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The insomniac patient should be advised that he will eventually get as much sleep as needed and that part of the treatment schedule includes not going to bed until he feels sleepy. If the patient does not feel sleepy, he should stay up and do something pleasurable, such as read, work, or study. Other self-help measures include reduction of tension in one's lifestyle, establishing a regular sleep routine, and avoiding stimulants (such as coffee, tea, or cola) and strenuous exercise before bed. A warm bath just before going to bed relaxes tense muscles. Afternoon naps should be avoided. One should sleep in a quiet, clean, cool, dark environment. A snack or glass of warm milk before going to bed does no harm, but there is no evidence that this practice helps induce sleep.
CAUTION!Some drugs used to treat insomnia are less rapidly biotransformed in older adults than in the young. These drugs have been associated with delirium, increased risk of falls and hip fractures, sleepwalking, motor vehicle accidents, and excessive sedation in older adults.
Patient discussion about Sleep disorder
Q. How to deal with sleeping problems? I wonder if anyone could help me. Here's the thing: I’ve been in school break for two months now and that means i usually go to bed at about 2 am, and I usually wake up with an alarm clock at 11 for breakfast then lunch immediately after breakfast. My problem is that I have problems sleeping, I usually stay an hour or two in bed trying to get some sleep.
Q. I go to sleep & use to wake up paralyzed in my sleep. I go to sleep & use to wake up paralyzed in my sleep. But not asleep, just laying there, eyes wide open paralyzed. I couldn't breath, I couldn't speak, move anything but my eyes. I could look around but I couldn't even breathe. This has happened a few times in my old house, once in my mother's house (she lived by the side of a graveyard), and then only once in my new house. What is it and what do you think is causing it?
Q. sleeping problems i"m waking up in the middle of the night and can't get back.
• Sleep only as much as you need to feel rested
• Keep a regular sleep schedule
• Avoid forcing sleep
• Exercise regularly for at least 20 minutes, preferably 4 to 5 hours before bedtime
• Avoid caffeinated beverages after lunch
• Avoid alcohol near bedtime: no "night cap"
• Avoid smoking, especially in the evening
• Do not go to bed hungry
• Adjust bedroom environment
• Deal with your worries before bedtime
These practices address many of the causes of sleep problems. However, sleep problems may result from many causes, so consulting a doctor may be wise.