea was diagnosed based on clinical and sleep polygraphic evaluations. Mr. S received sustained positive airway pressure therapy. He reported that his energy level improved during the day, but he continued to fight for insomnia. His awakening at night was reduced by a factor of 2 or 3, and nocturia decreased. Despite these improvements, he is still suffering from insomnia. He was significantly helpful in increasing trazodone dosage by 75 mg and initiating cognitive therapy with insomnia (CBT - 1). Mr. S will sleep better, continue with CBT-I, continue trazodone treatment, slowly and gradually reduce