Insomnia Treatment in San Diego

Everyone has trouble sleeping every once in a while. But for people with insomnia disorder, sleep problems happen at least three nights each week for at least 12 weeks.

Insomnia, as a symptom, syndrome, or disease, has severe social and professional consequences, affecting daily activities and rendering individuals incapable of performing their tasks and personal relationships. It, therefore, generates a high cost for society.  Feeling tired or sleepy can also increase your risk of having a car accident or injuring yourself. Insomnia disorder may also increase the risk for strokes.

Who Experiences Insomnia

Statistics on Insomnia

Approximately 17% of people experience insomnia at any one time, while about 36% will have mild insomnia at times during their lives.  The condition seems to be chronic for 10% of adults.

Insomniacs feel unrested in the morning, getting worse in response to life stresses or anxieties. Because just about everyone has trouble falling asleep from time to time, it can be hard to know whether you should seek professional treatment. 

Who’s at Risk for Insomnia

From Shift Workers to Sleeping Disorder Patients

Shift workers and patients suffering from other sleep disorders have a higher risk of insomnia. Prolonged changes and disruption to sleep routines and hygiene tend to aggravate it. Insomnia is also related to dissatisfaction with the quality of sleep, thus resulting in daily physical and emotional symptoms that impact social and cognitive performance.

Insomnia Classification

Insomnia is divided in the following forms:

Insomnia can be divided into the following forms: acute insomnia, primary chronic insomnia (psychophysiological, paradoxical, and idiopathic), insomnia associated with mental disorders, insomnia related to systemic diseases, and insomnia related to bad habits.

Primary Chronic Insomnia

Primary insomnia can be divided into three subtypes, namely psychophysiological, idiopathic and paradoxical. Psychophysiological insomnia occurs concomitantly with a cognitive hyperalert state characterized by anxiety related to the act of sleeping and the presence of neurocognitive symptoms such as fatigue and irritability. Idiopathic insomnia starts before puberty and persists throughout adulthood, and a family history of insomnia is often present. In paradoxical insomnia, subjective complaints of poor quality sleep arise, despite the lack of objective sleep abnormalities. This subtype of insomnia is related to sleep misperception.

Sleep Habits of Insomniacs

People with insomnia might also have poor sleep habits, such as consuming caffeinated drinks like chocolate, soda, coffee, or black tea before bed, using appliances with screens like TV, telephones, or computers, and not keeping to a bedtime routine. It is not uncommon for those who use or have a disorder with alcohol or drugs such as meth to suffer from erratic sleeping habits. This makes people feel drowsy during the day, affecting memory, concentration, and learning. Cortisol levels affect the sensitivity of organs, glands, and sleep structure.

Insomnia Triggers

Once the triggers go away, the insomnia may continue and lead to insomnia disorder. This may happen because of the above mentioned habits you formed because of your insomnia (including also napping, getting in bed before you are sleepy, and lying in bed awake for long periods of time, alcoholic drinks, internet use, heavy meals or vigorous physical activity close to bed time). Other issues such as nutrition or eating disorders,such as a strong desire to losing weight, can interrupt sleep and trigger insomnia.

Insomnia Treatment in La Jolla Recovery

Insomnia disorder can be frustrating, but our wide array of therapies and treatments are here to help you overcome it, including:

CBT:  The goal of Cognitive Behavioral Therapy for Insomnia at La Jolla Recovery is to change your behaviors and thoughts to help you sleep.  People with insomnia disorder may associate the bed and bedroom with wakeful activities or worry about getting sleep. Our therapy helps you start to associate the bed and bedroom with positive thoughts of sleep. You will learn to only get in bed when you are sleepy and to only sleep in the bedroom, avoiding reading, using your laptop, or looking at your cell phone or tablet in bed.

We will make sure that you get out of bed and leave the bedroom if you cannot sleep. You will gradually spend more time in bed as your sleep improves.  CBT also helps you change the way you think about sleep. For instance, you will learn to recognize negative thoughts you have about sleep (such as fears about missed sleep and the belief that sleep has gone of your control) and replace them with positive ones. 

Nowadays, cognitive-behavioral therapy (CBT) is a standard treatment for primary insomnia, in association with pharmacological therapy. CBT presents an advantage over pharmacological treatment: the low risk of side effects and the long-term maintenance of sleep pattern improvement. It is a focal and direct type of therapy in which patients play an active role. 

Cognitive restructuring:  This is mainly based on cognitive symptoms that can cause or perpetuate insomnia. Cognitive restructuring works on concerns, thoughts, false attitudes, irrational beliefs about sleep and amplification of its consequences, false ideas about the causes of insomnia, and disbelief about sleep induction practices and about their capacity to sleep. The goal is to make patients abandon the symptoms of insomnia by reminding them that the way in which events are thought about or judged determines the way that individuals regard them. Other experiential therapies are highly supportive of our treatment for compounding and results.

Also, the paradoxical intention is a technique to reduce the anticipatory anxiety associated with the fear of trying to fall asleep and failing at it since insomniacs usually believe that they have lost their natural capacity to fall asleep. Patients are instructed to go to bed and stay awake and try not to sleep; this makes them more relaxed and not under obligation to fall asleep. Patients consequently fall asleep earlier.

To learn more about other mental health modalities as well as answers to any questions regarding your sleeping disorders, including insomnia, let us provide answers to your questions. We currently are taking all precautions for Covid and hygiene, accentuating our capacity for ambiance in our treatments. Problem with Ambien abuse and need to treat the use disorder and regulate sleep? We’re here to help.

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