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Central Sleep Apnea, in which the brain does not send the
signal to the muscles to take a breath.
A person also may have mixed sleep apnea (both obstructive sleep apnea and central sleep
apnea).
3. Narcolepsy
A disorder characterized by periodic, involuntary leg twitching or jerking movements that occur
during sleep. More than 80 percent of people with restless legs syndrome also experience PLMD.
The movements caused by PLMD are involuntary, unlike RLS. Although most people with RLS
develop PLMD, most people with PLMD do not experience RLS.
A sleep disorder caused by the performance of daily living activities that are inconsistent with
the maintenance of good quality sleep and full daytime alertness. This may involve lifestyle
practices that keep a person awake and/or practices that bring disorder to a person’s sleep
schedule.
7. Jet Lag
A temporary disorder that causes fatigue, insomnia and other symptoms as a result of air travel
across time zones.
8. Shift Work
People who work second or third shifts may have difficulty sleeping during the day and trouble
staying awake during their shift at night. Workers who are most affected work between 11:00 pm
and 7:00 am and those who do rotating shifts. Night shift workers are likely working during the
time in their circadian rhythm (the body’s internal regulator of sleep and wake) when their brain
is most sleepy.
9. Sleepwalking
A disorder characterized by walking or other activity while seemingly still asleep. Sleep walking
may occur at any age, but most often occurs in children ages 6 to 12. A common misconception
is that sleepwalking is acting out the physical movements within a dream, but in fact,
sleepwalking occurs earlier on in the night when rapid eye movement (REM), or the "dream
stage" of sleep, has not yet occurred.
According to a Finnish study published in 1997, children sleepwalk more frequently than adults.
Sleepwalking was reported for 6.9% of female children and 5.7% of male children, compared to
rates of 3.1% for adult women and 3.9% for adult men. Activities such as eating, bathing,
urinating, talking, dressing, driving cars, painting, whistling, dancing, committing murder, or
engaging in sexual intercourse have been reported or claimed to have occurred during
sleepwalking.
In December 2008, reports were published of a woman who sent semi-coherent emails while
sleepwalking, including one inviting a friend round for dinner and drinks.
A common sleep disorder among children involving abrupt awakening from sleep in a terrified
state. A child may scream and shake, and the child is difficult to wake. Night terrors may be
associated with emotional tension, stress or conflict. Night terror is similar to nightmares except
that nightmares usually occur during REM sleep. The disorder usually ends around the time a
child reaches grade school age.
Back pain
Chronic pain
Neck pain
Environmental (for example, alcohol use)
Medical (for example, asthma)
Psychiatric (for example, depression and anxiety disorders)
Physical (for example, ulcers)
Incontinence
Withdrawal - Drug Withdrawal during the cold turkey actual withdrawal stage can lead to
loss of ability to get to sleep and can last for several days through to several weeks. It is
particularly a pervasive symptom for withdrawal from Opiods and in particular Heroin.
Endocrine imbalance mainly due to Cortisol but not limited to this hormone. Hormone
changes due to impending menstruation or during the menopause transition years.
Chronobiological disorders, mainly Circadian rhythm disorders
Other sleep disorder causes factors that can interfere with sleep include:
Night Shift Work: People who work at night often experience sleep disorders because they
cannot sleep when they start to feel drowsy. Their activities run contrary to their biological
clocks.
Medications: Many medications can interfere with sleep, such as certain antidepressants, blood
pressure medication, and over-the-counter cold medicine.
Aging: About half of all adults over the age of 65 have some sort of sleep disorder. It is not clear
if it is a normal part of aging or a result of medications that older people commonly use.
Genetics: Researchers have found a genetic basis for narcolepsy, a neurological disorder of sleep
regulation that affects the control of sleep and wakefulness.
Polysomnography
In people with suspected obstructive sleep apnea (OSA), overnight oximetry (measuring the
oxygen saturation in the blood) may be performed to determine the oxygen level during the
apnea episodes.
In people with suspected narcolepsy, there are various tests that can be performed. The multiple
sleep latency test (MSLT), for example, measures the time it takes for REM sleep to occur in
patients who fall asleep suddenly and repeatedly. In people with narcolepsy, REM occurs
immediately.
Medication Treatments
Behavior Treatments
Alternative Therapy
Supplements
Benzodiazepines,
Non-benzodiazepine hypnotics,
Opiates
Anticonvulsants
Behavior Treatments for sleep disorders:
Lifestyle/behavioral treatments for sleep disorders may include:
Cognitive therapy
Sleep hygiene
Relaxation training
Some complementary and alternative therapies used to treat insomnia include supplements,
acupuncture, relaxation and meditation, and exercise.
