What to do about insomnia

  Insomnia is a subjective experience of decreased sleep quality and duration due to difficulty falling asleep or sleeping consistently, which does not meet the needs of normal physiological and physical recovery and affects normal social functioning. Long-term insomnia will seriously affect the function of the brain and body. The treatment of insomnia includes two parts: behavioral therapy and pharmacological therapy.  1.Behavior therapy and psychological counseling: correct understanding of insomnia, the development of good sleep habits, prevention and correction of poor sleep behavior and concepts, psychological counseling to eliminate the concern and fear of insomnia symptoms. Creating a suitable environment for sleeping, reducing the time in bed, getting up immediately when you can’t sleep, developing the habit of getting up at the same time every day no matter what time you go to bed at night, reducing or eliminating daytime naps, etc. Choosing a suitable pillow and relaxing your body and mind by soaking your feet before bedtime will also play a supporting role. In addition, avoid being too full or hungry before bedtime to reduce mood swings.  2, with a good bedroom environment to promote sleep: bedroom must be “hide the wind and gather air”, the bed must be placed in the most stable, brightest and can look at the whole room, the bed should face north and south, the bed does not face the door, because the door is the mouth of the gas is also the mouth of the wind, if the right will be sick.  Bedroom lighting should be dark not bright, the ancients said “bright hall dark room”, so as to ensure the privacy of the bedroom and a sense of warmth.  3, with scientific posture to promote sleep: “high pillow” is not without “worry”, someone has done research, perennial pillow two pillow people, than a pillow people suffer from cervical spondylosis much higher incidence, excessive high pillow sleep can also lead to airway pressure, breathing Obstructed, to the lung function caused by adverse effects, adults should be in accordance with the body type fat and thin to determine the height of the pillow. Side lying shoulder and skull parallel height for the thickness of the pillow is good.  4, the correct sleeping posture can promote sleep: winter sleep without covering the head, summer sleep without showing the belly; naked sleep is conducive to sleep; elderly people should take “lying like a bow” sleeping posture, this posture is more relaxed, conducive to eliminating fatigue, help stomach digestion, while facilitating the return of blood flow to the heart, reduce the burden on the heart, to avoid pressure on the heart.  5.Medication: If behavioral treatment fails, medication can be used. Commonly used drugs are benzodiazepines (diazepam, eszopiclone, etc.) and non-benzodiazepines (such as pyrazolopyrimidines, GABA receptor agonists and their reuptake inhibitors, etc.) as well as other drugs that help sleep (such as antidepressants). However, it is important to be aware of drug dependence and rebound of symptoms when stopping medication, and to follow the principle of individualized and as-needed medication, as prescribed by the doctor.  The effect of insomnia medication is often limited because it does not address the root cause of insomnia. Excluding the cause, developing good sleep habits and improving insomnia symptoms through behavioral therapy is the cure.