sleeping difficulty…

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depression, insomnia, insomnia, inability to sleep, dyssomnia, sleeplessness, wakefulness, sleeping problems, insomnia, take several forms, difficulty falling asleep, first go to bed at night, waking up too early, waking up frequently throughout the night, all types of insomnia, lead to daytime drowsiness, poor concentration, inability to feel refreshed, rested, everyone has, sleepless night, not a problem, 25% of americans report occasional sleeping problems, insomnia, chronic problem, 10%, the population, in these cases, lack of restful sleep impairs the person's ability to carry out daily responsibilities, too tired, have trouble concentrating, 8 hours of sleep each night, age 60, after which 6 hours adequate, though the elderly need less sleep, one half of people over 60 experience some degree of insomnia, best measure, sleep needed is how feel, awaken feeling refreshed, getting enough sleep, people, take only 4 hours, need up to 10 hours to feel rested, using long-acting, high-dose sedatives, a "cure", insomnia, make the problem worse, not better, over time, antihistamines, main ingredient in over-the-counter sleeping pills, lead to similar difficulties, using antihistamines over time, lead to reversible memory impairment, strong, prescription sedatives, not produce a natural, restful sleep, develop tolerance, dependence on these drugs, in this case, same dose, the drug no longer produces sleep, lead to try a higher dose, circular situation becomes worse, higher doses worsen the chance of dependence, tolerance, side effects, stopping these medications, cause a rebound insomnia, withdrawal, a life-threatening disease is rarely the cause of problems, sleep, poor sleep habits, insomnia, key symptom of depression, evaluated, depression, having sleeping difficulties, insomnia, a reduced energy level, irritability, disorientation, dark circles under the eyes, posture changes, fatigue, help to consult a psychiatrist, another physician, another mental health practitioner, evaluating psychiatric disorders, lead to insomnia, depressed, antidepressants, the sleeping problem, depression, medications, not carry the same concerns, tolerance, dependence, sedatives, nightmares, dreams that interfere, sleep, respond to counseling, jet lag, shift work, wake-sleep pattern disturbances, grief, depression, major depression, worry, anxiety, stress, exhilaration, excitement, bed, bedroom not conducive to sleep, nicotine, alcohol, caffeine, food, stimulants at bedtime, aging, excessive sleep, excessive physical, intellectual stimulation at bedtime, overactive thyroid, side effect of a new medication, alcoholism, abruptly stopping alcohol after long-term use, not getting enough bright-light exposure, waking hours, abruptly stopping a medication, sleeping pills, medications, illicit "street drugs", excessive thyroid replacement hormone, amphetamines, caffeine-containing beverages, cocaine, ephedrine, phenylpropanolamine, theophylline derivatives, withdrawal of medications, sedatives, hypnotics, interference, sleep by various diseases, an enlarged prostate, men, cystitis, women, copd, pain of arthritis, heartburn, heart, lung problems, restless leg syndrome, in infants, most newborn babies wake several times, night, by the age of 6 months they typically sleep, the night, at one year, babies, sleep an average of, 16 hours in every 24, two to three hours of this sleep, sleeplessness in infants, desire, parental attention, infantile colic, digestive problems, indigestion, hunger, teething, fever, illness, trt modifying nighttime sleeping habits, behavior, resorting to drugs to cure insomnia, avoid using alcohol, in the evening, avoid caffeine, at least 8 hours, bedtime, give up smoking, nicotine, stimulant, establish a regular bedtime, don't go to bed, wide awake, use the bedroom, bedroom activities only, once in bed, use creative imagery, relaxation techniques to keep mind off unrestful thoughts, avoid staying in bed, long periods of time awake, going to bed, boredom, take tv, computer out of bedroom, brain becomes used, stimulation, starts to expect it, makes it harder, to fall asleep, relax by reading, taking a bath, listening to soothing music, getting to bed, a snack, bedtime helps, foods warm milk, turkey have a natural sleep inducer, l-tryptophan, exercise regularly, in the last two hours, going to bed, exercise, aerobic exercise, has been show to make people fall asleep faster, benefit from deeper, restful sleep, sex, a natural sleep inducer, helps some people, avoid emotional upset, stressful situations, prior to bedtime, in infants and children, avoid readily available, a child, night, child, become dependent on attention, become sleepless, deprived of it, children, trouble falling asleep, try to make sure that the child is not disturbed by unnecessary noise, leaving a radio playing soft music, help cover up disturbing noises, avoid sending a child to bed, punishment, result in poor sleep, fear, never give a child sleeping medicine, consulting the doctor, generally, unwise to treat the problem, drugs, medication, a last resort, over-the-counter sleep medicines, have side-effects, a "hangover" effect the next morning, fail, want to ask health care provider to recommend other options, avoid all sedatives, the benzodiazepines, pregnancy, call health provider, a sleeping problem becomes persistent, unbearable, despite home treatment, a sleeping problem occurs more than 3 nights per week, more than 1 month, insomnia is accompanied by other worrisome symptoms, chest pain, shortness of breath provider, perfom a physical examination, to help better understand sleeping problems, ask the following, have difficulty falling asleep, staying asleep, insomnia, awaken from sleep not feeling rested, how often, awaken at night, how long have had the problem, have taken any over-the-counter sleeping products, what medications, take, take any herbal supplements, alternative medicine remedies, drink much coffee, alcohol, cut down on coffee, alcohol, have any, excessive stress, anxiety, how much, sleep, what hours, what, do, few hours, go to bed, sleep schedule change frequently, shift work, fall asleep at inappropriate times, places, does sleep schedule change drastically on weekends, worry excessively, sleep, have breath-holding spells, snore, have any aches, pains, prevent from sleeping, following tests recommended, sleep log record, psychological tests, thyroid tests, tsh, t3, t4, rare cases, a sleep medicine specialist who, perform a sleep study, polysomnography, medications, explore, the possibility of using, prescribed medications, everything else has failed, antidepressants elavil, amitriptyline, used at bedtime, sedating, require a prescription, insomnia, depression, proper treatment, the depression, appropriate medications, therapy should solve the problem, benzodiazepines valium, diazepam, ativan, lorazepam, anti-anxiety medications, help induce sleep, must be used, caution, addictive, too, require a prescription, newer medications, hypnotics, help reduce the time needed to fall asleep but, less likely to be addictive than benzodiazepines, ambien, zolpidem, sonata, zaleplon, two examples.