2. Melatonin,
3. Acupuncture,
4. Relaxation,
5. Meditation and
6. Exercise
For those who want to explore alternative treatments, also called alternative therapy there are a
variety of ways to calm the mind/ nervous system and address the root of the problem. A
therapist can assist you in finding the help you need which may encompass a variety of
disciplines including everything from diet and exercise to mental conditioning and lifestyle
changes. Examples of alternative therapies include Cognitive Behavioral Therapy, acupuncture,
guided imagery, yoga, hypnosis, biofeedback, aromatherapy, relaxation, herbal remedies,
massage, and many others.
Insomnia
The most common sleep disorder in existence, insomnia can cause major exhaustion problems.
Signs of insomnia include difficulty falling asleep, waking up often, trouble going back to sleep,
waking up too early, and not getting restful sleep. People who often feel tired and moody
throughout the day may have insomnia. Acute insomnia (short-term) may last one night and
disappear, while chronic insomnia (long-term) may last for years, coming and going at the most
inconvenient times. Most people can cure insomnia at home by changing their lifestyle habits.
Cutting down on caffeine, listening to music, lowering the thermostat, making your bed more
comfortable, and sleeping in total darkness are all effective ways to cure insomnia. The most
prevalent cause of insomnia is stress or emotional anxiety. Seeking advice from a mental health
expert will help you address the root of the problem.
If a person suffer from this disorder, an alternative treatment option is to consult a therapist that
specializes in stress management, weight loss and emotional eating habits, and emotional issues
around lifestyle choices.
Sleep Apnea
People with sleep apnea stop breathing in their sleep, often hundreds of times per night.
Obstructive sleep apnea (OSA) is the most common form of this sleep disorder. Soft tissue in the
throat collapses and blocks the airway, waking the sufferer. Central sleep apnea (CSA) is similar,
but the airway is not blocked by tissue; the brain simply does not tell the body to breath. This
problem is harder to treat since it involves the Central Nervous System (CNS). Sufferers of
obstructive sleep apnea have plenty of treatment options. Weight loss may be the answer, but
even sleeping in a different position could help immensely. Special mouthpieces can also cure
sleep apnea. Suffers should avoid alcohol and other depressants, as these cause muscles to relax.
If a person suffer from this disorder, an alternative treatment option is to consult a therapist that
specializes in stress management, weight loss and emotional eating habits, and emotional issues
around lifestyle choices.
When those suffering from restless leg syndrome (RLS) sit still for too long, they feel sensations
like tingling and pain in their legs. Since this problem is typically worst evenings and nights,
restless leg syndrome can make it especially hard to fall asleep. It helps to walk and shake the
irritated leg. Unfortunately, nobody wants to get up and walk around after three hours of sleep!
Restless leg syndrome may be symptomatic of pregnancy, anemia, nerve disease, diabetes, or
kidney failure. Heredity and age are other factors. Obesity, caffeine, alcohol, smoking, H2-
histamine blockers, and antidepressants can also cause this sleep disorder. Lifestyle changes may
cure restless leg syndrome; otherwise, prescribed medicine could be necessary.
Cognitive behavioral therapy (CBT) is a form of therapy that emphasizes observing and
changing negative thoughts (such as, "I'll never fall asleep"). It also employs actions intended to
change behavior. This has been used as an alternative treatment option for sleeping disorders.
Try to go to bed at the same time every night and get up at the same time every morning.
Try to avoid caffeine, nicotine, and alcohol late in the day. Caffeine and nicotine are
stimulants and can keep you from falling asleep. Alcohol can make you wake up later in
the night.
Get regular exercise. Try not to exercise close to bedtime because it may stimulate you
and make it hard to fall asleep. Experts suggest not exercising for 3 hours before the time
you go to sleep.
Don't eat a big meal late in the day, although a light snack before bedtime may help you
sleep.
Make your sleeping place comfortable. Be sure that it is dark, quiet, and not too warm or
too cold. If light is a problem, try a sleeping mask. If noise is a problem, try earplugs, a
fan, or a "white noise" machine to cover up the sounds.
Create a routine to help you relax and wind down before sleep, such as reading a book or
taking a bath. Watching the news just before bed may keep some people awake,
especially if the news is upsetting.
If you have trouble lying awake worrying about things, try making a to-do list before you
go to bed. This may help you to "let go" of those worries overnight.
See your health care provider if you think you have a sleep problem or a sleep disorder.
References
Sleep Disorders Guide. (n.d.). Retrieved June 3,
2009http://www.sleepdisordersguide.com/sleep-disorders-causes-
symptoms.html