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What are the best ways to overcome insomnia and improve sleep?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 37-year-old female who has been experiencing poor sleep lately and suspect I may have insomnia.

  1. Can you provide an overview of insomnia and how it affects sleep patterns?

  2. What are the common signs and symptoms?

  3. What factors, such as stress, lifestyle habits, or medical conditions, contribute to insomnia?

  4. What are some effective sleep hygiene practices that could help improve sleep quality?

  5. How does cognitive behavioral therapy for insomnia (CBT-I) work, and is it effective?

  6. What medications are typically prescribed for insomnia, and what are their benefits and risks?

  7. Lastly, how do reducing caffeine, alcohol, and screen time before bed help manage insomnia?

Please help.

Thank you.

Hi,

Welcome to icliniq.com.

I have read your query and can understand your concern.

Caused by insomnia makes it even harder to fall asleep. Health problems may also lead to problems in sleeping and insomnia:

  1. Pregnancy.

  2. Physical pain or discomfort.

  3. Waking up at night to use the bathroom, common in men with enlarged prostate.

  4. Sleep apnea.

With age, sleep patterns tend to change. Many people find that aging causes them to have a harder time falling asleep, and that they wake up more often.

  1. Caffeine and alcohol at night.

  2. If you do not exercise, starting regular exercise might help you sleep better.

  3. If you are depressed or anxious, talk to your doctor to see if relaxation techniques can help, if medication might be helpful, or if seeing a mental health provider is best.

  4. If you are suffering from bouts of insomnia, take heart. Most people can return to more normal sleep patterns when they make simple changes in their lifestyle or habits.

Symptoms

The most common complaints or symptoms in people with insomnia are:

  1. Trouble falling asleep on most nights.

  2. Feeling tired during the day or falling asleep during the day.

  3. Not feeling refreshed when you wake up.

  4. Waking up several times during sleep.

  5. People who have insomnia are sometimes consumed by the thought of getting enough sleep. But the more they try to sleep, the more frustrated and upset they get, and the harder sleep becomes.

Lack of restful sleep can:

  1. Make you tired and unfocused, so it is hard to do daily activities.

  2. Put you at risk for auto accidents. If you are driving and feel sleepy, pull over and take a break.

Exams and tests

Your health care provider will do a physical exam and ask about your current medicines, drug use, and medical history. Usually, these are the only methods needed to diagnose insomnia.

Treatment

Not getting 8 hours of sleep every night does not mean your health is at risk. Different people have different sleep needs. Some people do fine on 6 hours of sleep a night. Others only do well if they get 10 to 11 hours of sleep a night. Treatment often begins by reviewing any medicines or health problems that may be causing or worsen insomnia, such as:

  1. Enlarged prostate gland or any other medical condition, causing men to wake up at night to urinate.

  2. Pain or discomfort from muscle, joint, or nerve disorders, such as arthritis and Parkinson disease.

  3. Other medical conditions, such as acid reflux, allergies, and thyroid problems.

  4. Mental health disorders, such as depression and anxiety.

You should also think about lifestyle and sleep habits that may affect your sleep. This is called sleep hygiene. Making some changes in your sleep habits may improve or solve your insomnia. Some people may need medicines to help with sleep for a short period of time. But in the long run, making changes in your lifestyle and sleep habits is the best treatment for problems with falling and staying asleep. Most over-the-counter (OTC) sleeping pills contain antihistamines. These medicines are commonly used to treat allergies. Your body quickly becomes used to them. Sleep medicines called hypnotics can be prescribed by your provider to help reduce the time it takes you to fall asleep. Most of these can become habit-forming. Medicines used to treat anxiety or depression can also help with sleep. Different methods of talk therapy, such as cognitive behavioral therapy for insomnia (CBT-I), may help you gain control over anxiety or depression.

Outlook (prognosis):

Most people are able to sleep by practicing good sleep hygiene.

When to contact a medical professional:

Contact your provider if insomnia has become a problem.

I hope I have answered your query.

Let me know if I can assist you further.

Thank you.

Medically reviewed byiCliniq medical review team
Published At January 4, 2025
Reviewed AtJune 19, 2026

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