What to do to get rid of sleep issues in a person with chronic insomnia?

Question

Hi doctor,

I need help. I do not like to sleep and refuse to fall asleep at night. I will do anything to stay up with or without a phone. This happened before when I got only two to four hours of sleep every other day for the whole summer and half of the school year, around four years back. Unfortunately, I am starting to go back into that cycle again. I do not like to sleep even though I know it is not healthy. I always get tired and drowsy, but I force myself to stay up for no reason. I have a history of asthma, anxiety, and panic attacks. Please help me find out what is wrong with me. Is it a mental issue or a physical issue? Is it possible for me to fall asleep? However, I refuse to sleep, and I really do not know why.

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I can appreciate that not being able to sleep can be a frustrating experience for you. However, as you rightly guessed, there are different possible reasons (physical and mental health causes) that can affect your ability to sleep. You said that you could fall asleep, but you do not want to sleep. Do you recognize any increase in your anxiety levels in the evening or at bedtime? Asthma symptoms can get worse at night. Is your asthma well controlled? Kindly answer a few of my questions for better understanding, are your parents or family aware of this problem? Have you discussed it with your physician? You need to discuss this with your parents and consult your physician to evaluate the probable causes affecting your sleep.

Meanwhile, I suggest you to follow these self-help interventions that will help to alleviate your anxiety and hopefully get you better sleep. Try practicing progressive muscle relaxation exercises daily in the evening before bedtime. In addition, you can search on the internet for guidance videos. Practice deep breathing exercises daily. Try changing your bedroom. See whether sleeping alone or sharing a room with a sibling or mother is helping you to sleep better. Avoid using electronic devices or TV (television) an hour before the planned bedtime.

I hope this helps you.